Cardiac chemical constant. Part II: Application to normal and abnormal left ventricular function. 1990

C A Phillips
Department of Biomedical Engineering, Wright State University, Dayton, OH 45435.

A physiochemical parameter has been defined as KD, the cardiac chemical equilibrium dissociation constant, and represents the ratio of long units (extended sarcomeres) to short units (contracted sarcomeres) of a hypothetical mid-wall circumferential fibre. KD has been separately identified for three specific points in the cardiac cycle: end-diastole (KDED), mid-cycle of systole (KDMC) and end-systole (KDES). These three values of KD have been computed for 15 normal patients (N), 6 patients with compensated volume overload (CVO), 9 patients with decompensated volume overload (DVO), 3 patients with compensated pressure overload (CPO) and 6 patients with congestive cardiomyopathy (CC). The average for the N group was KDED = 2.47, KDMC = 0.67 and KDES = 0.24. The majority of the long-to-short unit interconversions were calculated to occur during the first half of systole. The phenomenological model does not predict any significant parameter changes between the CVO group and the N group. The ratio KDMC/KDED is significantly reduced (P less than 0.05) for the DVO group compared to the N group and indicates a greater extent of long-to-short unit interconversion during the first half of systole for the DVO group average (compared to the N group average). For the CPO group, KDED averages around 45% higher than the average normal (P less than 0.005) and KDES averages about 33% lower than the average of the N group (P less than 0.005). As a compensatory process in CPO, the myocardium is transferring a larger percentage of its total units (sarcomeres) to long units at end-diastole and interconverting a larger percentage of its long units to short units during systole.(ABSTRACT TRUNCATED AT 250 WORDS)

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D008955 Models, Cardiovascular Theoretical representations that simulate the behavior or activity of the cardiovascular system, processes, or phenomena; includes the use of mathematical equations, computers and other electronic equipment. Cardiovascular Model,Cardiovascular Models,Model, Cardiovascular
D009200 Myocardial Contraction Contractile activity of the MYOCARDIUM. Heart Contractility,Inotropism, Cardiac,Cardiac Inotropism,Cardiac Inotropisms,Contractilities, Heart,Contractility, Heart,Contraction, Myocardial,Contractions, Myocardial,Heart Contractilities,Inotropisms, Cardiac,Myocardial Contractions
D009206 Myocardium The muscle tissue of the HEART. It is composed of striated, involuntary muscle cells (MYOCYTES, CARDIAC) connected to form the contractile pump to generate blood flow. Muscle, Cardiac,Muscle, Heart,Cardiac Muscle,Myocardia,Cardiac Muscles,Heart Muscle,Heart Muscles,Muscles, Cardiac,Muscles, Heart
D002932 Cineangiography Motion pictures of the passage of contrast medium through blood vessels. Cineangiographies
D005260 Female Females
D006328 Cardiac Catheterization Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures. Catheterization, Cardiac,Catheterization, Heart,Heart Catheterization,Cardiac Catheterizations,Catheterizations, Cardiac,Catheterizations, Heart,Heart Catheterizations
D006331 Heart Diseases Pathological conditions involving the HEART including its structural and functional abnormalities. Cardiac Disorders,Heart Disorders,Cardiac Diseases,Cardiac Disease,Cardiac Disorder,Heart Disease,Heart Disorder
D006349 Heart Valve Diseases Pathological conditions involving any of the various HEART VALVES and the associated structures (PAPILLARY MUSCLES and CHORDAE TENDINEAE). Heart Valvular Disease,Valvular Heart Diseases,Disease, Heart Valvular,Heart Disease, Valvular,Heart Valve Disease,Heart Valvular Diseases,Valve Disease, Heart,Valvular Disease, Heart,Valvular Heart Disease

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