What happens to ventricular volume during isovolumetric contraction?

1. Brutsaert DL, De Keulenaer GW. Diastolic heart failure: a myth. Curr Opin Cardiol. 2006;21:240–248. [PubMed] [Google Scholar]

2. Little WC. Assessment of normal and abnormal cardiac function. In: Braunwald, Zipes, Libby, editors. Heart disease: A text book of cardiovascular medicine. 6. Philadelphia: W.B. Saunders Company; 2001. pp. 479–502. [Google Scholar]

3. Little WC, Applegate RJ. Congestive heart failure: systolic and diastolic function. J Cardiothorac Vasc Anesth. 1993;7:2–5. [PubMed] [Google Scholar]

4. Little WC. Diastolic dysfunction beyond distensibility: adverse effects of ventricular dilatation. Circulation. 2005;112:2888–2890. [PubMed] [Google Scholar]

5. Little WC, Warner JG, Jr, Rankin KM, et al. Evaluation of left ventricular diastolic function from the pattern of left ventricular filling. Clin Cardiol. 1998;21:5–9. [PMC free article] [PubMed] [Google Scholar]

6. Fukuta H, Little WC. Contribution of systolic and diastolic abnormalities to heart failure with a normal and a reduced ejection fraction. Prog Cardiovasc Dis. 2007;49:229–240. [PubMed] [Google Scholar]

7. Hasegawa H, Little WC, Ohno M, et al. Diastolic mitral annular velocity during the development of heart failure. J Am Coll Cardiol. 2003;41:1590–1597. [PubMed] [Google Scholar]

8. Sohn DW, Chai IH, Lee DJ, et al. Assessment of mitral annulus velocity by Doppler tissue imaging in the evaluation of left ventricular diastolic function. J Am Coll Cardiol. 1997;30:474–480. [PubMed] [Google Scholar]

9. Garcia MJ, Thomas JD, Klein AL. New Doppler echocardiographic applications for the study of diastolic function. J Am Coll Cardiol. 1998;32:865–875. [PubMed] [Google Scholar]

10. Oh JK, Appleton CP, Hatle LK, et al. The noninvasive assessment of left ventricular diastolic function with two-dimensional and Doppler echocardiography. J Am Soc Echocardiogr. 1997;10:246–270. [PubMed] [Google Scholar]

11. Ommen SR, Nishimura RA, Appleton CP, et al. Clinical utility of Doppler echocardiography and tissue Doppler imaging in the estimation of left ventricular filling pressures: A comparative simultaneous Doppler-catheterization study. Circulation. 2000;102:1788–1794. [PubMed] [Google Scholar]

12. Nagueh SF, Middleton KJ, Kopelen HA, et al. Doppler tissue imaging: a noninvasive technique for evaluation of left ventricular relaxation and estimation of filling pressures. J Am Coll Cardiol. 1997;30:1527–1533. [PubMed] [Google Scholar]

13. Oh JK, Hatle L, Tajik AJ, et al. Diastolic heart failure can be diagnosed by comprehensive two-dimensional and Doppler echocardiography. J Am Coll Cardiol. 2006;47:500–506. [PubMed] [Google Scholar]

14. Brucks S, Little WC, Chao T, et al. Contribution of left ventricular diastolic dysfunction to heart failure regardless of ejection fraction. Am J Cardiol. 2005;95:603–606. [PubMed] [Google Scholar]

15. Rihal CS, Nishimura RA, Hatle LK, et al. Systolic and diastolic dysfunction in patients with clinical diagnosis of dilated cardiomyopathy. Relation to symptoms and prognosis. Circulation. 1994;90:2772–2779. [PubMed] [Google Scholar]

16. Vanoverschelde JL, Raphael DA, Robert AR, et al. Left ventricular filling in dilated cardiomyopathy: relation to functional class and hemodynamics. J Am Coll Cardiol. 1990;15:1288–1295. [PubMed] [Google Scholar]

17. Shen WF, Tribouilloy C, Rey JL, et al. Prognostic significance of Doppler-derived left ventricular diastolic filling variables in dilated cardiomyopathy. Am Heart J. 1992;124:1524–1533. [PubMed] [Google Scholar]

18. Wang M, Yip G, Yu CM, et al. Independent and incremental prognostic value of early mitral annulus velocity in patients with impaired left ventricular systolic function. J Am Coll Cardiol. 2005;45:272–277. [PubMed] [Google Scholar]

19. Dokainish H, Zoghbi WA, Lakkis NM, et al. Incremental predictive power of B-type natriuretic peptide and tissue Doppler echocardiography in the prognosis of patients with congestive heart failure. J Am Coll Cardiol. 2005;45:1223–1226. [PubMed] [Google Scholar]

20. Troughton RW, Prior DL, Frampton CM, et al. Usefulness of tissue doppler and color M-mode indexes of left ventricular diastolic function in predicting outcomes in systolic left ventricular heart failure (from the ADEPT study) Am J Cardiol. 2005;96:257–262. [PubMed] [Google Scholar]

21. Notomi Y, Martin-Miklovic MG, Oryszak SJ, et al. Enhanced ventricular untwisting during exercise: a mechanistic manifestation of elastic recoil described by Doppler tissue imaging. Circulation. 2006;113:2524–2533. [PubMed] [Google Scholar]

22. Foster E, Lease KE. New untwist on diastole: what goes around comes back. Circulation. 2006;113:2477–2479. [PubMed] [Google Scholar]

23. Firstenberg MS, Smedira NG, Greenberg NL, et al. Relationship between early diastolic intraventricular pressure gradients, an index of elastic recoil, and improvements in systolic and diastolic function. Circulation. 2001;104:I330–I335. [PubMed] [Google Scholar]

24. Yotti R, Bermejo J, Antoranz JC, et al. A noninvasive method for assessing impaired diastolic suction in patients with dilated cardiomyopathy. Circulation. 2005;112:2921–2929. [PubMed] [Google Scholar]

25. Greenberg NL, Vandervoort PM, Firstenberg MS, et al. Estimation of diastolic intraventricular pressure gradients by Doppler M-mode echocardiography. Am J Physiol Heart Circ Physiol. 2001;280:H2507–H2515. [PubMed] [Google Scholar]

26. Sullivan MJ, Hawthorne MH. Exercise intolerance in patients with chronic heart failure. Prog Cardiovasc Dis. 1995;38:1–22. [PubMed] [Google Scholar]

27. Pina IL, Apstein CS, Balady GJ, et al. Exercise and heart failure: A statement from the American Heart Association Committee on exercise, rehabilitation, and prevention. Circulation. 2003;107:1210–1225. [PubMed] [Google Scholar]

28. Packer M. Abnormalities of diastolic function as a potential cause of exercise intolerance in chronic heart failure. Circulation. 1990;81:III78–III86. [PubMed] [Google Scholar]

29. Cheng CP, Igarashi Y, Little WC. Mechanism of augmented rate of left ventricular filling during exercise. Circ Res. 1992;70:9–19. [PubMed] [Google Scholar]

30. Cheng CP, Noda T, Nozawa T, et al. Effect of heart failure on the mechanism of exercise-induced augmentation of mitral valve flow. Circ Res. 1993;72:795–806. [PubMed] [Google Scholar]

31. Sato H, Hori M, Ozaki H, et al. Exercise-induced upward shift of diastolic left ventricular pressure-volume relation in patients with dilated cardiomyopathy. Effects of beta-adrenoceptor blockade. Circulation. 1993;88:2215–2223. [PubMed] [Google Scholar]

32. Kitzman DW, Higginbotham MB, Cobb FR, et al. Exercise intolerance in patients with heart failure and preserved left ventricular systolic function: failure of the Frank-Starling mechanism. J Am Coll Cardiol. 1991;17:1065–1072. [PubMed] [Google Scholar]

33. Lapu-Bula R, Robert A, Van CD, et al. Contribution of exercise-induced mitral regurgitation to exercise stroke volume and exercise capacity in patients with left ventricular systolic dysfunction. Circulation. 2002;106:1342–1348. [PubMed] [Google Scholar]


Page 2

What happens to ventricular volume during isovolumetric contraction?

Recording of left atrial pressure (PLA), left ventricular pressure (PLV), and the rate of change of left ventricular (LV) volume (dV/dt). The early diastolic pressure gradient is generated as LV pressure falls below LA pressure and the late diastolic gradient is generated as atrial contraction increases LA pressure above LV pressure. Data from Little WC, Cheng CP. Left ventricular-arterial coupling in conscious dogs. Am J Physiol 1991;261:H70–H76.

  • What happens to ventricular volume during isovolumetric contraction?
  • What happens to ventricular volume during isovolumetric contraction?
  • What happens to ventricular volume during isovolumetric contraction?
  • What happens to ventricular volume during isovolumetric contraction?
  • What happens to ventricular volume during isovolumetric contraction?
  • What happens to ventricular volume during isovolumetric contraction?
  • What happens to ventricular volume during isovolumetric contraction?
  • What happens to ventricular volume during isovolumetric contraction?
  • What happens to ventricular volume during isovolumetric contraction?
  • What happens to ventricular volume during isovolumetric contraction?

Click on the image to see a larger version.