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Systolic-diastolic coupling

Arvidsson, Per LU and Kovács, Sándor J (2022) p.227-240
Abstract
The normally functioning heart delivers a steady supply of oxygen and nutrients to the body over a broad range of physiological states and loading conditions. Efficient cardiac performance at rest and during exercise is therefore a primary evolutionary directive for survival. The four-chambered heart is primarily a volume pump. It couples systolic and diastolic properties because of simultaneous reciprocal atrial filling and ventricular emptying, resulting in near-constant volume, four-chambered heart pumping with very slight variation (5%–7%) of the pericardial sac contents during one cardiac cycle. This is achieved by oscillatory motion of atrioventricular valve plane, while the epicardial apex and back of the atria remain spatially... (More)
The normally functioning heart delivers a steady supply of oxygen and nutrients to the body over a broad range of physiological states and loading conditions. Efficient cardiac performance at rest and during exercise is therefore a primary evolutionary directive for survival. The four-chambered heart is primarily a volume pump. It couples systolic and diastolic properties because of simultaneous reciprocal atrial filling and ventricular emptying, resulting in near-constant volume, four-chambered heart pumping with very slight variation (5%–7%) of the pericardial sac contents during one cardiac cycle. This is achieved by oscillatory motion of atrioventricular valve plane, while the epicardial apex and back of the atria remain spatially fixed. Ventricular filling is initiated through the spring-like recoil of the relaxing left ventricular chamber wall (myocardium) and associated tissues, converting part of stored end-systolic elastic strain into wall motion and diastolic suction of atrial blood. In this chapter, functional predictions regarding systolic–diastolic and atrioventricular interactions are presented from a kinematic framework and validated using human imaging and invasive measurements. (Less)
Please use this url to cite or link to this publication:
author
and
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
host publication
Textbook of Arterial Stiffness and Pulsatile Hemodynamics in Health and Disease
editor
Chirinos, Julio A.
pages
227 - 240
publisher
Elsevier
external identifiers
  • scopus:85162646621
ISBN
978-0-323-91391-1
DOI
10.1016/B978-0-323-91391-1.00014-5
language
English
LU publication?
yes
id
3a653519-1ea8-4ba8-bad1-f51b4a1ead88
date added to LUP
2022-05-11 18:28:54
date last changed
2023-10-23 13:01:13
@inbook{3a653519-1ea8-4ba8-bad1-f51b4a1ead88,
  abstract     = {{The normally functioning heart delivers a steady supply of oxygen and nutrients to the body over a broad range of physiological states and loading conditions. Efficient cardiac performance at rest and during exercise is therefore a primary evolutionary directive for survival. The four-chambered heart is primarily a volume pump. It couples systolic and diastolic properties because of simultaneous reciprocal atrial filling and ventricular emptying, resulting in near-constant volume, four-chambered heart pumping with very slight variation (5%–7%) of the pericardial sac contents during one cardiac cycle. This is achieved by oscillatory motion of atrioventricular valve plane, while the epicardial apex and back of the atria remain spatially fixed. Ventricular filling is initiated through the spring-like recoil of the relaxing left ventricular chamber wall (myocardium) and associated tissues, converting part of stored end-systolic elastic strain into wall motion and diastolic suction of atrial blood. In this chapter, functional predictions regarding systolic–diastolic and atrioventricular interactions are presented from a kinematic framework and validated using human imaging and invasive measurements.}},
  author       = {{Arvidsson, Per and Kovács, Sándor J}},
  booktitle    = {{Textbook of Arterial Stiffness and Pulsatile Hemodynamics in Health and Disease}},
  editor       = {{Chirinos, Julio A.}},
  isbn         = {{978-0-323-91391-1}},
  language     = {{eng}},
  pages        = {{227--240}},
  publisher    = {{Elsevier}},
  title        = {{Systolic-diastolic coupling}},
  url          = {{http://dx.doi.org/10.1016/B978-0-323-91391-1.00014-5}},
  doi          = {{10.1016/B978-0-323-91391-1.00014-5}},
  year         = {{2022}},
}