Real- Time Estimation of the Ventricular Relaxation Time Constant

  • Chun Honggu (Department of Biomedical Engineering, College of Medicine & Institute of Biological & Medical Engineering, Medical Research Center) ;
  • Kim Hee Chan (Department of Biomedical Engineering, College of Medicine & Institute of Biological & Medical Engineering, Medical Research Center) ;
  • Sohn Daewon (Department of Internal Medicine, College of Medicine, Seoul National University)
  • Published : 2005.04.01

Abstract

A new method for real-time estimating left ventricular relaxation time constant (T) from the left ventricular (LV) pressure waveform, based on the isovolumic relaxation model, is proposed. The presented method uses a recursive least squares (RLS) algorithm to accomplish real-time estimation. A new criterion to detect the end-point of the isovolumic relaxation period (IRP) for the estimation of T is also introduced, which is based on the pattern analysis of mean square errors between the original and reconstructed pressure waveforms. We have verified the performance of the new method in over 4,600 beats obtained from 70 patients. The results demonstrate that the proposed method provides more stable and reliable estimation of τ than the conventional 'off-line' methods.

Keywords

References

  1. A.H. Dougherty, G.V. Naccarelli, E.L. Gray, C.H. Hicks, and R.A. Goldstein, 'Congestive heart failure with normal systolic junction', Am J Cardiol., Vol. 54, pp.778-782, 1984 https://doi.org/10.1016/S0002-9149(84)80207-6
  2. K.M. Kessler, 'Heart failure with normal systolic function-update of prevalence, differential diagnosis, prognosis and therapy', Arch Intern Med., Vol. 148, pp.2109-2111, 1988 https://doi.org/10.1001/archinte.148.10.2109
  3. D.W. Sohn, I.H. Chai, D.J. Lee, H.C. Kim, H.S. Kim, B.H. Oh, M.M. Lee, Y.B. Park, Y.S. Choi, J.D. Sea, and Y.W. Lee , 'Assessment of Mitral Annulus Velocity by Doppler Tissue Imaging in the Evaluation of Left Ventricular Diastolic Function', J Am Call Cardiol., Vol. 30, pp.474-480, 1997 https://doi.org/10.1016/S0735-1097(97)88335-0
  4. W.J. Paulus, P.J. Vantrimpont, and M.F. Rousseau, 'Diastolic Function of the Nonfilling Human Left Ventricle', J Am Coli Cardiol., Vol. 20, pp.1524-1532, 1992 https://doi.org/10.1016/0735-1097(92)90446-T
  5. J.L. Weiss, J.W. Frederiksen, and M.L. Weisfeldt, 'Hemodynamic determinants of the time-course of fall in canine left ventricular pressure', J Clin Invest., Vol. 58, pp.751-760, 1976 https://doi.org/10.1172/JCI108522
  6. I. Mirsky, 'Assessment of diastolic junction: Suggested methods and future consideration', Circulation, Vol. 69, pp.836-841, 1984 https://doi.org/10.1161/01.CIR.69.4.836
  7. J.C. Gilbert, S.A Glantz, 'Determinants of Left Ventricular Filling and of the Diastolic Pressure-Volume Relation', Circ Res., Vol. 64, No.5, pp.827-852, 1989
  8. G.L. Raff, S.A. Glantz, 'Volume loading slows left ventricular isovolumic relaxation rate: Evidence of load-dependent relaxation in the intact dog heart', Circ Res., Vol. 48 (June), pp.813-824, 1981 https://doi.org/10.1161/01.RES.48.6.813
  9. D.S. Thompson, C.B. Waldron, D.J. Coltart, B.S. Jenkins, and M.M. Webb-Peploe, 'Estimation of time constant of left ventricular relaxation', Br Hear J., Vol. 49, pp.1426-1434, 1985
  10. W.J. Paulus, B.H. Lorell, W.E. Craig, J. Wynne, J.P. Murgo, and W. Grossman, 'Comparison of the effects of nitroprusside and nifedipine on diastolic properties in patients with hypertrophic cardiomyopathy: Altered left ventricular loading or improved muscle inactivation?', J Am Coll Cardio., Vol. 2, pp.879-886, 1983 https://doi.org/10.1016/S0735-1097(83)80235-6
  11. H. Matsubara, M. Takaki, S. Yasuhara, J. Araki, H. Suga, 'Logistic time constant of isovolumic relaxation pressure-time curve in the canine left ventricle', Circulation, Vol. 92, pp.2318-2326, 1995 https://doi.org/10.1161/01.CIR.92.8.2318
  12. W. Hu, B. Leone, 'A graphic orientated data analysis system for hemodynamic research', Comput. Prog. Biomed., Vol. 59, pp.197-214, 1999 https://doi.org/10.1016/S0169-2607(99)00008-5
  13. S. Haykin, Adaptive filter theory, 3rd edition, pp.562-587, USA: Prentice-Hall, 1996