Atrial aspiration from pulmonary and caval veins is caused by ventricular contraction and secures 70% of the total stroke volume independent of resting heart rate and heart size

Clinical Physiology and Functional Imaging

Volumn 33, Issue 3, 2013, Pages 233-240

  Steding Ehrenborg, K ^a   Carlsson, M ^a   Stephensen, S ^a,b   Arheden, H ^a  

^a LUND UNIVERSITY   (Sweden)

^b LUND UNIVERSITY HOSPITAL   (Sweden)

Author keywords

Athletes; Cardiac magnetic resonance imaging; Cardiac pumping; Cardiac volume; Physiology

Indexed keywords

ADULT; ARTICLE; ATHLETE; ATRIAL FILLING; CARDIOVASCULAR MAGNETIC RESONANCE; CAVA VEIN; CONTROLLED STUDY; DIASTOLE; FEMALE; HEART HEMODYNAMICS; HEART LEFT VENTRICLE ENDDIASTOLIC VOLUME; HEART LEFT VENTRICLE ENDSYSTOLIC VOLUME; HEART RATE; HEART SIZE; HEART STROKE VOLUME; HEART VENTRICLE CONTRACTION; HEART VENTRICLE FILLING; HEART VOLUME; HUMAN; HUMAN EXPERIMENT; LUNG VEIN; MALE; NORMAL HUMAN; NUCLEAR MAGNETIC RESONANCE SCANNER; PRIORITY JOURNAL; REST; SYSTOLE;

ADULT; ATRIAL FUNCTION; ATRIAL FUNCTION, LEFT; ATRIAL FUNCTION, RIGHT; CARDIOMEGALY, EXERCISE-INDUCED; ENERGY METABOLISM; EXERCISE TEST; FEMALE; HEART RATE; HUMANS; MAGNETIC RESONANCE IMAGING; MALE; MYOCARDIAL CONTRACTION; OBSERVER VARIATION; PREDICTIVE VALUE OF TESTS; PULMONARY VEINS; REPRODUCIBILITY OF RESULTS; STROKE VOLUME; VENA CAVA, INFERIOR; VENA CAVA, SUPERIOR; VENTRICULAR FUNCTION; VENTRICULAR FUNCTION, LEFT; VENTRICULAR FUNCTION, RIGHT; YOUNG ADULT;

EID: 84875612246     PISSN: 14750961     EISSN: 1475097X     Source Type: Journal    
DOI: 10.1111/cpf.12020     Document Type: Article

References (31)

1. Appleton CP. Hemodynamic determinants of doppler pulmonary venous flow velocity components: new insights from studies in lightly sedated normal dogs. J Am Coll Cardiol (1997); 30: 1562-1574.
2. Arena R, Myers J, Williams MA, Gulati M, Kligfield P, Balady GJ, Collins E, Fletcher G. Assessment of functional capacity in clinical and research settings: a scientific statement from the american heart association committee on exercise, rehabilitation, and prevention of the council on clinical cardiology and the council on cardiovascular nursing. Circulation (2007); 116: 329-343.
3. Bellenger NG, Davies CL, Francis JM, Coats AJS, Pennell DJ. Reduction in sample size for studies of remodeling in heart failure by the use of cardiovascular magnetic resonance. J Cardiovasc Magn Reson (2000); 24: 271-278.
4. Bowman AW, Kovacs SJ. Assessment and consequences of the constant-volume attribute of the four-chambered heart. Am J Physiol Heart Circ Physiol (2003); 285: H2027-H2033.
5. Bowman AW, Kovacs SJ. Left atrial conduit volume is generated by deviation from the constant-volume state of the left heart: a combined mri-echocardiographic study. Am J Physiol Heart Circ Physiol (2004); 286: H2416-H2424.
6. Brecher GA. Cardiac variations in venous return studied with a new bristle flowmeter. Am J Physiol (1954); 176: 423-430.
7. Brecher GA. Critical review of recent work on ventricular diastolic suction. Circ Res (1958); 6: 554-566.
8. Carlhall CJ, Lindstrom L, Wranne B, Nylander E. Atrioventricular plane displacement correlates closely to circulatory dimensions but not to ejection fraction in normal young subjects. Clin Physiol (2001); 21: 621-628.
9. Carlsson M, Cain P, Holmqvist C, Stahlberg F, Lundback S, Arheden H. Total heart volume variation throughout the cardiac cycle in humans. Am J Physiol Heart Circ Physiol (2004); 287: 243-250.
10. Carlsson M, Ugander M, Heiberg E, Arheden H. The quantitative relationship between longitudinal and radial function in left, right, and total heart pumping in humans. Am J Physiol Heart Circ Physiol (2007a); 293: H636-H644.
11. Carlsson M, Ugander M, Mosen H, Buhre T, Arheden H. Atrioventricular plane displacement is the major contributor to left ventricular pumping in healthy adults, athletes, and patients with dilated cardiomyopathy. Am J Physiol Heart Circ Physiol (2007b); 292: H1452-H1459.
12. Carlsson M, Heiberg E, Toger J, Arheden H. Quantification of left and right ventricular kinetic energy using four dimensional intracardiac magnetic resonance imaging flow measurements. Am J Physiol Heart Circ Physiol (2011); 302: H893-H900.
13. Carlsson M, Andersson R, Bloch KM, Steding-Ehrenborg K, Mosen H, Stahlberg F, Ekmehag B, Arheden H. Cardiac output and cardiac index measured with cardiovascular magnetic resonance in healthy subjects, elite athletes and patients with congestive heart failure. J Cardiovasc Magn Reson (2012); 14: 51.
14. Chung CS, Kovacs SJ. Consequences of increasing heart rate on deceleration time, the velocity-time integral, and e/a. Am J Cardiol (2006); 97: 130-136.
15. Chung CS, Karamanoglu M, Kovacs SJ. Duration of diastole and its phases as a function of heart rate during supine bicycle exercise. Am J Physiol Heart Circ Physiol (2004); 287: H2003-H2008.
16. Courtois M, Kovacs SJ Jr, Ludbrook PA. Transmitral pressure-flow velocity relation. Importance of regional pressure gradients in the left ventricle during diastole. Circulation (1988); 78: 661-671.
17. Gauer OH. Volume changes of the left ventricle during blood pooling and exercise in the intact animal; their effects on left ventricular performance. Physiol Rev (1955); 35: 143-155.
18. Hamilton WF, Rompf JH. Movement of the base of the ventricle and the relative constancy of the cardiac volume. Am J Physiol (1932); 102: 559-565.
19. Heiberg E, Sjogren J, Ugander M, Carlsson M, Engblom H, Arheden H. Design and validation of segment - freely available software for cardiovascular image analysis. BMC Med Imaging (2010); 10: 1.
20. Hoffman EA, Ritman EL. Invariant total heart volume in the intact thorax. Am J Physiol (1985); 249: H883-H890.
21. Katz L. The role played by the ventricular relaxation process in filling the ventricle. Am J Physiol (1930); 95: 542-553.
22. Lundbäck S. Cardiac pumping and function of the ventricular septum. Acta Physiol Scand (1986); 127: 8-101.
23. Riordan MM, Kovacs SJ. Relationship of pulmonary vein flow to left ventricular short-axis epicardial displacement in diastole: model-based prediction with in vivo validation. Am J Physiol Heart Circ Physiol (2006); 291: H1210-H1215.
24. Sanchez-Quintana D, Anderson RH, Ho SY. Ventricular myoarchitecture in tetralogy of fallot. Heart (1996); 76: 280-286.
25. Shmuylovich L, Chung CS, Kovacs SJ. Point: left ventricular volume during diastasis is the physiological in vivo equilibrium volume and is related to diastolic suction. J Appl Physiol (2010); 109: 606-608.
26. Slordahl SA, Madslien VO, Stoylen A, Kjos A, Helgerud J, Wisloff U. Atrioventricular plane displacement in untrained and trained females. Med Sci Sports Exerc (2004); 36: 1871-1875.
27. Sundstedt M, Hedberg P, Henriksen E. Mitral annular excursion during exercise in endurance athletes. Clin Physiol Funct Imaging (2008); 28: 27-31.
28. Ugander M, Carlsson M, Arheden H. Short-axis epicardial volume change is a measure of cardiac left ventricular short-axis function, which is independent of myocardial wall thickness. Am J Physiol Heart Circ Physiol (2010); 298: H530-H535.
29. Waters EA, Bowman AW, Kovacs SJ. Mri-determined left ventricular "crescent effect": a consequence of the slight deviation of contents of the pericardial sack from the constant-volume state. Am J Physiol Heart Circ Physiol (2005); 288: H848-H853.
30. Yellin E, Nikolic S. Counterpoint: left ventricular volume during diastasis is not the physiological in vivo equilibrium volume and is not related to diastolic suction. J Appl Physiol (2010); 109: 608-610; discussion 610-601.
31. Yellin E, Nikolic S, Frater R. Left ventricular filling dynamics and diastolic function. Prog Cardiovasc Dis (1990); 32: 247-271.