The compliance of the cardiac muscle in diastole is important to normal filling of the heart prior to ejection. In many heart failure patients with normal systolic function, the """"""""stiff heart syndrome"""""""" is likely caused by stiffened heart muscle. In the last year we have confirmed the accuracy of a non-invasive, MRI based measurement of heart muscle compliance, demonstrated its feasibility in humans, and showed the stiffening of the muscle following ischemic injury. We now have a protocol to look at patients with hypertension to see if muscle complaince is specifically responsible for their conditions. We also observed a unique feature of blood flow in the heart, the out-of-phase arterial and venous flow in small branches of the coronary tree due to of the squeezing effect of heart contraction. We measuremented tissue volume changes due to this effect, which give an independent estimate of perfusion of the heart wall, and points to a mechanism of very timely coupling of mechanical work and oxygen delivery in the heart.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Intramural Research (Z01)
Project #
1Z01HL004606-08
Application #
6967052
Study Section
(LCE)
Project Start
Project End
Budget Start
Budget End
Support Year
8
Fiscal Year
2004
Total Cost
Indirect Cost
Name
U.S. National Heart Lung and Blood Inst
Department
Type
DUNS #
City
State
Country
United States
Zip Code
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