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September 1, 1972Circulation

Systolic Time Intervals as Measures of the Contractile State of the Left Ventricular Myocardium in Man

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Key result

Systolic time intervals (PEP and PEP/LVET) exhibited excellent correlations with measures of contractility in subjects with normal left ventricles or cardiac disease confined to the left ventricle.

Why the study?

Do systolic time intervals (PEP and PEP/LVET) accurately reflect left ventricular myocardial contractility in normal subjects and patients with cardiac disease?

Population

14 normal subjects and 56 patients with cardiac disease (n=70)

Design

Cross-sectional

Authors

SAShafiuddin AhmedRutgers, The State University of New JerseyGLGilbert E. LevinsonRutgers, The State University of New JerseyCSCarl J. SchwartzRutgers, The State University of New Jersey

Discussion

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Implication

Supports systolic time intervals for noninvasive LV contractility assessment in isolated disease; leaves open prospective validation and outcome studies.

Study Design

Type

Observational (n=70)

Structured PICO

Do systolic time intervals (PEP and PEP/LVET) accurately reflect left ventricular myocardial contractility in normal subjects and patients with cardiac disease?

P
Population
14 normal subjects and 56 patients with cardiac disease (n=70)
I
Intervention
Measurement of systolic time intervals (preejection period [PEP] and ratio of PEP to left ventricular ejection time [LVET]) under baseline and acute inotropic influences (exercise and isoproterenol)
O
Outcome
Correlation of PEP and PEP/LVET with measures of left ventricular performance and contractilitysurrogate

Systolic time intervals (PEP and PEP/LVET) are valid measures of left ventricular contractility in patients with normal ventricles or isolated left ventricular disease.

Limitations

  • Correlations of PEP and PEP/LVET with measures of performance and contractility were insignificant for patients with valvular disease, shunts, or cor pulmonale.

Cite This Study

Ahmed et al. (1972) conducted an observational in Cardiac disease (n=70). Systolic time intervals (PEP and PEP/LVET) vs. Direct measures of LV performance and contractility was evaluated on Correlation of PEP and PEP/LVET with measures of LV performance and contractility. Systolic time intervals (PEP and PEP/LVET) exhibited excellent correlations with measures of contractility in subjects with normal left ventricles or cardiac disease confined to the left ventricle.

synapsesocial.com/papers/6a101e76d8c5cf602efdb3cbhttps://doi.org/10.1161/01.cir.46.3.559

Topics

Valvular heart disease
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Left ventricular ejection time index in man1963 · 155 citations
  2. 2A STUDY OF INOTROPIC MECHANISMS IN THE PAPILLARY MUSCLE PREPARATION1959 · 331 citations
  3. 3Systolic Time Intervals in Heart Failure in Man1968 · 1,224 citations
  4. 4An index of the contractile state of the myocardium in man1968 · 55 citations
  5. 5The effect of steady-state increases in systemic arterial pressure on the duration of left ventricular ejection time1968 · 108 citations