Angiographic validation of eigenvolume to measure left ventricular size. 1988

A C Chagas, and S A Glantz
Cardiovascular Research Institute, University of California, San Francisco, CA 94143.

Radiopaque markers implanted in the left ventricle allow one to follow the motion of specific elements of myocardium and compute a measure of relative left ventricular volume, called "eigenvolume." Workers in our laboratory partially validated this measure in excised dog hearts by comparing eigenvolumes with volumes of balloons in the left ventricle. Perhaps because the balloon did not fully fill the left ventricle, there was a significant nonzero intercept in the relation between eigenvolume and balloon volume. Therefore, the results only partially confirmed the eigenvolume theory because eigenvolume should be proportional to cavity volume. This study compares eigenvolume with left ventricular volume measured by biplane angiography in intact beating hearts following hemodynamic interventions (atropine, phenylephrine, nitroprusside, volume loading, and propranolol). We performed 32 angiograms in five dogs. A high correlation (r = 0.958 +/- 0.029 [SD]) was found between eigenvolumes and left ventricular volumes. In contrast to earlier in vitro validations and consistent with theory, the intercept of the relation between eigenvolume and left ventricular cavity volume (angiovolume) was not significantly different from zero. These data strengthen the hypothesis that eigenvolume accurately reflects true left ventricular volume in vivo. These same data were used to assess the immediate (i.e., within a few beats) effect of angiography. Left ventricular volume loading associated with the angiogram modestly (6%) increases left ventricular end-diastolic and end-systolic eigenvolumes without changing stroke volume or pressures, consistent with a mild negative inotropic effect.

UI MeSH Term Description Entries
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
D009929 Organ Size The measurement of an organ in volume, mass, or heaviness. Organ Volume,Organ Weight,Size, Organ,Weight, Organ
D012044 Regression Analysis Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable. Regression Diagnostics,Statistical Regression,Analysis, Regression,Analyses, Regression,Diagnostics, Regression,Regression Analyses,Regression, Statistical,Regressions, Statistical,Statistical Regressions
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D001810 Blood Volume Volume of circulating BLOOD. It is the sum of the PLASMA VOLUME and ERYTHROCYTE VOLUME. Blood Volumes,Volume, Blood,Volumes, Blood
D003326 Coronary Circulation The circulation of blood through the CORONARY VESSELS of the HEART. Circulation, Coronary
D006321 Heart The hollow, muscular organ that maintains the circulation of the blood. Hearts
D006352 Heart Ventricles The lower right and left chambers of the heart. The right ventricle pumps venous BLOOD into the LUNGS and the left ventricle pumps oxygenated blood into the systemic arterial circulation. Cardiac Ventricle,Cardiac Ventricles,Heart Ventricle,Left Ventricle,Right Ventricle,Left Ventricles,Right Ventricles,Ventricle, Cardiac,Ventricle, Heart,Ventricle, Left,Ventricle, Right,Ventricles, Cardiac,Ventricles, Heart,Ventricles, Left,Ventricles, Right
D006439 Hemodynamics The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM. Hemodynamic
D000792 Angiography Radiography of blood vessels after injection of a contrast medium. Arteriography,Angiogram,Angiograms,Angiographies,Arteriographies

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