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April 1, 1981AJP Heart and Circulatory Physiology108 citations

Maximal negative dP/dt as an indicator of end of systole

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FAFrancis L. Abel

Key Result

Maximal negative dP/dt correlated highly with the end of aortic flow (r=0.982, mean error <0.4 ms) in anesthetized dogs, suggesting its utility for determining systolic time.

Key Points

  • The study aims to evaluate the maximal negative peak of left ventricular pressure as a marker for the end of ventricular ejection.
  • Examined maximal negative dP/dt in anesthetized dogs under varying heart rates and afterload conditions.
  • Correlated findings with the end of aortic flow to assess accuracy.
  • Calculated correlation coefficient and mean error for measurement discrepancies.
  • Achieved a correlation coefficient of 0.982, indicating a strong relationship between measures.
  • Mean error was less than 0.4 ms, suggesting high precision in timing identification.
  • Demonstrated potential for using this method as an endpoint for systolic time measurement.

Structured PICO

Does maximal negative dP/dt accurately indicate the end of systole compared to the end of aortic flow in anesthetized dogs?

P
Population
Anesthetized dogs evaluated under varying heart rate and afterload situations to assess systolic time endpoints.
E
Exposure
Measurement of maximal negative peak of the first derivative of left ventricular pressure (negative dP/dt)
C
Comparator
End of aortic flow
O
Outcome
Correlation between maximal negative dP/dt and end of aortic flowsurrogate

Maximal negative dP/dt is a highly accurate indicator of the end of ventricular ejection, which is useful when only ventricular pressure is available.

Main Result

Effect estimate: r=0.982

Abstract

The maximal negative peak of the first derivative of left ventricular pressure was examined as an index of the end of ventricular ejection by comparing it with the end of aortic flow. Under varying heart rate and afterload situations in anesthetized dogs, a correlation coefficient of 0.982 was obtained with a mean error of less than 0.4 ms. This may be a useful end point for determining systolic time where only ventricular pressure is available.

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Cite This Study

Francis L. Abel (1981) studied this question. Maximal negative dP/dt vs. End of aortic flow was evaluated on Correlation with the end of aortic flow (r=0.982). Maximal negative dP/dt correlated highly with the end of aortic flow (r=0.982, mean error <0.4 ms) in anesthetized dogs, suggesting its utility for determining systolic time.

synapsesocial.com/papers/6a64e4bf5dee09b701c6c1behttps://doi.org/10.1152/ajpheart.1981.240.4.h676
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