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1 Department of Medicine and Physiology and Biophysics, University of Calgary, Calgary, Alberta, Canada T2N 4N1; and 2 Physiological Flow Studies Group, Department of Bioengineering, Imperial College of Science, Technology and Medicine, London, SW7 2BY United Kingdom
Left ventricular (LV) wave speed
(LVWS) was studied experimentally and confirmed in theory.
Combining the definition of elastance (E) with the equations for the
conservation of mass and momentum shows that LVWS is proportional to
the square root of ELA, where L is long-axis
length and A is the cross-sectional area, and the density of
the blood. (We defined ELA =
, where
is
compressibility.) We studied nine open chest, anesthetized dogs, three
of which were studied during caval constriction when LV end-diastolic
pressure was
0 mmHg. The hearts were paced at ~90 beats/min, and LV
cross-sectional area was measured by using two pairs of ultrasonic
crystals; E was calculated from the LV pressure-area loop. A pulse
generator was connected to the LV apex, and LVWS was measured by using
two pressure transducers: one near the apex and the other near the base. Their distance was measured roentgenographically and compared with the diameter of a reference ball. LVWS ranged from ~1 m/s during
diastole to ~10 m/s during systole. The slope of the log c
(where c is wave speed) vs. log
was 0.546, which is in
agreement with theory (0.5). When
0, LVWS was ~1.5
m/s.
left ventricle; elastance; distensibility
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