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Antonini-Canterin F, Poli S, Vriz O, et al. The Ventricular-Arterial Coupling: From Basic Pathophysiology to Clinical Application in the Echocardiography Laboratory. J Cardiovasc Echogr. 2013;23(4):91-95doi: 10.4103/2211-4122.127408.
Antonini-Canterin, F., Poli, S., Vriz, O., Pavan, D., Bello, V. D., & Nicolosi, G. L. (2013). The Ventricular-Arterial Coupling: From Basic Pathophysiology to Clinical Application in the Echocardiography Laboratory. Journal of cardiovascular echography, 23(4), 91-95. https://doi.org/10.4103/2211-4122.127408
Antonini-Canterin, Francesco, et al. "The Ventricular-Arterial Coupling: From Basic Pathophysiology to Clinical Application in the Echocardiography Laboratory." Journal of cardiovascular echography vol. 23,4 (2013): 91-95. doi: https://doi.org/10.4103/2211-4122.127408
Antonini-Canterin F, Poli S, Vriz O, Pavan D, Bello VD, Nicolosi GL. The Ventricular-Arterial Coupling: From Basic Pathophysiology to Clinical Application in the Echocardiography Laboratory. J Cardiovasc Echogr. 2013 Oct-Dec;23(4):91-95. doi: 10.4103/2211-4122.127408. PMID: 28465893; PMCID: PMC5353400.
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J Cardiovasc Echogr. 2013 Oct-Dec;23(4):91-95. doi: 10.4103/2211-4122.127408.

The Ventricular-Arterial Coupling: From Basic Pathophysiology to Clinical Application in the Echocardiography Laboratory.

Journal of cardiovascular echography

Francesco Antonini-Canterin, Stefano Poli, Olga Vriz, Daniela Pavan, Vitantonio Di Bello, Gian Luigi Nicolosi

Affiliations

  1. Cardiologia Preventiva e Riabilitativa, Azienda Ospedaliera S. Maria degli Angeli, Pordenone, Italy.
  2. Scuola di Specializzazione in Malattie Cardiovascolari, Università di Trieste, Trieste, Italy.
  3. Cardiologia, San Daniele del Friuli, Università di Pisa, Pisa, University of Pisa, Pisa, Italy.
  4. Cardiologia, San Vito al Tagliamento, Università di Pisa, Pisa, University of Pisa, Pisa, Italy.
  5. Dipartimento Cardiotoracico e Vascolare, Università di Pisa, Pisa, University of Pisa, Pisa, Italy.
  6. Cardiologia, Azienda Ospedaliera S. Maria degli Angeli, Pordenone, Italy.

PMID: 28465893 PMCID: PMC5353400 DOI: 10.4103/2211-4122.127408

Abstract

The interplay between cardiac function and arterial system, which in turn affects ventricular performance, is defined commonly ventricular-arterial coupling and is an expression of global cardiovascular efficiency. This relation can be expressed in mathematical terms as the ratio between arterial elastance (EA) and end-systolic elastance (EES) of the left ventricle (LV). The noninvasive calculation requires complicated formulae, which can be, however, easily implemented in computerized algorithms, allowing the adoption of this index in the clinical evaluation of patients. This review summarizes the up-to-date literature on the topic, with particular focus on the main clinical studies, which range over different clinical scenarios, namely hypertension, heart failure, coronary artery disease, and valvular heart disease.

Keywords: Echocardiography; hypertension; left ventricular function; ventricular-arterial coupling

Conflict of interest statement

Conflict of Interest: None declared.

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