We have reported that the contractility index (
Emax) and the total mechanical energy (PVA) of arrhythmic beats of the left ventricle (LV) distribute normally in canine hearts under electrically induced atrial fibrillation (AF). Here,
Emax is the ventricular elastance as the slope of the end-systolic (ES) pressure-volume (P-V) relation (ESPVR), and PVA is the systolic P-V area as the sum of the external mechanical work within the P-V loop and the elastic potential energy under the ESPVR. To obtain
Emax and PVA, we had to assume the systolic unstressed volume (
Vo) as the V-axis intercept of the ESPVR to be constant despite the varying
Emax, since there was no method to obtain
Vo directly in each arrhythmic beat. However, we know that in regular stable beats
Vo decreases by ∼7 ml/100 g LV with ∼100 times the increases in
Emax from ∼0.2 mmHg/(ml/100 g LV) of almost arresting weak beats to ∼20 mmHg/(ml/100 g LV) of strong beats with a highly enhanced contractility. In the present study, we investigated whether
Emax and PVA under AF could still distribute normally, despite such
Emax-dependent
Vo changes. The present analyses showed that the
Emax changes were only ∼3 times at most from the weakest to the strongest arrhythmic beat under AF. These changes were not large enough to affect
Vo enough to distort the frequency distributions of
Emax and PVA from normality. We conclude that one could practically ignore the slight
Emax and PVA changes with the Emax-dependent
Vo changes under AF.
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