Ventricular diastolic impedance Z(t): Validation of a new, model-based image processing derived index of global diastolic function

Jonathan M. Milde, Mark W. Sessoms, Jennifer B. Lisauskas, Michael Courtois, Jasvindar Singh, Sandor J. Kovacs

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

1 Scopus citations

Abstract

The quest for a noninvasive, global index of left ventricular (LV) diastolic function has not yet been attained. Current echocardiographic methods extract components of diastolic function from selected aspects of transmitral flow velocity, ventricular geometry and wall motion. Diastolic left ventricular pressure P(t) and transmitral flow Q(t) define global diastolic impedance as Z(t) = P(t)/Q(t). Since P(t) requires cardiac catherization, we expressed P(t) via the nonsteady Bernoulli equation using Doppler echocardiographically measurable transmitral flow velocity v(t) and acceleration v = dv/dt. For validation we compared catheterization (invasively) derived Zinv(t) with echo (noninvasively) derived Znoninv(t) and found excellent agreement. We conclude that the echocardiographically determined LV diastolic impedance Znoninv(t) provides a physiologically sound quantitative index of global LV diastolic function. Further development and application in selected clinical groups is in progress.

Original languageEnglish
Title of host publicationAnnual International Conference of the IEEE Engineering in Medicine and Biology - Proceedings
PublisherIEEE
Pages234
Number of pages1
ISBN (Print)0780356756
StatePublished - 1999
EventProceedings of the 1999 IEEE Engineering in Medicine and Biology 21st Annual Conference and the 1999 Fall Meeting of the Biomedical Engineering Society (1st Joint BMES / EMBS) - Atlanta, GA, USA
Duration: Oct 13 1999Oct 16 1999

Publication series

NameAnnual International Conference of the IEEE Engineering in Medicine and Biology - Proceedings
Volume1
ISSN (Print)0589-1019

Conference

ConferenceProceedings of the 1999 IEEE Engineering in Medicine and Biology 21st Annual Conference and the 1999 Fall Meeting of the Biomedical Engineering Society (1st Joint BMES / EMBS)
CityAtlanta, GA, USA
Period10/13/9910/16/99

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