1. Half-logistic time constant: a more reliable lusitropic index than monoexponential time constant regardless of temperature in canine left ventricle
- Author
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Shigeho MoritaS. Morita, Ju Mizuno, Hiromi Matsubara, Juichiro Shimizu, Kazuo Hanaoka, Junichi Araki, Satoshi Mohri, Robert AkinsR. Akins, Takeshi Mikane, and Shunsuke SuzukiS. Suzuki
- Subjects
medicine.medical_specialty ,Time Factors ,Lusitropy ,Physiology ,In Vitro Techniques ,Ventricular Function, Left ,Body Temperature ,Dogs ,Diastole ,Ventricule gauche ,Physiology (medical) ,Internal medicine ,Ventricular Pressure ,medicine ,Animals ,Diastolic function ,Pharmacology ,Analysis of Variance ,Chemistry ,Hemodynamics ,Time constant ,Stroke Volume ,General Medicine ,Logistic Models ,medicine.anatomical_structure ,Ventricle ,Cardiology ,Algorithms - Abstract
Temperature changes influence cardiac diastolic function. The monoexponential time constant (tauE), which is a conventional lusitropic index of the rate of left ventricular (LV) pressure fall, increases with cooling and decreases with warming. We have proposed that a half-logistic time constant (tauL) is a better lusitropic index than tauE at normothermia. In the present study, we investigated whether tauL can remain a superior measure as temperature varies. The isovolumic relaxation LV pressure curves from the minimum of the first time derivative of LV pressure (dP/dtmin) to the LV end-diastolic pressure were analyzed at 30, 33, 36, 38, and 40 °C in excised, cross-circulated canine hearts. tauL and tauE were evaluated by curve-fitting using the least squares method and applying the half-logistic equation, P(t) = PA/[1 + exp(t/tauL)] + PB, and the monoexponential equation, P(t) = P0exp(–t/tauE) + P∞. Both tauL and tauE increased significantly with decreasing temperature and decreased with increasing temperature. The half-logistic correlation coefficient (r) values were significantly higher than the monoexponential r values at the 5 above-mentioned temperatures. This implies that the superiority of the goodness of the half-logistic fit is not temperature dependent. The half-logistic model characterizes the amplitude and time course of LV pressure fall more reliably than the monoexponential model. Hence, we concluded that tauL is a more useful lusitropic index regardless of temperature.
- Published
- 2008