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D R Helland

Publications and source records attributed to D R Helland.

5 recordsLinked to original sources

Evaluation of a videodensitometric method for monitoring the left ventricular contractile state.

Videodensitometry of the margins of the fluoroscopic image of the left ventricle (LV) was used to evaluate LV wall motion. Differentiation of the wall motion signal reflected the velocity of LV contraction (dv/dt) during various inotropic interventions in 6 anesthetized dogs. Alterations in dv/dt were similar to changes in simultaneously measured LV peak dP/dt and the quotient of dP/dt and developed LV pressure, two widely accepted parameters of LV contractile state.

Analog-Digital Conversion

Myocardial wall motion evaluation using amplitude frequency spectral analysis.

Frequency spectral analysis of cardiac wall motion as calculated from the recorded video kymogram are demonstrated. Characteristic harmonics following the fundamental frequency of the cardiac rate have been demonstrated to have an alternating sequential energy distribution as measured from the free margin of the left ventricle of humans. The characteristic patterns occur in approximately 80% of the 50 patients evaluated. The correlation of these harmonics with physiologic events is not yet complete. Amplitude frequency spectral analysis offers an objective method for analysis of cardiac kymography not otherwise possible.

Adult

Velocity of left ventricular wall motion determined by fluoroscopic videodensitometry. A noninvasive method for evaluating myocardial contractile state.

Videodensitometry of the margins of the fluoroscopic image of the left ventricle (LV) was used to evaluate LV wall motion and differentiation of the wall motion signal reflected velocity of LV contraction (dV/dt) during various inotropic interventions in six anesthetized dogs. During these interventions heart rate, afterload and preload were maintained constant. Alterations in dV/dt were similar to changes in simultaneously measured LV peak dP/dt and the quotient of dP/dt and developed LV pressure, two widely accepted parameters of LV contractile state. Wide variations in preload and afterload caused no significant changes in dV/dt. Thus, the current study indicates that fluoroscopic videodensitometry provides a specific and reliable noninvasive method for evaluating LV contractile state.

Absorptiometry, Photon