Skip to main content

Evaluation of Left Ventricular Function in Mitral Regurgitation

  • Chapter
  • 43 Accesses

Part of the book series: Ettore Majorana International Science Series ((LIFESCI,volume 21))

Abstract

An understanding of the mechanics of left ventricular function in mitral regurgitation necessitates consideration of an acute, as opposed to a chronic, onset of the volume overload. In fact, it is now recognized from both human and experimental animal observations that acute and chronic regurgitation produce congestive heart failure by significantly different pathogenetic mechanisms, Table 1.

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

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
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

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. W. C. Roberts, E. Braunwald, and A. G. Morrow, Acute severe mitral regurgitation secondary to ruptured chordae tendineae, Circulation, 33: 58 (1966).

    Article  Google Scholar 

  2. S. Sasayama, M. Takahashi, G. Osakada, K. Hirose, H. Hamashima, E. Nishimura, and C. Kawai, Dynamic geometry of the left atrium and left ventricle in acute mitral regurgitation, Circulation, 60: 177 (1979).

    Article  Google Scholar 

  3. E. H. Sonnenblick, J. Ross Jr., J. W. Covell, H. M. Spotnitz, and D. Spiro, Ultrastructure of the heart in systole and diastole, Circ.Res., 21: 423 (1967).

    Article  Google Scholar 

  4. C. Yoran, J. W. Covell, and J. Ross Jr., Structural basis for the ascending limb of left ventricular function, Circ.Res., 32: 297 (1973).

    Article  Google Scholar 

  5. M. Turina, W. D. Bussman, and H. P. Krayenbuehl, Contractility of hypertrophied canine heart in chronic volume overload, Cardiovasc.Res., 3: 486 (1969).

    Article  Google Scholar 

  6. G. Cooper, F. Puga, K. J. Zujko, C. E. Harrison, and H. N. Coleman, Normal myocardial function and energetics in volume-overload hypertrophy in the cat, Circ.Res., 32: 140 (1973).

    Article  Google Scholar 

  7. J. Ross Jr., and W. H. McCullagh, The nature of enhanced performance of the dilated left ventricle during chronic volume overload, Circ.Res., 30: 549 (1972).

    Article  Google Scholar 

  8. H. Suga, K. Sagawa, and A. A. Shoukas, Load independence of the instantaneous pressure-volume ratio of the canine left ventricle and effects of epinephrine and heart rate on the ratio, Circ.Res., 32: 314 (1973).

    Article  Google Scholar 

  9. K. Sagawa, The end-systolic pressure-volume relation of the ventricle: definition, modifications and clinical use, Circulation, 63: 1223 (1981).

    Article  Google Scholar 

  10. E. Braunwald and W. C. Awe, The syndrome of severe mitral regurgitation with normal left atrial pressure, Circulation, 27: 29 (1963).

    Article  Google Scholar 

  11. W. Grossman, D. Jones, P. McLaurin, Wall stress and patterns of hypertrophy in the human left ventricle, J.Clin.Invest., 56: 56 (1975).

    Article  Google Scholar 

  12. G. Schuler, K. L. Peterson, A. Johnson, G. Francis, G. Dennish, J. Utley, P. 0. Daily, W. Ashburn, and J. Ross Jr., Temporal response of left ventricular performance to mitral valve surgery, Circulation, 59: 1218 (1979).

    Article  Google Scholar 

  13. M. R. Ziles, W. H. Gaasch, J. D. Carroll, and H. J. Levine, Chronic mitral regurgitation: predictive value of preoperative echocardiographic indexes of left ventricular function and wall stress, J.Amer.Coll.Cardiol., 3: 235 (1984).

    Article  Google Scholar 

  14. B. A. Carabello, S. P. Nolan, and B. M. Lockhart, Assessment of preoperative left ventricular function in patients with mitral regurgitation: value of the end-systolic wall stressend-systolic volume ratio, Circulation, 64: 1212 (1981).

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1985 Plenum Press, New York

About this chapter

Cite this chapter

Peterson, K.L. (1985). Evaluation of Left Ventricular Function in Mitral Regurgitation. In: Raineri, A., Leachman, R.D., Kellermann, J.J. (eds) Assessment of Ventricular Function. Ettore Majorana International Science Series, vol 21. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-8003-0_16

Download citation

  • DOI: https://doi.org/10.1007/978-1-4684-8003-0_16

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-8005-4

  • Online ISBN: 978-1-4684-8003-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics