Abstract
Direct left ventricular pressure measurement has been an accepted routine in physiological and cardiac catheterisation laboratories for many years. In contrast to right heart and pulmonary artery pressure recordings during anaesthesia, very little information is available about the effects of anaesthetics on left ventricular pressure and its derivatives. This is mainly due to the considerable hazards associated with left ventricular measurement, such as accidental coronary artery occlusion. Because of legal and ethical aspects, catheterisation of the left heart for research and monitoring purposes during anaesthesia is no longer justified and has been abandoned by our laboratory. The data presented in this paper have been obtained from studies of the effects of anaesthetics on myocardial blood flow, during which direct measurements of left ventricular pressure were performed to obtain information about contractility under anaesthesia. Using these data we attempt in this paper to demonstrate the different kinds of information which may be derived from left ventricular pressure recording in man.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Baller D, Schenk H, Strauer BE, Hellige G (1980) Comparison of myocardial oxygen consumption indices in man. Clin Cardiol 3; 116–122.
Bretschneider HJ, Cott L, Hensel I, Kettler D, Martell J (1970) Ein neuer komplexer hämodynamischer Parameter aus 5 additiven Gliedern zur Bestimmung des O2-Bedar-fes des linken Ventrikels. Pfluegers Arch 319; R14.
Bretschneider HJ (1972) Die haemodynamischen Determinanten des myokardialen Sauerstoffverbrauches. In: Die therapeutische Anwendung beta-sympathikolytischer Stoffe. FK Schattauer, Stuttgart New York, p 45.
Bretschneider HJ, Martel J, Hellige G, Hensel I, Kettler D (1972) Korrelationen des endsystolischen Ventrikel-Volumens pro Gewichtseinheit (ESV/100 g) zu Potenzfunktionen des arteriellen Druckes und ventrikulären Druckanstiegsgeschwindigkeit (dp/dtmax). Pfluegers Arch [Suppl] 332; R35.
Bretschneider HJ, Hellige G (1976) Pathophysiologie der Ventrikelkontraktion — Kon-traktilität, Inotropie, Suffiziengrad und Arbeitsökonomie des Herzens. Verh Dtsch Ges Kreislaufforsch 42; 14.
Hellige G (1976) Ventrikeldruckmessung mit konventionellen Kathetermanometersystemen. Basic Res Cardiol 71; 319–336.
Holt JP (1956) Estimation of the residual volume of the ventricle of the dog’s heart by two indicator dilution technics. Circ Res 4; 187.
Kettler D (1973) Sauerstoffverbrauch und Sauerstoffversorgung des Herzens in Narkose. Anaesthesiologie und Wiederbelebung 67. Springer, Berlin Heidelberg New York.
Kettler D, Sonntag H (1974) Intravenous anesthetics: coronary blood flow and myocardial oxygen consumption (with special reference to Althesine). Acta Anaesthesiol Belg 25; 384–401.
Kettler D, Sonntag H, Donath U, Regensburger D, Schenk HD (1974) Hämodynamik, Myokardmechanik, Sauerstoffverbrauch und Sauerstoffversorgung des menschlichen Herzens unter Narkoseeinleitung mit Etomidate. Anaesthesist 23; 116.
Rahlf G, Komori R (1975) Der linke Ventrikel bei chronischem Cor pulmonale. Virchows Arch [Pathol Anat] 366; 237–247.
Sonntag H (1973) Coronardurchblutung und Energieumsatz des menschlichen Herzens unter verschiedenen Anaesthetica. Anaesthesiologie und Wiederbelebung 79. Springer, Berlin Heidelberg New York.
Sonntag H, Heiss HW, Knoll D, Regenburger D, Schenk HD, Bretschneider HJ (1972) Über die Myokarddurchblutung und den myokardialen Sauerstoffverbrauch bei Patienten während Narkoseeinleitung mit Dehydrobenzperidol/Fentanyl oder Ketami-ne. Z Kreislaufforsch 61; 1092.
Sonntag H, Heiss HW, Regensburger D, Schenk HD, Bretschneider HJ (1973) Der Einfluß von Ketamine auf den myokardialen Metabolismus. Anaesthesiol Wiederbeleb 69; 37.
Sonntag H, Donath U, Hillebrand W, Merin RG, Radke J (1978) Left ventricular function in conscious man and during halothane anesthesia. Anesthesiology 48; 320–324.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1982 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Kettler, D., Hilfiker, O. (1982). Direct Measurement of Left Ventricular Pressure in Man. In: Prys-Roberts, C., Vickers, M.D. (eds) Cardiovascular Measurement in Anaesthesiology. European Academy of Anaesthesiology, vol 2. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68690-0_22
Download citation
DOI: https://doi.org/10.1007/978-3-642-68690-0_22
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-11719-3
Online ISBN: 978-3-642-68690-0
eBook Packages: Springer Book Archive