Summary
We describe here a new method of defining regional work and regional contractility of the myocardium of the ventricular wall using the relationship between mean wall stress (σ) and the natural logarithm of reciprocal of wall thickness (ln(1/H)). Regional work of the ventricle normalized to a unit volume of myocardium is equal to the area surrounded by the loop described by the σ-ln(1/H) relation during a cardiac cycle. The constant kSM of the end systolic σ-ln(1/H) relation, σ = Cexp(kSM ln(1/H)), corresponds to the myocardial elastic stiffness constant, which is sensitive to changes in contractile state, insensitive to changes in loading conditions and independent of ventricular size.
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
Huisman RM, Sipkema P, Westerhof N, Elzinga G (1980) Comparison of models used to calculate left ventricular wall force. Med Biol Eng Comput 18:133–144.
Yin FCP (1981) Ventricular wall stress. Circ Res 49:829–842.
Sugawara M, Tamiya K, Nakano K (1985) Regional work of the ventricle: wall tension-area relation. Heart Vessels 1:133–144.
Goto Y, Suga H, Yamada O, Igarashi Y, Saito M, Hiramori K (1986) Left ventricular regional work from wall tension-area loop in canine heart. Am J Physiol 250 (Heart Circ Physiol 19):H151–H158.
Nakano K, Sugawara M, Tamiya K, Satomi G, Koyanagi H (1986) A new approach to defining regional work of the ventricle and evaluating regional cardiac function: mean wall stress-natural logarithm of reciprocal of wall thickness relationship. Heart Vessels 2:74–80.
Sugawara M, Nakano K (1987) A method of analyzing regional myocardial function: mean wall stress-area strain relationship. Jpn Circ J 51:120–124.
Nakano K, Sugawara M, Kato T, Sasayama S, Carabello BA, Asanoi H, Umemura J, Koyanagi H (1988) Regional work of the human left ventricle calculated by wall stress and the natural logarithm of reciprocal of wall thickness. J Am Coll Cardiol 12:1442–1448.
Suga H, Sagawa K, Shoukas A A (1973) 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 32:314–322.
Sagawa K (1981) The end-systolic pressure-volume relation of the ventricle: definition, modifications and clinical use. Circulation 63:1223–1227.
Sugawara M, Nakano K (1989) A new method of analyzing regional myocardial function of the ventricle. In: Hori M, Suga H, Baan J, Yellin EL (eds) Cardiac mechanics and function in the normal and diseased heart. Springer, Tokyo, pp 249–256.
Nakano K, Sugawara M, Ishihara K, Kanazawa S, Corin WJ, Denslow S, Biederman RWW, Carabello BA (1990) Myocardial stiffness derived from end-systolic wall stress and logarithm of reciprocal of wall thickness: contractility index independent of ventricular size. Circulation 82:1352–1361.
Sommerfeld A (1964) Mechanics of deformable bodies. Academic Press, New York.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer-Verlag Tokyo
About this chapter
Cite this chapter
Sugawara, M., Nakano, K., Kawana, M., Umemura, J., Sasayama, S., Carabello, B.A. (1991). Regional Work of the Left Ventricle and Contractility Index Independent of Ventricular Size. In: Sasayama, S., Suga, H. (eds) Recent Progress in Failing Heart Syndrome. Springer, Tokyo. https://doi.org/10.1007/978-4-431-67955-4_11
Download citation
DOI: https://doi.org/10.1007/978-4-431-67955-4_11
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-68019-2
Online ISBN: 978-4-431-67955-4
eBook Packages: Springer Book Archive