PMID- 9038932 OWN - NLM STAT- MEDLINE DCOM- 19970331 LR - 20171213 IS - 0002-9513 (Print) IS - 0002-9513 (Linking) VI - 272 IP - 1 Pt 2 DP - 1997 Jan TI - Left ventricular performance assessed by echocardiographic automated border detection and arterial pressure. PG - H138-47 AB - Automated echocardiographic measures of left ventricular (LV) cavity area are closely correlated with changes in volume and can be coupled with LV pressure (PLV) to construct pressure-area loops in real time. The objective was to rapidly estimate LV contractility from end-systolic relationships of cavity area (as a surrogate for LV volume) and central arterial pressure (Pa) (as a surrogate for PLV) in a canine model using automated algorithms. In eight anesthetized mongrel dogs, we simultaneously measured PLV, LV area, and Pa (fluid-filled catheter). End-systolic pressure-area relationships in terms of pressure-area elastance (E'es)] from pressure-area loops during inferior vena caval occlusions were determined during basal conditions (control), dobutamine infusion (5-10 micrograms.mg-1.min-1), and after bolus propranolol (2 mg/kg) with both PLV and Pa by semiautomated and automated iterative regression methods. E'es increased during dobutamine infusion and decreased after propranolol infusion in all animals and with all iterative methods. Estimates of Ees from Pa were closely correlated with E'es from PLV by both the semiautomated and automated methods (r = 0.93; P < 0.01). The relationship between E'es obtained from Pn for the two methods was also closely correlated. Although the automated methods displayed larger differences from the semiautomated iterative technique by Bland-Altman analysis, the change in E'es with all techniques during dobutamine infusion and after propranolol infusion was of similar magnitude and direction among the three techniques. Greater variability with the dobutamine runs was partially due to abnormally conducted ventricular beats that minimized the number of consecutive beats that could be used for these analyses. We conclude that on-line Pa recordings from fluid-filled catheters can be used with echocardiographic automated border detection to rapidly calculate E'es as a means to estimate LV contractility. FAU - Denault, A Y AU - Denault AY AD - Division of Critical Care Medicine, University of Pittsburgh Medical Center, Pennsylvania 15261, USA. FAU - Gorcsan, J 3rd AU - Gorcsan J 3rd FAU - Mandarino, W A AU - Mandarino WA FAU - Kancel, M J AU - Kancel MJ FAU - Pinsky, M R AU - Pinsky MR LA - eng PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Am J Physiol JT - The American journal of physiology JID - 0370511 RN - 3S12J47372 (Dobutamine) RN - 9Y8NXQ24VQ (Propranolol) SB - IM MH - Algorithms MH - Animals MH - Automation MH - *Blood Pressure MH - Dobutamine/pharmacology MH - Dogs MH - *Echocardiography MH - Elasticity MH - Ligation MH - Myocardial Contraction MH - Propranolol/pharmacology MH - Systole MH - Vena Cava, Inferior MH - *Ventricular Function, Left/drug effects EDAT- 1997/01/11 19:15 MHDA- 1997/01/11 19:16 CRDT- 1997/01/11 19:15 PHST- 1997/01/11 19:15 [pubmed] PHST- 1997/01/11 19:16 [medline] PHST- 1997/01/11 19:15 [entrez] AID - 10.1152/ajpheart.1997.272.1.H138 [doi] PST - ppublish SO - Am J Physiol. 1997 Jan;272(1 Pt 2):H138-47. doi: 10.1152/ajpheart.1997.272.1.H138.