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288        SECTION III    CARDIOvASCuLAR  ``CARdIOvASCulAR—PHYSIOlOGY                                                                                          CARDIOvASCuLAR  ``CARdIOvASCulAR—PHYSIOlOGY





               Pressure-volume loops and valvular disease
                Aortic stenosis       200                                          LV pressure
                                                                       LV > aortic    ESV
                                                                       pressure
                                                            120
                                      LV pressure (mmHg)  100  Blood pressure (mmHg)  50  No change in EDV
                                                                                   SV


                                                                                   compliance Ž  EDP for given EDV
                                        0                    0                    Ventricular hypertrophy Ž  ventricular
                                            100     200
                                              LV volume (ml)     Time (RR interval)
                Mitral regurgitation  200                   120                   No true isovolumetric phase
                                                                                   ESV due to  resistance and
                                      LV pressure (mmHg)  100  Blood pressure (mmHg)  50  Tall   EDV due to  LA volume/pressure from
                                                                                    regurgitation into LA during systole
                                                                         V-wave
                                                                                   regurgitation Ž  ventricular filling
                                        0                    0                     SV
                                            100     200
                                              LV volume (ml)     Time (RR interval)
                Aortic regurgitation   200                                        No true isovolumetric phase
                                                                                   EDV
                                                            120
                                                                       Large
                                      LV pressure (mmHg)  100  Blood pressure (mmHg)  50  pressure   SV
                                                                       pulse


                                        0                     0
                                             100     200
                                              LV volume (ml)     Time (RR interval)
                Mitral stenosis       200                                          LA pressure
                                                                                   EDV because of impaired ventricular
                                                             120
                                      LV pressure (mmHg)  100  Blood pressure (mmHg)  50  LA > LV   ESV
                                                                                   filling
                                                                        pressure
                                                                                   SV

                                        0                     0
                                            100      200          Time (RR interval)
                                              LV volume (ml)





































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