A sensitive index was proposed for the determination of left ventricular compliance. In the isolated potassium-arrested canine left ventricle, the pressure-volume (
P-V) relationship was expressed as Δ
V =
a-be-cp throughout the range of filling pressure from 0 to 40cmH
2O, where Δ
V and
P were the actual volume change and intraventricular pressure, and
a,
b and
c were constants. Then, half-inflation pressure (
h) was calculated from
h=[ln (2b/a)]/
c. Left ventricular weight (LVW), intraven-tricular volume (LVV), ventricular external radius (
r0) and internal radius (
ri) were obtained from the measurements on the left ventricle, fixed at a filling pressure of 10cmH
2O. Then, LVV
p=h,
ro and
ri at
h were calculated. In the normal canine hearts,
h was well correlated to LVW/LVV
p=h and [
(r0- ri)/ri]
p=h. On the other hand,
h/LVW/LVV
p=h and
h/[
(r0-ri)/ri]
p=h were constant and independent of LVW within a range of 40 to 150g. These ratios rose markedly in the state of rigor mortis. From these results, it was concluded that
h/LVW/LVV
p=h and
h/[
(r0-ri)/ri]
p=h depended on the left ventricular wall stiffness. And h was influenced by changes in LVW/LVV
p=h and [
(r0-ri)/ri]
p=h in the absence of changes in intrinsic muscle stiffness.
View full abstract