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Assessment

Sat, 12/22/2007 - 11:07 — oxygen

Assessment of Ventricular Function Listen to Audio

Ventricular Function Curve Systolic Function Diastolic Function Ejection Fraction ventricular function curve -cardiac output / preload -stroke volume / preload ventricular pressure-volume diagrams -distinguishes the effect of both preload and afterload on cardiac contractility ESP: end systolic point: indicative of systolic function EDP:end diastolic point: indicative of diastolic function assessment of systolic function -change of ventricular pressure/ change in time = measure of contractility ejection fraction EF = (EDV – ESV) / EDV -clinically the most commonly used measurement for systolic function -normal EF = 0.67 +/- 0.08 Preoperative measurement of ejection fraction may be via: -cardiac catherization -radionucleotide studies -transthoracic echocardiography -transesophageal echocardiography assessment of diastolic function measures diastolic flow velocity across the mitral valve clinical assessment of diastolic function by: -doppler echocardiogram -transthoracic echocardiography -transesophageal echocardiography three patterns of diastolic dysfunction -isovolumetric relaxation time -ratio of peak early diastolic flow to peak atrial systolic flow -deceleration of E (Dte)

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