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June 1, 1993CirculationOpen Access

Effect of disrupting the mitral apparatus on left ventricular function in dogs.

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Key result

Disruption of the mitral apparatus in dogs increased the equilibrium volume and slowed left ventricular relaxation without changing left ventricular diastolic stiffness or contractility.

Why the study?

Does disruption of the mitral apparatus alter left ventricular diastolic and systolic properties in a dog model?

Population

14 dogs (in situ left ventricle model)

Comparison

Disruption of the mitral apparatus vs Before disruption of the mitral apparatus

Design

Preclinical

Authors

HSH ShintaniOtemae HospitalSGStanton A. GlantzPreventive Cardiology

Discussion

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Implication

Requires human validation before informing valve surgery; leaves open translation of canine LV effects to clinical practice.

Structured PICO

Does disruption of the mitral apparatus alter left ventricular diastolic and systolic properties in a dog model?

P
Population
14 dogs undergoing disruption of the mitral apparatus to assess left ventricular function.
I
Intervention
Disruption of the mitral apparatus
C
Comparator
Before disruption of the mitral apparatus (within-subject comparison)
O
Outcome
Left ventricular diastolic and systolic properties (end-diastolic and end-systolic pressure-volume relations, stroke work-end-diastolic volume relations, and isovolumic relaxation time constant)surrogate

Disruption of the mitral apparatus increases equilibrium volume and slows left ventricular relaxation without changing stiffness or contractility, supporting the clinical practice of preserving the mitral apparatus during valve replacement.

Cite This Study

Shintani et al. (1993) studied Left ventricular function (n=14). Disruption of the mitral apparatus vs. Before disruption (baseline) was evaluated on Left ventricular diastolic and systolic properties (V0d, V0s, V0sw, tau infinity). Disruption of the mitral apparatus in dogs increased the equilibrium volume and slowed left ventricular relaxation without changing left ventricular diastolic stiffness or contractility.

synapsesocial.com/papers/6a92bbc6ab121d91d03ac035https://doi.org/10.1161/01.cir.87.6.2001
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Also Consider

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

  1. 1Importance of mitral subvalvular apparatus in terms of cardiac energetics and systolic mechanics in the ejecting canine heart.1991 · 41 citations
  2. 2Movements of the Mitral Valve1956 · 110 citations
  3. 3Temporal Relation of the First Heart Sound to Closure of the Mitral Valve1973 · 96 citations
  4. 4Instantaneous Pressure-Volume Relationships and Their Ratio in the Excised, Supported Canine Left Ventricle1974 · 1,336 citations
  5. 5Mitral Valve Replacement with Preservation of Papillary Muscles and Chordae Tendineae - Revival of a Seemingly Forgotten Concept1983 · 73 citations