Application of the systolic stiffness concept to assess myocardial function in developing hypertension

Jpn Heart J. 1990 Jan;31(1):71-85. doi: 10.1536/ihj.31.71.

Abstract

The concept of end-systolic myocardial stiffness permits the quantification of preload effects on fiber shortening and changes in the slope (max Eav) of the end-systolic stress-strain relation, which, if linear, reflect changes in the inotropic state. As an application of this new concept, the end-systolic stress-strain and shortening-afterload relations were evaluated on the basis of data from dogs studied during development of perinephritic hypertension. End-systolic stress-strain relations were linear before and 2 weeks after the induction of hypertension and the end-systolic pressure-diameter relations were not always linear. The shortening-afterload relations obtained directly from raw data points displayed enhanced contractility in the hypertensive state under beta-adrenergic receptor blockade. However, the preload-corrected shortening-afterload relations demonstrated that contractility was unchanged in hypertension. Hypertensive hearts operated at higher preload than normotensive hearts at any afterload levels. This discrepancy between the conventional method without preload-correction and the preload-corrected analysis indicates the importance of preload-correction on shortening-afterload relations in hypertension.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Body Weight
  • Dogs
  • Heart / anatomy & histology
  • Heart / physiopathology*
  • Heart Ventricles / physiopathology
  • Hypertension / physiopathology*
  • Mathematics
  • Models, Cardiovascular
  • Myocardial Contraction*
  • Organ Size
  • Stress, Physiological / physiopathology
  • Systole*