Abstract

Physiologic left ventricular ejection efficiency assessed at the level of the aorta

Highlights

  • Physiologic left ventricular ejection efficiency assessed at the level of the aorta Mark Doyle, Geetha Rayarao, Victor Farah, Diane V Thompson, Ronald Williams, June A Yamrozik, Moneal Shah, Robert W Biederman*

  • Cardiovascular magnetic resonance (CMR) imaging has long been used to calculate the ejection fraction (EF) of the left ventricle (LV) and more recently to calculate the ventricular-vascular-coupling (VVC) ratio, both entirely measured within the LV

  • The aortic area was measured from the phase velocity mapping (PVM) images along with the average velocity, taken as a measure of blood wave velocity, the end-systolic time was taken as the pulse length and aortic area instead of diameter to yield the vascular ejection efficiency (VEE) index: VEE = Aortic Area × End systolic time / Average blood velocity

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Summary

Background

Cardiovascular magnetic resonance (CMR) imaging has long been used to calculate the ejection fraction (EF) of the left ventricle (LV) and more recently to calculate the ventricular-vascular-coupling (VVC) ratio, both entirely measured within the LV. We seek to demonstrate the role of blood transmission efficiency measure within the aorta

Methods
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