The influence of heart rate on the Doppler-Derived myocardial performance index

被引:113
作者
Poulsen, SH [1 ]
Nielsen, JC [1 ]
Andersen, HR [1 ]
机构
[1] Skejby Univ Hosp, Dept Cardiol, DK-8200 Aarhus N, Denmark
关键词
D O I
10.1016/S0894-7317(00)70007-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The Doppler-derived myocardial performance Index (MPI), defined as the sum of isovolumetric contraction and relaxation durations divided by ejection time and reflecting both systolic and diastolic myocardial function, has been found to be related to morbidity and mortality in cardiac diseases. The MPI is easily obtained, reproducible, and has a narrow range In healthy subjects. The goal of this study was to study the influence of heart rate changes on the MPI. Thirty patients with sick sinus syndrome treated with a pacemaker with a right atrial lead, were studied The patients were paced at increasing rates from 50 to 100 bpm The MPI increased on average 0.02 +/- 0.03 per 10-bpm increase in rate. The correlation between MPI and heart rate was weak (rho = 0.31, P <.01).
引用
收藏
页码:379 / 384
页数:6
相关论文
共 29 条
[1]   THE NATURAL-HISTORY OF LEFT-VENTRICULAR FILLING ABNORMALITIES - ASSESSMENT BY 2-DIMENSIONAL AND DOPPLER ECHOCARDIOGRAPHY [J].
APPLETON, CP ;
HATLE, LK .
ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, 1992, 9 (04) :437-457
[2]  
BRAUNWALD E, 1992, HEART DIS TXB CARDIO, P419
[3]   LEFT-VENTRICULAR EJECTION FRACTION AS A PROGNOSTIC GUIDE IN SURGICAL TREATMENT OF CORONARY AND VALVULAR HEART-DISEASE [J].
COHN, PF ;
GORLIN, R ;
COHN, LH ;
COLLINS, JJ .
AMERICAN JOURNAL OF CARDIOLOGY, 1974, 34 (02) :136-141
[4]   SYSTEMATIC CORRELATION OF CARDIAC CHAMBER SIZE AND VENTRICULAR PERFORMANCE DETERMINED WITH ECHOCARDIOGRAPHY AND ALTERATIONS IN HEART-RATE IN NORMAL PERSONS [J].
DEMARIA, AN ;
NEUMANN, A ;
SCHUBART, PJ ;
LEE, G ;
MASON, DT .
AMERICAN JOURNAL OF CARDIOLOGY, 1979, 43 (01) :1-9
[5]   Prognostic value of a Doppler index combining systolic and diastolic performance in idiopathic-dilated cardiomyopathy [J].
Dujardin, KS ;
Tei, C ;
Yeo, TC ;
Hodge, DO ;
Rossi, A ;
Seward, JB .
AMERICAN JOURNAL OF CARDIOLOGY, 1998, 82 (09) :1071-1076
[6]   CLINICAL CHARACTERISTICS AND NATURAL-HISTORY OF SURVIVORS OF PULMONARY CONGESTION DURING ACUTE MYOCARDIAL-INFARCTION [J].
DWYER, EM ;
GREENBERG, HM ;
STEINBERG, G .
AMERICAN JOURNAL OF CARDIOLOGY, 1989, 63 (20) :1423-1428
[7]   EFFECTS OF HEART-RATE CHANGES ON LEFT-VENTRICULAR VOLUME AND EJECTION FRACTION - A TWO-DIMENSIONAL ECHOCARDIOGRAPHIC STUDY [J].
ERBEL, R ;
SCHWEIZER, P ;
KREBS, W ;
LANGEN, HJ ;
MEYER, J ;
EFFERT, S .
AMERICAN JOURNAL OF CARDIOLOGY, 1984, 53 (04) :590-597
[8]   IMPACT OF HEART-RATE AND PR INTERVAL ON DOPPLER INDEXES OF LEFT-VENTRICULAR DIASTOLIC FILLING IN AN ELDERLY COHORT (THE FRAMINGHAM HEART-STUDY) [J].
GALDERISI, M ;
BENJAMIN, EJ ;
EVANS, JC ;
DAGOSTINO, RB ;
FULLER, DL ;
LEHMAN, B ;
LEVY, D .
AMERICAN JOURNAL OF CARDIOLOGY, 1993, 72 (15) :1183-1187
[9]   COMPARISON OF VENTRICULAR-FUNCTION IN ATRIAL RATE-ADAPTIVE VERSUS DUAL-CHAMBER RATE-ADAPTIVE PACING DURING EXERCISE [J].
GALLIK, DM ;
GUIDRY, GW ;
MAHMARIAN, JJ ;
VERANI, MS ;
SPENCER, WH .
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1994, 17 (02) :179-185
[10]  
GARDIN J M, 1987, American Journal of Noninvasive Cardiology, V1, P3