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Passage In the Event of End-Stage Heart Failure, a Left Ventricular

Question 31

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In the event of end-stage heart failure, a left ventricular assist device (LVAD) can be used as a heart transplant bridge to keep a patient alive.  The first iterations of LVADs were pulsatile and mimicked the physiological pumping action of the heart (Figure 1) .
Passage In the event of end-stage heart failure, a left ventricular assist device (LVAD)  can be used as a heart transplant bridge to keep a patient alive.  The first iterations of LVADs were pulsatile and mimicked the physiological pumping action of the heart (Figure 1) .    <strong>Figure 1</strong>  A pulsatile-flow LVAD schematicA pulsatile-flow LVAD assists ventricular systole by mechanically pumping blood from a weakened left ventricle into the aorta through a pair of one-way valves.  The pressure differential ΔP generated by the pump is related to cardiac output (CO)  and vascular resistance (VR) :ΔP = CO × VR<strong>Equation 1</strong>The efficiency and performance of the heart (or LVAD)  can be determined by the patient's cardiac pressure-volume (PV)  loop.  A cardiac PV loop plots the pressure and volume of the blood in the left ventricle throughout a single cardiac cycle (Figure 2) .    <strong>Figure 2</strong>  Cardiac PV Loop of a pulsatile-flow LVADBlood pressure is often represented by only two numbers:  arterial systolic and diastolic pressures.  A more detailed representation of blood pressures is shown in a blood pressure profile, which graphs the blood pressure throughout the length of the different vessel groups (Figure 3) .  Multiple pressure fluctuations are shown within a vessel because the pressure is traced across multiple cardiac cycles.    <strong>Figure 3</strong>  Blood pressure profile of the different vessels -If the radius of the outflow tube is 1 cm and the LVAD pump generates a pressure of 45 mm Hg, what is the velocity of blood through the outflow tube if peripheral resistance is 1 mm Hg⋅s⋅mL<sup>−1</sup>? A) 45/π cm/s B) 45/π cm<sup>3</sup>/s C) 45 cm/s D) 45 cm<sup>3</sup>/s Figure 1  A pulsatile-flow LVAD schematicA pulsatile-flow LVAD assists ventricular systole by mechanically pumping blood from a weakened left ventricle into the aorta through a pair of one-way valves.  The pressure differential ΔP generated by the pump is related to cardiac output (CO) and vascular resistance (VR) :ΔP = CO × VREquation 1The efficiency and performance of the heart (or LVAD) can be determined by the patient's cardiac pressure-volume (PV) loop.  A cardiac PV loop plots the pressure and volume of the blood in the left ventricle throughout a single cardiac cycle (Figure 2) .
Passage In the event of end-stage heart failure, a left ventricular assist device (LVAD)  can be used as a heart transplant bridge to keep a patient alive.  The first iterations of LVADs were pulsatile and mimicked the physiological pumping action of the heart (Figure 1) .    <strong>Figure 1</strong>  A pulsatile-flow LVAD schematicA pulsatile-flow LVAD assists ventricular systole by mechanically pumping blood from a weakened left ventricle into the aorta through a pair of one-way valves.  The pressure differential ΔP generated by the pump is related to cardiac output (CO)  and vascular resistance (VR) :ΔP = CO × VR<strong>Equation 1</strong>The efficiency and performance of the heart (or LVAD)  can be determined by the patient's cardiac pressure-volume (PV)  loop.  A cardiac PV loop plots the pressure and volume of the blood in the left ventricle throughout a single cardiac cycle (Figure 2) .    <strong>Figure 2</strong>  Cardiac PV Loop of a pulsatile-flow LVADBlood pressure is often represented by only two numbers:  arterial systolic and diastolic pressures.  A more detailed representation of blood pressures is shown in a blood pressure profile, which graphs the blood pressure throughout the length of the different vessel groups (Figure 3) .  Multiple pressure fluctuations are shown within a vessel because the pressure is traced across multiple cardiac cycles.    <strong>Figure 3</strong>  Blood pressure profile of the different vessels -If the radius of the outflow tube is 1 cm and the LVAD pump generates a pressure of 45 mm Hg, what is the velocity of blood through the outflow tube if peripheral resistance is 1 mm Hg⋅s⋅mL<sup>−1</sup>? A) 45/π cm/s B) 45/π cm<sup>3</sup>/s C) 45 cm/s D) 45 cm<sup>3</sup>/s Figure 2  Cardiac PV Loop of a pulsatile-flow LVADBlood pressure is often represented by only two numbers:  arterial systolic and diastolic pressures.  A more detailed representation of blood pressures is shown in a blood pressure profile, which graphs the blood pressure throughout the length of the different vessel groups (Figure 3) .  Multiple pressure fluctuations are shown within a vessel because the pressure is traced across multiple cardiac cycles.
Passage In the event of end-stage heart failure, a left ventricular assist device (LVAD)  can be used as a heart transplant bridge to keep a patient alive.  The first iterations of LVADs were pulsatile and mimicked the physiological pumping action of the heart (Figure 1) .    <strong>Figure 1</strong>  A pulsatile-flow LVAD schematicA pulsatile-flow LVAD assists ventricular systole by mechanically pumping blood from a weakened left ventricle into the aorta through a pair of one-way valves.  The pressure differential ΔP generated by the pump is related to cardiac output (CO)  and vascular resistance (VR) :ΔP = CO × VR<strong>Equation 1</strong>The efficiency and performance of the heart (or LVAD)  can be determined by the patient's cardiac pressure-volume (PV)  loop.  A cardiac PV loop plots the pressure and volume of the blood in the left ventricle throughout a single cardiac cycle (Figure 2) .    <strong>Figure 2</strong>  Cardiac PV Loop of a pulsatile-flow LVADBlood pressure is often represented by only two numbers:  arterial systolic and diastolic pressures.  A more detailed representation of blood pressures is shown in a blood pressure profile, which graphs the blood pressure throughout the length of the different vessel groups (Figure 3) .  Multiple pressure fluctuations are shown within a vessel because the pressure is traced across multiple cardiac cycles.    <strong>Figure 3</strong>  Blood pressure profile of the different vessels -If the radius of the outflow tube is 1 cm and the LVAD pump generates a pressure of 45 mm Hg, what is the velocity of blood through the outflow tube if peripheral resistance is 1 mm Hg⋅s⋅mL<sup>−1</sup>? A) 45/π cm/s B) 45/π cm<sup>3</sup>/s C) 45 cm/s D) 45 cm<sup>3</sup>/s Figure 3  Blood pressure profile of the different vessels
-If the radius of the outflow tube is 1 cm and the LVAD pump generates a pressure of 45 mm Hg, what is the velocity of blood through the outflow tube if peripheral resistance is 1 mm Hg⋅s⋅mL−1?


A) 45/π cm/s
B) 45/π cm3/s
C) 45 cm/s
D) 45 cm3/s

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