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. 2011 May 13;301(2):H488–H496. doi: 10.1152/ajpheart.01116.2010

Table 2.

Effect of levosimendan on the PES-VES relations, LV-arterial coupling, and mechanical efficiency responses to heart rate in HF

Pacing Rate, bpm
Baseline 140 160 180 200
Normal
EES, mmHg/ml 6.6 ± 1.5 8.6 ± 2.9 10.2 ± 3.0* 10.8 ± 2.5* 14.4 ± 5.1*
EA, mmHg/ml 7.3 ± 1.2 9.8 ± 2.3* 10.8 ± 3.2* 11.5 ± 2.1* 12.1 ± 3.4*
EES/EA 0.92 ± 0.25 0.91 ± 0.39 1.0 ± 0.4 0.96 ± 0.31 1.3 ± 0.67
SW/PVA 0.61 ± 0.07 0.59 ± 0.10 0.61 ± 0.08 0.59 ± 0.07 0.63 ± 0.11
V90, ES 23.8 ± 9.0 23.8 ± 8.3 23.8 ± 8.7 23.4 ± 8.8 23.3 ± 9.0
HF Control
EES, mmHg/ml 4.9 ± 1.0 5.3 ± 1.0 5.5 ± 0.7* 5.6 ± 0.8* 5.9 ± 1.2*
EA, mmHg/ml 9.8 ± 4.4 10.8 ± 3.1 11.7 ± 3.6* 13.7 ± 3.7* 14.7 ± 4.9*
EES/EA 0.56 ± 0.14 0.51 ± 0.13 0.47 ± 0.12* 0.42 ± 0.12* 0.42 ± 0.11*
SW/PVA 0.52 ± 0.06 0.49 ± 0.05 0.47 ± 0.05* 0.43 ± 0.05* 0.43 ± 0.05*
V90, ES 35.7 ± 12.8 36.6 ± 13.4 37.1 ± 13.3 36.6 ± 13.4 36.1 ± 12.3
HF & LS
EES, mmHg/ml 6.2 ± 1.6 7.6 ± 0.8 8.5 ± 1.3* 10.4 ± 2.3* 11.7 ± 2.6*
EA, mmHg/ml 8.4 ± 2.1 9.8 ± 2.7 10.5 ± 3.3* 11.3 ± 3.7* 12.2 ± 4.4*
EES/EA 0.75 ± 0.15 0.83 ± 0.23 0.87 ± 0.28 0.98 ± 0.33 1.0 ± 0.37
SW/PVA 0.60 ± 0.06 0.61 ± 0.05 0.61 ± 0.07 0.63 ± 0.07 0.64 ± 0.08
V90, ES 32.6 ± 11.9 33.3 ± 12.1 33.4 ± 12.0 33.2 ± 11.1 33.1 ± 11.1

Values are means ± SD.

*

P < 0.05, vs. baseline;

P < 0.05, differences between normal and HF control;

P < 0.05, differences between HF control and HF & LS at each pacing rate. PES, end-systolic pressure; VES, end-systolic volume; EES, end-systolic elastance; EA, effective arterial elastance; SW, stroke work; PVA, pressure-volume area; V90, ES, end-systolic volume at end-systolic pressure equal to 90 mmHg.