Pre-Load-Induced Changes in Forward LV Stroke and Functional Mitral Regurgitation: Echocardiographic Detection of the Descending Limb of Starling's Curve

Conclusions Heart failure patients with LV systolic dysfunction on the descending limb of the Starling curve can be recognized by the paradoxical decrease in LVSV despite PLL, and the prognostic predicting power is additive to the other traditional echocardiographic predictors. Also, our results suggest that functional mitral regurgitation is an important reason for the descending limb of the Starling curve, which is clinically recognized as the pre-load–induced decrease in forward LVSV.

http://www.imaging.onlinejacc.org/cgi/content/short/10/6/611?rss=1

Source: Journal of the American College of Cardiology: Cardiovascular Imaging - June 5, 2017 Category: Radiology Authors: Abe, Y., Akamatsu, K., Furukawa, A., Ito, K., Matsumura, Y., Haze, K., Naruko, T., Yoshiyama, M., Yoshikawa, J. Tags: Original Research Source Type: research