Download Atlas of Heart Failure: Cardiac Function and Dysfunction by Arnold M. Katz (auth.), Wilson S. Colucci MD (eds.) PDF

By Arnold M. Katz (auth.), Wilson S. Colucci MD (eds.)

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11-. /':r(';. lttr,JI 'lt•noo,l~ I 50 100 L: \ alum , mL > __. e .... :l.. ~ 'i- ::;; -r: ~ 0 0 150 ~ - I 20 I 50 100 LV \Oium •, mL 8 FIGURE 3-11. Diastolic dysfunction in mitral stenosis resulting primarily from the transvalvular gradient and subsequent pulmonary hypertension. Diminished cardiovascular performance has been associated with mitral stenosis. Liu et al. [18], using in vivo pressurevolume analysis, have demonstrated that cardiovascular impairment in mitral stenosis may be attributable, in part, to reduced diastolic compliance.

B, Borderline myocarditis is defined as an inflammatory infiltrate without clear evidence of myocyte necrosis. These criteria were used as enrollment criteria in the Myocarditis Treatment Trial for the assessment of immunosuppressive therapy in patients with myocarditis. Interestingly, the degree of inflammation or the presence of myocyte necrosis does not necessarily indicate the presence of viral infection or provide prognosis [20]. As shown in Fig. 3-16C, enteroviral infection may cause severe ventricular dysfunction without inflammation.

41. : Heart rate-independent energetics and systolic pressure-volume area in dog hearts. Am J Physiol1983, 244:H206-H214. 42. : Effect of positive inotropic agents on the relation between oxygen consumption and systolic pressurevolume area in canine left ventricle. Circ Res 1983, 53:306-318. 43. : Velocity of contraction as a determinant of myocardial oxygen consumption. Am J Physiol 1965, 209:919-927. 44. Gibbs CL, Gibson WR: Isoprenaline, propranolol and the energy output of rabbit cardiac muscle.

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