PubMed Health⌕ Search

Biomedical subjects

L Cserhalmi

Publications and source records attributed to L Cserhalmi.

32 records · Page 2Linked to original sources
PubMed1984

Combined echo-apexcardiographic assessment of left ventricular function in cardiomyopathy.

Eleven patients with hypertrophic obstructive cardiomyopathy (HOCM) and 9 patients with congestive cardiomyopathy (COCM) were studied to determine the usefulness of mean normalized velocity of circumferential fiber shortening (VCFS), mean normalized velocity of circumferential fiber lengthening (VCFL) and left ventricular diastolic distensibility obtained noninvasively from combined recordings of simultaneously calibrated left apex cardiogram and M-mode echogram. Twenty-two normal subjects were similarly investigated and served as a control. In HOCM VCFS were increased (1.83 +/- 0.2 s-1 versus 1.22 +/- 0.1 s-1 for controls, p less than 0.02) and both VCFL and diastolic distensibility were decreased (VCFL: 0.50 +/- 0.1 s-1 versus 1.32 s-1 in controls, p less than 0.001; diastolic distensibility: 0.03 +/- 0.004 cm/mmHg-1 compared with 0.18 +/- 0.003 cm/mmHg-1 for controls, p less than 0.001). In COCM all investigated indexes were diminished (VCFS: 0.49 +/- 0.1 s-1 versus 1.22 +/- 0.1 s-1 for controls, p less than 0.001; VCFL: 0.70 +/- 0.1 s-1 versus 1.32 +/- 0.1 s-1 in controls, p less than 0.01 and diastolic distensibility: 0.05 +/- 0.003 cm/mmHg-1 compared with 0.18 +/- 0.003 cm/mmHg-1 for controls, p less than 0.01). The echo-apexcardiographic indexes were significantly correlated with many analogous invasive indexes. It is concluded that the value of both M-mode echocardiography and calibrated apex cardiography is enchanced by a combination of the two methods which opens the possibility of a fresh approach to the noninvasive study of cardiac performance in cardiomyopathy.

Adult↗
PubMed1984

Myocardial systolic alterations of insulin-dependent diabetics in rest.

Left ventricular systolic function was tested in 27 insulin-dependent diabetic patients by measuring the systolic time intervals. In diabetics longer pre-ejection period, and higher PEP/LVET quotient were found showing a good correlation with the values of glycosylated haemoglobin. These findings emphasize the importance of metabolic control in the development of cardiac dysfunction.

Adolescent↗
PubMed1981

Assessment of left ventricular contraction and relaxation by systolic and diastolic time intervals measured from the first derivative of apexcardiogram in cardiomyopathy.

To determine the usefulness of the time intervals obtained from the first derivative of apexcardiogram (dA/dt) in assessing contraction and relaxation in cardiomyopathy, 11 patients with hypertrophic obstructive cardiomyopathy (HOCM) and 9 patients with congestive cardiomyopathy (COCM) with hemodynamically and angiographically documented diagnosis were studied. As a control group 50 normal subjects were used. Since contraction and relaxation is dependent on preload and afterload, the time interval from R wave of electrocardiogram to the positive peak of dA/dt (R to dA/dt) and 2 relaxation parameters derived from negative peak dA/dt, early relaxation index (ERI) and total relaxation index (TRI) were investigated. In HOCM the R to dA/dt were shortened (55 +/- 13 msec versus 76 +/- 14 msec in controls, P less than 0.01) and both ERI and TRI were augmented (ERI: 12.5 +/- 9 versus 4.3 +/- 5 in controls, p less than 0.001; TRI: 147 +/- 29 versus 70 +/- 18 in controls, p less than 0.02). In COCM the R to dA/dt were elongated (124 +/- 14 msec versus 76 +/- 14 msec in controls, P less than 09.001) and both ERI and TRI were decreased (ERI: 2.1 +/- 4 versus 4.3 +/- 5 in controls, p less than 0.005; TRI: 41 +/- 17 versus 70 +/- 18 in controls, p less than 0.002)., Significant correlation between these indices and some internal parameters of myocardial performance were observed. These findings indicate that systolic and diastolic time intervals measured from the first derivative of apexcardiogram may be used as a reliable indices for evaluation of contraction and relaxation independently of preload and afterload.

Adult↗
PubMedDate not supplied

Preclinical abnormality of left ventricular performance in patients with insulin-dependent diabetes mellitus.

The left ventricular systolic function of 32 patients with insulin-dependent diabetes mellitus was investigated by measurement of systolic time intervals. Patients with clinical signs of sclerosis in the coronary arteries were excluded. Twenty-nine sex- and age-matched healthy people served as controls. Resting values of PEP/LVET ratio and of the corrected pre-ejection period were significantly higher in diabetics than in controls. The alterations of systolic time intervals during volume-loading induced by passive leg-raising as well as by isometric handgrip test indicated an increase in left ventricular performance in healthy people. The unchanged systolic time intervals observed in diabetics during the same loadings indicated a decrease in the functional reserve of the diabetic left ventricle. The systolic time intervals observed in patients with type-1 diabetes could be evaluated as a preclinical abnormality of left ventricular performance and as early signs of diabetic cardiomyopathy.

Adult↗
PubMedDate not supplied

Assessment of left ventricular contraction and relaxation by systolic and diastolic time intervals measured from the first derivative of apex cardiogram in cardiomyopathy.

To determine the usefulness of the time intervals obtained from the first derivative of apex cardiogram (dA/dt) in assessing contraction and relaxation in cardiomyopathy, 11 patients with hypertrophic obstructive cardiomyopathy (HOCM) and 9 with congestive cardiomyopathy (COCM) with hemodynamically and angiographically documented diagnosis were studied. The control group numbered 50 normal subjects. Since contraction and relaxation are dependent on preload and afterload, the time interval from R wave of the electrocardiogram to the positive peak of dA/dt (R to dA/dt) and two relaxation parameters derived from the negative peak dA/dt, as well as early apex cardiographic relaxation index EARI) and total apex cardiographic relaxation index (TARI) were determined in all the subjects investigated. In HOCM the R to dA/dt were shortened (55 +/- 13 msec vs. 76 + 14 msec for controls, p less than 0.01) and both EARI and TARI were augmented (EARI: 11.5 +/- 9 vs. 4.3 +/- 5 in controls, p less than 0.001; TARI: 127 +/- 29 vs. 70 +/- 18 in controls p less than 0.02). In COCM the R to dA/dt were elongated (124 +/- 14 msec vs. 76 +/- 14 msec in controls, p less than 0.001) and both EARI and TARI were decreased (EARI: 2.4 +/- 4 vs. 4.3 +/- 5 in controls, p less than 0.005; TARI; 43 + 17 vs. 70 +/- 18 for controls, p less than 0.02). A significant correlation between these indices and some internal indices of myocardial performances was demonstrated. These findings indicate that the interval R to dA/dt, EARI and TARI may be used as reliable indices for the evaluation of contraction and relaxation in cardiomyopathy, independently of preload and afterload.

Adult↗