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Noninvasive evaluation of left ventricular force−frequency relationships by measuring carotid arterial wave intensity during exercise stress
Background and purpose Estimation of the contractility of the left ventricle during exercise is important in drawing up a protocol of cardiac rehabilitation. It has been demonstrated that color Doppler- and echo tracking-derived carotid arterial wave intensity is a sensitive index of global left ven...
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Published in: | Journal of medical ultrasonics (2001) 2015-01, Vol.42 (1), p.65-70 |
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Main Authors: | , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | Background and purpose
Estimation of the contractility of the left ventricle during exercise is important in drawing up a protocol of cardiac rehabilitation. It has been demonstrated that color Doppler- and echo tracking-derived carotid arterial wave intensity is a sensitive index of global left ventricular (LV) contractility. We assessed the feasibility of measuring carotid arterial wave intensity and determining force−frequency (contractility−heart rate) relations (FFRs) during exercise totally noninvasively.
Methods
We measured carotid arterial wave intensity with a combined color Doppler and echo tracking system in 25 healthy young male volunteers (age 20.8 ± 1.2 years) at rest and during exercise. FFRs were constructed by plotting the maximum value of wave intensity (WD
1
) against heart rate (HR).
Results
We first confirmed that HR increased linearly with an increase in work load in each subject (
r
2
= 0.95 ± 0.04). WD
1
increased linearly with an increase in HR. The goodness-of-fit of the regression line of WD
1
on HR in each subject was very high (
r
2
= 0.48−0.94,
p
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ISSN: | 1346-4523 1613-2254 |
DOI: | 10.1007/s10396-014-0554-8 |