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Blood Pressure and Arterial Wall Mechanics in Cardiovascular Diseases pp 37–50Cite as

Ventricular-Arterial Coupling and Mechanism of Wave Reflections

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Abstract

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.

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Authors and Affiliations

  1. Philadelphia Veterans Affairs Medical Center, University of Pennsylvania School of Medicine, Philadelphia, PA, USA

    Julio A. Chirinos MD, PhD

  2. Institute Biomedical Technology (IBiTech), iMinds Medical IT, Ghent University, Campus Heymans-Blok B, De Pintelaan 185, Ghent, 9000, Belgium

    Patrick Segers PhD

Authors
  1. Julio A. Chirinos MD, PhD
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  2. Patrick Segers PhD
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Correspondence to Patrick Segers PhD .

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Editors and Affiliations

  1. Hôtel-Dieu Hospital Diagnosis and Therapeutics Center, Paris Descartes University, Paris, Paris, France

    Michel E. Safar

  2. St Vincent Clinic and Hospital, University of New South Wales, Victor Chang Cardiac Research Institute, Darlinghurst, Sydney, New South Wales, Australia

    Michael F. O'Rourke

  3. Department of Cardiology, Ochsner Clinic Foundation, New Orleans, Louisiana, USA

    Edward D. Frohlich

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Chirinos, J.A., Segers, P. (2014). Ventricular-Arterial Coupling and Mechanism of Wave Reflections. In: Safar, M., O'Rourke, M., Frohlich, E. (eds) Blood Pressure and Arterial Wall Mechanics in Cardiovascular Diseases. Springer, London. https://doi.org/10.1007/978-1-4471-5198-2_4

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  • DOI: https://doi.org/10.1007/978-1-4471-5198-2_4

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