Heart failure & cardiomyopathiesMechanistic study

Impact of Interventricular Interaction on Ventricular Function

JACC Heart FailPublished

  • Mechanistic study

Authors' conclusion

Interventricular interactions resulted in improved RV compliance, diminished afterload, and did not reduce RV contractility.

Study context

Population
Clinically stable HeartMate3 LVAD recipients
Participants
20 recipients
Comparison
High vs low LVAD speed during ramp tests

Main finding

As reported in the abstract

RV pressure-volume loop measures
GroupIndexed right ventricular (RV) end-diastolic volumeRV end-systolic pressureEffective arterial elastance
Low speed72.28 ± 15.07 mL31.58 ± 9.75 mL0.65 ± 0.43 mm Hg/mL
High speed75.95 ± 16.9029.58 ± 9.41 mL0.54 ± 0.33 mm Hg/mL
  • High speed vs Low speed: P = 0.04 — indexed RV end-diastolic volume
  • High speed vs Low speed: P = 0.02 — RV end-systolic pressure
  • High speed vs Low speed: P = 0.02 — effective arterial elastance

Original publication

Impact of Interventricular Interaction on Ventricular Function. JACC Heart Fail. Published 10 January 2024. doi:10.1016/j.jchf.2023.12.001

Summarised from the published abstract; every number is checked against it