ISSN: 1885-5857 Impact factor 2023 5.9
Vol. 62. Num. 4.
Pages 392-399 (April 2009)

Experimental Study of the so Called Left Ventricular Isovolumic Relaxation Phase

Estudio experimental de la llamada fase de relajación isovolumétrica del ventrículo izquierdo

Juan A Cosín AguilaraAmparo Hernándiz MartínezaM Teresa Tuzón SegarraaJaime Agüero Ramón-LlinaFrancisco Torrent-Guasp (†)a

Options

Introduction and objectives. Left ventricular filling begins in the ventricular isovolumic relaxation phase. According to the Torrent-Guasp myocardial band theory, this phase results from the contraction of the final portion of the myocardial band: the ascending segment of the apical loop. The objectives were to study the myocardial mechanisms influencing transmitral flow during early diastole and to determine whether the rapid ventricular filling phase involves contraction or relaxation. Methods. An experimental in vivo pig model was used. Regional contractility in 3 segments of the myocardial band was assessed using piezoelectric crystals and mitral flow was measured by echo-Doppler ultrasonography at baseline and after akinesia had been induced in the ascending segment by 2.5% formaldehyde infusion. Changes in intracavitary pressure in the left ventricle and left atrium and flow alterations in the aortic root were recorded. The start of the isovolumic relaxation phase was identified using the time at which the ejection of blood ceases, as indicated by aortic flow measurements. Results. During the left ventricular isovolumetric relaxation phase, the ascending segment of the apical loop was undergoing contraction. The infusion of formaldehyde into this segment affected the extent to which the intraventricular pressure could decrease, prolonged the isovolumic relaxation phase and resulted in a lower minimum pressure. It also produced a significant decrease in transmitral flow velocity in early diastole and an increase at end-diastole. Conclusions. The rapid ventricular filling phase is characterized by contraction.

Keywords

Diastole
Contractility
Heart failure

Identify yourself

Not yet a subscriber to the journal?

Purchase access to the article

By purchasing the article, the PDF of the same can be downloaded

Price: 19,34 €

Phone for incidents

Monday to Friday from 9am to 6pm (GMT+1) except for the months of July and August, which will be from 9am to 3pm

Calls from Spain 932 415 960
Calls from outside Spain +34 932 415 960
Are you a healthcare professional authorized to prescribe or dispense medications?