Measurement of right and left ventricular systolic time intervals by echocardiography.
Abstract
One of the noninvasive methods of evaluating left ventricular performance is the measurement of left ventricular systolic time intervals (LVSTI). However, noninvasive measurement of right ventricular systole by this technique has been unreliable because of the inability to accurately time the onset of right ventricular ejection. Excellent correlation of LVSTI measured from the carotid pulse and those determined from the echocardiogram was demonstrated in 15 patients. STI of the right ventricle (RVSTI) were measured in a similar fashion from the pulmonary valve echo in 11 normal children. Right ventricular ejection time (RVET) was longer than left ventricular injection time (LVET). Right ventricular pre-ejection period and RPEP was shorter than left ventricular pre-ejection period (LPEP). In 15 children with transposition of the great arteries (TGA) the situation was reversed. RVET was shortened and RPEP was prolonged as the right ventricle contracted against systemic resistance; whereas, the LVET lengthened and LPEP shortened with ejection into a low pressure pulmonary circuit. Our studies in a total of 41 patients indicate the accurate, noninvasive measurement of right, as well as left, ventricular STI can be obtained with the use of echocardiography.
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Since LV and RV ejection time is different, the model contains 2 discrete events of systole to diastole transition in the LV and RV modules.
“Since the LV and RV ejection time is different (Leighton et al., 1971; Hirschfeld et al., 1975), the model contains 2 discrete events of systole to diastole transition in the LV and RV modules, respectively.”
From Thoroughly Calibrated Modular Agent-Based Model of the Human Cardiovascular and Renal Systems for Blood Pressure Regulation in Health and Disease (2021) · cites this paper as Hirschfeld et al., 1975
Cites
THE SURGICAL MANAGEMENT OF TRANSPOSITION OF THE GREAT VESSELS
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Time Relationship of Dynamic Events in the Cardiac Chambers, Pulmonary Artery and Aorta in Man
D, E. B. M., Fishman, A. P., & Cournand, A. F. (1956) · Circulation Research · doi:10.1161/01.res.4.1.100 · Cited by 200 · see citing works
Echocardiography of the Normal and Diseased Aortic Valve
Gramiak, R., & Shah, P. M. (1970) · Radiology · doi:10.1148/96.1.1 · Cited by 187 · see citing works
Echocardiographic Detection of the Pulmonary Valve
Gramiak, R., & Nanda, N. C. (1972) · Radiology · doi:10.1148/102.1.153 · Cited by 103 · see citing works
Right and left ventricular systolic time intervals
Leighton, R. F., Weissler, A. M., Weinstein, P. B., & Wooley, C. F. (1971) · The American Journal of Cardiology · doi:10.1016/0002-9149(71)90084-1 · Cited by 60 · see citing works
Duration of the phases of mechanical systole in infants and children
Harris, L. C., Weissler, A. M., Manske, A. O., et al. (1964) · The American Journal of Cardiology · doi:10.1016/0002-9149(64)90028-1 · Cited by 55 · see citing works
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Kutumova, E., Kiselev, I., Sharipov, R., Lifshits, G., & Kolpakov, F. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.746300 · Cited by 16 · see citing works
Echocardiographic Evaluation of Cardiac Performance
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- Authors
- Hirschfeld, S., Meyer, R., Schwartz, D. C., Korfhagen, J., & Kaplan, S.
- Affiliations
- Kaplan (United States) (US)
- Venue
- Circulation
- Published
- 1975-02
- Volume
- 51
- Issue
- 2
- Pages
- 304-309
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W1964760245
- Cited by
- 170
- References
- 6
- Citations by year
- 2023: 2 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 3 · 2017: 1 · 2015: 1 · 2013: 2 · 2012: 1
- FWCI
- 9.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Health Sciences › Medicine › Epidemiology › Congenital Heart Disease Studies
- Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
- Keywords
- right ventricular systolic time intervals, left ventricular systolic time intervals, right ventricular ejection time, pre-ejection period, left ventricular ejection time, transposition of the great arteries, carotid pulse, right ventricular function, children
- MeSH terms
- Adolescent, Carotid Arteries, Child, Child, Preschool, Echocardiography, Electrocardiography, Evaluation Studies as Topic, Heart Defects, Congenital, Heart Septal Defects, Atrial, Heart Septal Defects, Ventricular, Heart Ventricles, Humans, Infant, Infant, Newborn, Phonocardiography, Pulse, Time Factors, Transposition of Great Vessels
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