Skip to main content
SpringerLink
Log in

Implications of Pericardial Pressure for the Evaluation of Diastolic Dysfunction

  • Chapter
Book cover Diastolic Relaxation of the Heart

  • 71 Accesses

Abstract

An unappreciated change in pericardial pressure may alter the interpretation of measurements of left ventricular isovolumic relaxation and of the diastolic pressure-volume relationship both qualitatively and quantitatively. However, before these problems can be discussed it is necessary to define what is meant by pericardial pressure and to specify its magnitude.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Tyberg JV, Smith ER (1987). On the interaction between the pericardium and the heart. In ter Keurs HEDJ, Tyberg JV: Mechanics of the Circulation Dordrecht/Boston-Lancaster: Martinus Nijhoff, 71–188.

    Google Scholar 

  2. Holt JP, Rhode EA, Kines H (1960). Pericardial and ventricular pressure. Circ Res 8: 1171–1181.

    PubMed  CAS  Google Scholar 

  3. Smiseth OA, Frais MA, Kingma I, et al (1985). Assessment of pericardial constraint in dogs. Circulation 71: 158–164.

    Article  PubMed  CAS  Google Scholar 

  4. Rankin JS, Arentzen CE, McHale PA, et al (1977). Viscoelastic properties of the diastolic left ventricle in the conscious dog. Circ Res 41: 37–45.

    PubMed  CAS  Google Scholar 

  5. Refsum H, Junemann M, Liopton MG, et al (1981). Ventricular diastolic pressure-volume relations and the pericardium: Effect of changes in blood volume and pericardial effusion in dogs. Circulation 64: 997–1004.

    Article  PubMed  CAS  Google Scholar 

  6. Linderer T, Chatterjee K, Parmley WW, et al (1983). Influence of atrial systole on the Frank-Starling relation and the end-diastolic pressure-volume relation in the left ventricle. Circulation 67: 1045–1053.

    Article  PubMed  CAS  Google Scholar 

  7. Tyberg JV, Tatchman GC, Smith ER, et al (1986). The relation between pericardial pressure and right atrial pressure: An intraoperative study. Circulation 73: 428–432.

    Article  PubMed  CAS  Google Scholar 

  8. Douglas N, Kingma I, Smiseth O, et al (1984). Assessment of left ventricular preload during PEEP from pulmonary capillary wedge pressure and right atrial pressure in dogs. Clin Invest Med 7 (suppl 3): 41 (abstract).

    Google Scholar 

  9. LeWinter MM, Pavelec R: Influence of the pericardium on left ventricular end-diastolic pressure-segment relations during early and later stages of experimental chronic volume overload in dog. Circ Res 50: 501–509.

    Google Scholar 

  10. Weiss JL, Frederiksen JW, Weisfeldt ML (1976). Hemodynamic determinants of the time-course of fall in canine left ventricular pressure. J Clin Invest 58: 751–760.

    Article  PubMed  CAS  Google Scholar 

  11. Frais MA, Kingma I, Groves G et al (1983). The dependence of the time constant of left ventricular relaxation on pericardial pressure. J Am Coll Cardiol 1: 627 (abstract).

    Google Scholar 

  12. Craig WE, Murgo JP (1980). Evaluation of isovolumic relaxation in normal man during rest, exercise and isoproterenol infusion. Circulation 62(suppl III1: III - 22 (abstract).

    Google Scholar 

  13. Thompson DS, Waldron CB, Juul SM, et al (1982). Analysis of left ventricular pressure during isovolumic relaxation in coronary artery disease. Circulation 65: 690–697.

    Article  PubMed  CAS  Google Scholar 

  14. Thompson DS, Waldron CB, Coltart DJ, et al (1983). Estimation of time constant of left ventricular relaxation. Br Heart J 49: 250–258.

    Article  PubMed  CAS  Google Scholar 

  15. Serizawa T, Carabello BA, Grossman W (1980). Effect of pacing-induced ischemia on left ventricular diastolic pressure-volume relations in dogs with coronary stenoses. Circ Res 46: 430–439.

    PubMed  CAS  Google Scholar 

  16. Kingma I, Smiseth OA, Belenkie I, et al (1986). A mechanism for the nitroglycerin-induced downward shift of the left ventricular diastolic pressure-diameter relationship of patients. Am J Cardiol 57: 673–677.

    Article  PubMed  CAS  Google Scholar 

  17. Brodie BR, Chuck L, Klausner SC, et al (1976). Effects of sodium nitroprusside and nitroglycerin on tension prolongation of cat papillary muscle during recovery from hypoxia. Circ Res 39: 596–601.

    PubMed  CAS  Google Scholar 

  18. Braunwald E, Ross J Jr (1963). The ventricular end-diastolic pressure. Am J Med 34: 147–150 (editorial).

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. John V. Tyberg
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Nairne W. Scott-Douglas
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Iris Kingma
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mouhieddin Traboulsi
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Eldon R. Smith
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Harvard Medical School, Cardiovascular Division, Beth Israel Hospital, Boston, Massachusetts, USA

    William Grossman M.D. (Herman Dana Professor of Medicine, Chief) (Herman Dana Professor of Medicine, Chief)

  2. Harvard Medical School, Hemodynamic Research Laboratory, Beth Israel Hospital, Boston, Massachusetts, USA

    Beverly H. Lorell M.D. (Assistant Professor of Medicine, Co-Director) (Assistant Professor of Medicine, Co-Director)

Rights and permissions

Reprints and permissions

Copyright information

© 1987 Martinus Nijhoff Publishing

About this chapter

Cite this chapter

Tyberg, J.V., Scott-Douglas, N.W., Kingma, I., Traboulsi, M., Smith, E.R. (1987). Implications of Pericardial Pressure for the Evaluation of Diastolic Dysfunction. In: Grossman, W., Lorell, B.H. (eds) Diastolic Relaxation of the Heart. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-6832-2_17

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-6832-2_17

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4615-6834-6

  • Online ISBN: 978-1-4615-6832-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation