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Pattern of right ventricular pressure fall and its modulation by afterload

Title
Pattern of right ventricular pressure fall and its modulation by afterload
Type
Article in International Scientific Journal
Year
2004
Authors
Correia-Pinto, J
(Author)
Other
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Henriques-Coelho, T
(Author)
FMUP
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Magalhães, S
(Author)
Other
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Leite-Moreira AF
(Author)
FMUP
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Journal
Vol. 53 No. 1
Pages: 19-26
ISSN: 0862-8408
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Publicação em ISI Web of Science ISI Web of Science
Pubmed / Medline
Scientific classification
FOS: Medical and Health sciences
Other information
Authenticus ID: P-000-DDP
Abstract (EN): Pattern of right ventricular pressure (RVP) fall and its afterload dependence were examined by analyzing ventricular pressure curves and corresponding pressure-dP/dt phase planes obtained in both ventricles in the rat heart in situ. Time and value of dP/dt(min), and the time constant tau were measured at baseline and during variable RV afterload elevations, induced by beat-to-beat pulmonary trunk constrictions. RVP and left ventricular pressure (LVP) decays were divided into initial accelerative and subsequent decelerative phases separated by corresponding dP/dt(min). At baseline, LVP fall was decelerative during 4/5 of its course, whereas only 1/3 of RVP decay occurred in a decelerative fashion. During RV afterload elevations, the absolute value of RV-dP/dt(min) and RV-tau increased, whilst time to RV-dP/dt(min) decreased. Concomitantly, the proportion of RVP decay following a decelerative course increased, so that in highly RV afterloaded heartbeats RVP fall became more similar to LVP fall. In conclusion, RVP and LVP decline have distinct patterns, their major portion being decelerative in the LV and accelerative in the RV. In the RV, dP/dt(min), tau and the proportional contribution of accelerative and decelerative phases for ventricular pressure fall are afterload-dependent. Consequently, tau evaluates a relatively much shorter segment of RVP than LVP fall.
Language: English
Type (Professor's evaluation): Scientific
No. of pages: 8
License type: Click to view license CC BY-NC
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53_19 243.35 KB
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