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  • Left ventricular ejection force and impulse: Noninvasive assessment using Doppler ultrasound
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Left ventricular ejection force and impulse: Noninvasive assessment using Doppler ultrasound

  • Jan 1, 1990
  • Karl Isaaz
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Abstract

The importance of the mass-acceleration concept for the evaluation of cardiac function has been emphasized many years ago [1–6] and re-emphasized more recently [7–9]. In 1964, Rushmer [7] concluded that the left ventricle acts as an impulse generator and that the ‘initial ventricular impulse’ represents a reliable index of myocardial performance. Based on this concept, Rushmer suggested the use of measurement of peak aortic blood velocity and acceleration as indices of LV function [7]. Noble et al. [8] have suggested from a series of animal experiments that the maximal aortic blood acceleration is closely related to the maximum force exerted by the left ventricle in early systole and directed towards overcoming inertia. The force is a well established physical term defined as the product of mass and acceleration according to Newton’s second law of motion: Force = mass × accelerationKeywordsDoppler EchocardiographyAcceleration TimePeak AccelerationEjection TimeAortic BloodThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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