Circulation, Vol 60, 334-348, Copyright © 1979 by American Heart Association
PA Anderson, A Manring, GA Serwer, DW Benson, SB Edwards, BE Armstrong, RJ Sterba and RD Floyd
We have carried out a quantitative analysis of the force-interval
relationship of the human left ventricle and compared it to previous
studies done in both intact subjects as well as isolated muscle. The
characteristics of the force-interval relationship of the normal patient
resembed those of normal isolated mammalian muscle (except when exposed to
high levels of catecholamines). The relationship in group 2 (patients with
increased left ventricular dimensions and normal pressure indices)
resembled those obtained from isolated muscles from hypertrophied hearts.
The relationship from group 3 (patients with increased left ventricular
EDDs and depressed pressure indices, two of whom were in clinical heart
failure) resumbled those induced in normal muscles exposed to high levels
of catecholamines, and those obtained from experimentally induced heart
failure. The force-interval relationships of the four patients who fell
into the third group were strikingly different from the other groups. This
suggests that the force-interval relationship may be useful to describe
changes in the inotropic state of the patient's heart.
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The force-interval relationship of the left ventricle
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