Abnormal diastolic mechanical vibration transmission characteristics of the left ventricle. 1985

D Smith, and T Ishimitsu, and E Craige

In 18 open chest canine experiments, the ability of the left ventricle to transmit a mechanical vibratory tone from base to apex has been studied. An artificial tone source of constant amplitude and frequency was applied to the base of the exposed left ventricle. A miniature vibration sensor was applied to the anterior epicardium near the ventricular apex. This permitted us to obtain a heart surface phonocardiogram, in order to detect the portion of the source vibration which was transmitted to the apex. In three of the dogs, the heart surface phonocardiogram from the apex was compared with simultaneous intraventricular phonocardiograms which showed the amplitude of the vibration which reached the intraventricular blood mass. It was found that the normal ventricle transmits the tone from base to apex almost exclusively during systole, when the ventricle is contracted and stiff. In marked contrast, the normally relaxed and soft ventricle fails almost completely to transmit the tone to the apex. In conditions of poor relaxation ability of the left ventricle due to global hypoxemia, manifested by a long "Time Constant T", an abnormal diastolic transmission of the tone to the apex occurred during early diastole. We have defined this abnormal early diastolic "crescendo-decrescendo" type of transmissibility as "Type 1". The Type 1 transmission is related to impaired relaxation of the ventricle and is a manifestation of one or more abnormal ventricular muscle properties, such as myocardial stiffness, viscosity and density. In conditions of left ventricular hemodynamic failure caused by global hypoxemia, a separate abnormal mid-to-late diastolic "crescendo" type of transmissibility was found, and is defined as "Type 2".(ABSTRACT TRUNCATED AT 250 WORDS)

UI MeSH Term Description Entries
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
D010701 Phonocardiography Graphic registration of the heart sounds picked up as vibrations and transformed by a piezoelectric crystal microphone into a varying electrical output according to the stresses imposed by the sound waves. The electrical output is amplified by a stethograph amplifier and recorded by a device incorporated into the electrocardiograph or by a multichannel recording machine. Phonocardiographies
D003327 Coronary Disease An imbalance between myocardial functional requirements and the capacity of the CORONARY VESSELS to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels. Coronary Heart Disease,Coronary Diseases,Coronary Heart Diseases,Disease, Coronary,Disease, Coronary Heart,Diseases, Coronary,Diseases, Coronary Heart,Heart Disease, Coronary,Heart Diseases, Coronary
D003971 Diastole Post-systolic relaxation of the HEART, especially the HEART VENTRICLES. Diastoles
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D006326 Heart Auscultation Act of listening for sounds within the heart. Cardiac Auscultation,Auscultation, Cardiac,Auscultation, Heart,Auscultations, Cardiac,Auscultations, Heart,Cardiac Auscultations,Heart Auscultations
D006347 Heart Sounds The sounds heard over the cardiac region produced by the functioning of the heart. There are four distinct sounds: the first occurs at the beginning of SYSTOLE and is heard as a "lubb" sound; the second is produced by the closing of the AORTIC VALVE and PULMONARY VALVE and is heard as a "dupp" sound; the third is produced by vibrations of the ventricular walls when suddenly distended by the rush of blood from the HEART ATRIA; and the fourth is produced by atrial contraction and ventricular filling. Cardiac Sounds,Cardiac Sound,Heart Sound,Sound, Cardiac,Sound, Heart,Sounds, Cardiac,Sounds, Heart
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
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D013599 Systole Period of contraction of the HEART, especially of the HEART VENTRICLES. Systolic Time Interval,Interval, Systolic Time,Intervals, Systolic Time,Systoles,Systolic Time Intervals,Time Interval, Systolic,Time Intervals, Systolic

Related Publications

D Smith, and T Ishimitsu, and E Craige
February 1980, Federation proceedings,
D Smith, and T Ishimitsu, and E Craige
January 1989, Journal of cardiovascular pharmacology,
D Smith, and T Ishimitsu, and E Craige
January 1991, The Journal of cardiovascular surgery,
D Smith, and T Ishimitsu, and E Craige
March 1976, Annals of internal medicine,
D Smith, and T Ishimitsu, and E Craige
July 1992, The American journal of physiology,
D Smith, and T Ishimitsu, and E Craige
January 2015, Computational and mathematical methods in medicine,
D Smith, and T Ishimitsu, and E Craige
January 1980, European heart journal,
D Smith, and T Ishimitsu, and E Craige
August 1997, The American journal of cardiology,
D Smith, and T Ishimitsu, and E Craige
January 1989, Terapevticheskii arkhiv,
D Smith, and T Ishimitsu, and E Craige
January 2009, Likars'ka sprava,
Copied contents to your clipboard!