Correlation of Left Ventricle Hydrodynamic Parameters with Diastolic Dysfunction

Cardiac flows are by nature intricate, involving unsteadiness, and transition to turbulence. In the presence of disease, their complexity is increased and the pumping efficiency of the left heart is compromised. Color M-mode echocardiography, used herein, can provide valuable clinical data, however their physical interpretation is often lacking. The present work is based on the notion that the normal diastolic filling pattern in the left ventricle (LV) is disrupted by diastolic dysfunction (DD). As such, a LV filling efficiency parameter incorporating intraventricular pressure differences and a novel break-point vortex ring propagation velocity, calculated by a statistical change point algorithm has been developed to characterize the effectiveness of diastole and its subsequent decline because of DD. An automated algorithm analyzed clinical data from 125 patients spanning the 4 stages of DD. The results provide insight on the significance of the various parameters on the progression of DD and provide and novel approach for understanding clinical echo data.