In Vivo Pressure-Volume Loops and Chamber Stiffness Estimation Using Real-Time 3D Echocardiography and Left Ventricular Catheterization – Application to Post-heart Transplant Patients

Bianca Freytag, Vicky Y. Wang*, Debbie Zhao, Kathleen Gilbert, Gina Quill, Abdallah I. Hasaballa, Thiranja P. Babarenda Gamage, Robert N. Doughty, Malcolm E. Legget, Peter Ruygrok, Alistair A. Young, Martyn P. Nash

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference paperpeer-review

2 Citations (Scopus)

Abstract

In vivo pressure-volume loops (PVLs) are the gold standard measurement to assess ventricular function. We developed a pipeline to integrate hemodynamic measurements with real-time three-dimensional (3D) echocardiographic data to construct in vivo PVLs for 25 post-heart transplant patients. We then evaluated left ventricular diastolic function for these patients by calculating chamber stiffness from a cubic polynomial fit of the diastolic pressure-volume relationships (PVR). We examined the ability of a well-established mathematical (Klotz) model to predict the patient-specific diastolic PVRs. We found that beat-to-beat variation in hemodynamic measurement was typical for this group of patients, which resulted in mean ± standard deviation end-diastolic chamber stiffness estimates of 0.75 ± 0.40 mmHg/ml. The cubic polynomial fits of the individual diastolic PVRs resulted in much smaller errors (0.25 ± 0.01 mmHg) compared to those associated with the Klotz predicted diastolic PVRs (4.0 ± 0.27 mmHg), which provided a poor representation of the in vivo diastolic PVRs. The proposed framework enables the temporal alignment between hemodynamic and 3D imaging data to produce in vivo PVLs that can be used not only to quantify global ventricular function, but also to estimate mechanical properties of the myocardium.

Original languageEnglish
Title of host publicationFunctional Imaging and Modeling of the Heart - 11th International Conference, FIMH 2021, Proceedings
EditorsDaniel B. Ennis, Luigi E. Perotti, Vicky Y. Wang
PublisherSpringer Science and Business Media Deutschland GmbH
Pages396-405
Number of pages10
ISBN (Print)9783030787097
DOIs
Publication statusPublished - 2021
Event11th International Conference on Functional Imaging and Modeling of the Heart, FIMH 2021 - Virtual, Online
Duration: 21 Jun 202125 Jun 2021

Publication series

NameLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume12738 LNCS
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349

Conference

Conference11th International Conference on Functional Imaging and Modeling of the Heart, FIMH 2021
CityVirtual, Online
Period21/06/202125/06/2021

Keywords

  • Catheterization
  • Chamber stiffness
  • Heart transplant
  • In vivo pressure-volume loop
  • Real-time 3D echocardiography

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