The ascending limb of left ventricular pressure curve and its first dervative obtained by the routine cardiac catheterization were carefully analyzed in 74 patients with varying heart diseases. The ratio of an instantaneous rate (dP/dt), to the mean rate (P/t), of left ventricular pressure rise, for a given patient was resonably constant during the pre-ejection phase (coefficient of variable=10.1±4.5 (sd, %). The value of the ratio (dP/dt)/(P/t) obtained in each patient was compared to the cardiac function assessed by routine hemodynamic data. Patients with normal cardiac function (60 cases) and those with abnormal one (14 cases) had the ratio of 2.49±0.39 sd and 1.84±0.33 sd, respectively, and the diference between two patinet-group was statistically significant (p<0.001). The usefulness of the ratio (dP/dt)/(P/t) as an indicator for evaluating the LV performance was emphasized. The theoretical significance of the ratio was also discussed, suggesting that the LV pressure rises with increasing acceleration or decreasing one when the ratio is greater, or smaller than "2", respectively.
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