Mizuno Ju, Morita Shigeho, Otsuji Mikiya, Arita Hideko, Hanaoka Kazuo, Akins Robert E, Hirano Shuta, Kusakari Yoichiro, Kurihara Satoshi
Department of Anesthesiology, Teikyo University School of Medicine, Tokyo, Japan.
Int Heart J. 2009 May;50(3):389-404. doi: 10.1536/ihj.50.389.
The waveforms of myocardial tension and left ventricular (LV) pressure curves are useful for evaluating myocardial and LV performance, and especially for inotropism and lusitropism. Recently, we found that half-logistic (h-L) functions provide better fits for the two partial rising and two partial falling phases of the isovolumic LV pressure curve compared to mono-exponential (m-E) functions, and that the h-L time constants for the four sequential phases are superior inotropic and lusitropic indices compared to the m-E time constants. In the present study, we tested the hypothesis that the four sequential phases of the isometric tension curves in mammalian cardiac muscles could be curve-fitted accurately using h-L functions. The h-L and m-E curve-fits were compared for the four phases of the isometric twitch tension curves in 7 isolated rabbit right ventricular and 15 isolated mouse LV papillary muscles. The isometric tension curves were evaluated in the four temporal phases: from the beginning of twitch stimulation to the maximum of the first order time derivative of tension (dF/dt(max)) (Phase I), from dF/dt(max) to the peak tension (Phase II), from the peak tension to the minimum of the first order time derivative of tension (dF/dt(min)) (Phase III), and from dF/dt(min) to the resting tension (Phase IV). The mean h-L correlation coefficients (r) of 0.9958, 0.9996, 0.9995, and 0.9999 in rabbit and 0.9950, 0.9996, 0.9994, and 0.9997 in mouse for Phases I, II, III, and IV, respectively, were higher than the respective m-E r-values (P < 0.001). The h-L function quantifies the amplitudes and time courses of the two partial rising and two partial falling phases of the isometric tension curve, and the h-L time constants for the four partial phases serve as accurate and useful indices for estimation of inotropic and lusitropic effects.
心肌张力和左心室(LV)压力曲线的波形对于评估心肌和左心室功能,特别是对于变力性和舒张性非常有用。最近,我们发现与单指数(m-E)函数相比,半对数(h-L)函数能更好地拟合等容左心室压力曲线的两个部分上升和两个部分下降阶段,并且与m-E时间常数相比,四个连续阶段的h-L时间常数是更好的变力性和舒张性指标。在本研究中,我们检验了一个假设,即哺乳动物心肌等长张力曲线的四个连续阶段可以用h-L函数准确地进行曲线拟合。比较了7只离体兔右心室和15只离体小鼠左心室乳头肌等长收缩张力曲线四个阶段的h-L和m-E曲线拟合情况。对等长张力曲线在四个时间阶段进行评估:从抽搐刺激开始到张力的一阶时间导数最大值(dF/dt(max))(阶段I),从dF/dt(max)到张力峰值(阶段II),从张力峰值到张力的一阶时间导数最小值(dF/dt(min))(阶段III),以及从dF/dt(min)到静息张力(阶段IV)。兔的阶段I、II、III和IV的平均h-L相关系数(r)分别为0.9958、0.9996、0.9995和0.9999,小鼠的分别为0.9950、0.9996、0.9994和0.9997,均高于各自的m-E r值(P < 0.001)。h-L函数量化了等长张力曲线的两个部分上升和两个部分下降阶段的幅度和时间进程,四个部分阶段的h-L时间常数是估计变力性和舒张性效应的准确且有用的指标。