Table 1.
LV systolic and diastolic function | Acute ischemia | ||||
---|---|---|---|---|---|
Baseline | Esmolol | Dobutamine | Preischemia | Ischemia | |
Invasive | |||||
Heart rate, bpm | 75 ± 9 | 65 ± 81 | 92 ± 101 | 78 ± 7 | 87 ± 82 |
End-systolic pressure, mmHg | 101 ± 11 | 89 ± 81 | 120 ± 121 | 102 ± 11 | 84 ± 112 |
End-diastolic pressure, mmHg | 5 ± 2 | 7 ± 1 | 7 ± 2 | 6 ± 1 | 12 ± 32 |
Stroke volume, mL | 17 ± 2 | 15 ± 21 | 22 ± 31 | 19 ± 3 | 14 ± 32 |
dP/dtmax, mmHg/sec | 3407 ± 507 | 2247 ± 4401 | 5055 ± 7351 | 3508 ± 585 | 1740 ± 4102 |
dP/dtmax/EDV, mmHg/sec/mL | 90 ± 10 | 64 ± 91 | 165 ± 111 | 97 ± 9 | 42 ± 72 |
Emax, mmHg/mL | 6.3 ± 0.8 | 3.9 ± 0.61 | 10.8 ± 1.21 | 6.0 ± 1.0 | 2.4 ± 0.52 |
Ea, mmHg/mL | 5.9 ± 1.1 | 5.9 ± 0.8 | 5.5 ± 0.71 | 5.4 ± 0.9 | 6.0 ± 1.0 |
Emax/Ea | 1.06 ± 0.16 | 0.66 ± 0.111 | 1.96 ± 0.221 | 1.11 ± 0.14 | 0.40 ± 0.102 |
Tau, msec | 30 ± 5 | 35 ± 61 | 23 ± 61 | 28 ± 7 | 39 ± 92 |
dP/dt min, mmHg/sec | −2651 ± 552 | −2121 ± 4821 | −3843 ± 4531 | −2807 ± 501 | −2061 ± 4212 |
b | 0.23 ± 0.07 | 0.38 ± 0.111 | 0.16 ± 0.041 | 0.24 ± 0.08 | 0.41 ± 0.102 |
c | 0.77 ± 0.21 | 0.57 ± 0.131 | 1.37 ± 0.351 | 0.80 ± 0.25 | 0.67 ± 0.26 |
β | 0.047 ± 0.015 | 0.061 ± 0.0171 | 0.023 ± 0.0111 | 0.042 ± 0.012 | 0.059 ± 0.0162 |
2D speckle tracking echocardiography | |||||
Apical rotation, ° | 6.2 ± 1.1 | 4.1 ± 0.81 | 8.5 ± 1.71 | 5.3 ± 1.2 | 2.2 ± 0.62 |
Basal rotation, ° | −3.3 ± 0.5 | −2.8 ± 0.4 | −3.7 ± 0.6 | −3.2 ± 0.3 | −2.9 ± 0.5 |
LV twist, ° | 9.5 ± 1.6 | 6.9 ± 1.11 | 12.2 ± 1.81 | 8.5 ± 1.3 | 5.1 ± 1.02 |
Apical diastolic rotation rate, °/sec | −41 ± 6 | −27 ± 61 | −63 ± 71 | −36 ± 5 | −24 ± 42 |
Basal diastolic rotation Rate, °/sec | 36 ± 5 | 32 ± 41 | 42 ± 7 | 28 ± 4 | 30 ± 3 |
Values are mean ± SD. b, LV stiffness; c, curve-fitting constant; β, stiffness constant.
P < 0.05 versus mid.
P < 0.05 ischemia versus pre-ischemia.