Ventricular-Arterial Coupling and Mechanism of Wave Reflections

  • Julio A. Chirinos
  • Patrick Segers


In this chapter, we discuss two approaches to quantitatively assess ventricular-arterial interaction: (i) the “classic” approach based on matching of ventricular and arterial elastance (analysis in pressure-volume plane) and (ii) a novel approach based on assessment of time-varying myocardial stress. The latter analysis, in the time domain, allows to directly link left ventricular myocardial stress with systemic arterial properties and with the magnitude and timing of arterial wave reflections.


Hemodynamics Arterial function Ventricular function Wave reflections Heart failure 


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Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  1. 1.Philadelphia Veterans Affairs Medical CenterUniversity of Pennsylvania School of MedicinePhiladelphiaUSA
  2. 2.Institute Biomedical Technology (IBiTech), iMinds Medical IT, Ghent UniversityGhentBelgium

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