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January 27, 2010Pacing and Clinical Electrophysiology

Transthoracic Sensor for Noninvasive Assessment of Left Ventricular Contractility: Validation in A Minipig Model of Chronic Heart Failure

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Key result

A noninvasive transthoracic accelerometer strongly correlated with invasive LV dP/dt(max) changes after dobutamine in normal (r=0.88, P<0.001) and failing (r=0.89, P<0.001) minipig hearts.

Why the study?

Does a noninvasive transthoracic accelerometer accurately measure LV contractility compared to invasive LV dP/dt in a minipig model of heart failure?

Population

Adult male minipigs before and after development of pacing-induced heart failure

Comparison

Noninvasive assessment of LV contractility using… vs Invasive assessment of LV contractility using LV…

Design

Preclinical

Authors

VGV. GemignaniIstituto di Scienza e Tecnologie dell'Informazione "Alessandro Faedo"EBElisabetta BianchiniUniversity of PisaFFFrancesco FaitaIstituto di Fisiologia Clinica

Discussion

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Implication

May facilitate noninvasive contractility monitoring in preclinical HF; leaves open human validation and clinical adoption.

Structured PICO

Does a noninvasive transthoracic accelerometer accurately measure LV contractility compared to invasive LV dP/dt in a minipig model of heart failure?

P
Population
Adult male minipigs (n=6) before and after development of pacing-induced heart failure (LV paced at 180 beats/min for 3 weeks)
I
Intervention
Noninvasive assessment of LV contractility using a transthoracic accelerometer sensor at rest and following dobutamine infusion (up to 7.5 mcg/kg/min)
C
Comparator
Invasive assessment of LV contractility using LV dP/dt (Millar catheter)
O
Outcome
Correlation between noninvasive (accelerometer) and invasive (LV dP/dt) indices of myocardial contractilitysurrogate

Main Result

Effect estimate: r = 0.88 (normal), r = 0.89 (failing)

p-value: p=<0.001

A novel noninvasive transthoracic accelerometer strongly correlates with invasive LV dP/dt for assessing myocardial contractility and contractile reserve in a minipig model of heart failure.

Cite This Study

Gemignani et al. (2010) studied Chronic heart failure (n=6). Noninvasive force sensor (accelerometer) vs. Invasive LV dP/dt (Millar catheter) was evaluated on Correlation between noninvasive sensor-based cardiac force changes and invasive positive peak LV dP/dt(max) changes (r = 0.88 (normal), r = 0.89 (failing), p=<0.001). A noninvasive transthoracic accelerometer strongly correlated with invasive LV dP/dt(max) changes after dobutamine in normal (r=0.88, P<0.001) and failing (r=0.89, P<0.001) minipig hearts.

synapsesocial.com/papers/6a17060dc7240d1a707be9fchttps://doi.org/10.1111/j.1540-8159.2009.02684.x

Topics

Heart failureHFrEF treatment
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Also Consider

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

  1. 1Non-invasive left ventricular contractility indices derived from thoracocardiography in rats2026
  2. 2Noninvasive Assessment of Left Ventricular Force-Frequency Relationships Using Tissue Doppler–Derived Isovolumic Acceleration2003 · 214 citations
  3. 3Assessing Acute Ventricular Volume Changes by Intracardiac Impedance in a Chronic Heart Failure Animal Model2009 · 9 citations
  4. 4Continuous and Autonomous Monitoring of Changes in Left Ventricular dP/dtmax Using an Epicardial Accelerometer2025
  5. 5Validation of a New Noninvasive Device for the Monitoring of Peak Endocardial Acceleration in Pigs: Implications for Optimization of Pacing Site and Configuration2008 · 28 citations