Mechanism of mitral leaflet excursion

J. M. Dent, W. D. Spotnitz, S. P. Nolan, A. R. Jayaweera, W. P. Glasheen, Sanjiv Kaul

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

The factors that influence the extent of mitral leaflet opening (MLO) and closure (MLC) have not been defined. We hypothesized that left ventricular (LV) systolic function determines the rate of increase of the early diastolic left atrial (LA)-LV pressure gradient, which is responsible for the extent of MLO, and also the rate of change of the early systolic LV-LA pressure gradient, which determines the degree of MLC. Accordingly, global LV function was changed by altering left main coronary artery flow with LA pressure held relatively constant. LV end-systolic dimension and peak positive LV rate of pressure development (dP/dt) correlated best with the degrees of MLO and MLC, with average correlation coefficients of 0.88 and 0.68, and 0.86 and 0.72, respectively. Although transsecting the submitral apparatus resulted in flailing of the mitral leaflets during normal LV systolic function, the extents of MLO and MLC during LV systolic dysfunction were still influenced by LV systolic function. It is concluded that LV systolic function determines the extent (both opening and closure) of mitral leaflet excursion.

Original languageEnglish (US)
JournalAmerican Journal of Physiology - Heart and Circulatory Physiology
Volume269
Issue number6 38-6
StatePublished - 1995
Externally publishedYes

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Left Ventricular Function
Atrial Pressure
Ventricular Pressure
Left Ventricular Dysfunction
Coronary Vessels

Keywords

  • left ventricular systolic function
  • mitral leaflet closure
  • mitral leaflet opening

ASJC Scopus subject areas

  • Physiology

Cite this

Dent, J. M., Spotnitz, W. D., Nolan, S. P., Jayaweera, A. R., Glasheen, W. P., & Kaul, S. (1995). Mechanism of mitral leaflet excursion. American Journal of Physiology - Heart and Circulatory Physiology, 269(6 38-6).

Mechanism of mitral leaflet excursion. / Dent, J. M.; Spotnitz, W. D.; Nolan, S. P.; Jayaweera, A. R.; Glasheen, W. P.; Kaul, Sanjiv.

In: American Journal of Physiology - Heart and Circulatory Physiology, Vol. 269, No. 6 38-6, 1995.

Research output: Contribution to journalArticle

Dent, JM, Spotnitz, WD, Nolan, SP, Jayaweera, AR, Glasheen, WP & Kaul, S 1995, 'Mechanism of mitral leaflet excursion', American Journal of Physiology - Heart and Circulatory Physiology, vol. 269, no. 6 38-6.
Dent JM, Spotnitz WD, Nolan SP, Jayaweera AR, Glasheen WP, Kaul S. Mechanism of mitral leaflet excursion. American Journal of Physiology - Heart and Circulatory Physiology. 1995;269(6 38-6).
Dent, J. M. ; Spotnitz, W. D. ; Nolan, S. P. ; Jayaweera, A. R. ; Glasheen, W. P. ; Kaul, Sanjiv. / Mechanism of mitral leaflet excursion. In: American Journal of Physiology - Heart and Circulatory Physiology. 1995 ; Vol. 269, No. 6 38-6.
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