Evidence map›Paper›PMID 39984037›Full record

ArticleIndian heart journal

The diastolic duration as a percentage of the cardiac cycle in healthy adults: A pilot study.

Neeta Bachani, Soorampally Vijay, Aniruddha Vyas, Jaipal Jadwani, Gopikrishna Panicker, Yash Lokhandwala

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Article in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
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6citing papers in PubMed
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3 · Its place in the literature

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6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Neeta BachaniDepartment of Cardiology, Holy Family Hospital, Mumbai, India.
Soorampally VijayDepartment of Cardiology, AIG Hospital, Hyderabad, India. Electronic address: surampallivijay8@gmail.com.
Aniruddha VyasDepartment of Cardiology, Vishesh Jupiter Hospital, Indore, India.
Jaipal JadwaniDepartment of Cardiology, Holy Family Hospital, Mumbai, India.
Gopikrishna PanickerIIM, Ahmedabad, India.
Yash LokhandwalaDepartment of Cardiology, Holy Family Hospital, Mumbai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA widely accepted concept in cardiovascular physiology states that diastole constitutes 62.5 % of the cardiac cycle during a typical 0.8-s cycle at 75 beats per minute. However, this has not been confirmed by using modern technology in healthy individuals.

objectiveThis study aimed to accurately measure diastolic duration as a fraction of the cardiac cycle using echocardiography in healthy adults with structurally normal hearts.

methodsIn this prospective study, 200 healthy adults aged over 18 years, with heart rates between 50 and 100 beats per minute, normal ECGs, and structurally normal hearts, were included. Using a modified apical 5-chamber view and pulse wave Doppler at the aortic and mitral valves, researchers measured the RR interval (total cardiac cycle), diastolic duration (from aortic valve closure to mitral valve closure), and systolic duration. Three measurements were taken for each parameter, and the mean was used for analysis.

resultsParticipants had a mean age of 47.7 years (range 19-79), with an equal gender distribution. The mean RR interval was 799 ± 97 ms. The left ventricular (LV) diastolic duration was 469 ± 76 ms, and the LV systolic duration was 330 ± 42 ms. The ratio of diastolic duration to the total cardiac cycle was 0.58 ± 0.04, slightly higher in males (0.59 ± 0.04) compared to females (0.57 ± 0.04).

conclusionThis study challenges the longstanding teaching that diastole accounts for two-thirds of the cardiac cycle. Instead, diastole represents 58 % of the cycle, highlighting the need to reconsider its role in cardiovascular physiology and clinical applications.

Indexed as

DiastoleHeart RateHeart VentriclesMyocardial ContractionVentricular Function, LeftAdultAgedEchocardiography, DopplerFemaleHealthy VolunteersHumansMaleMiddle AgedPilot ProjectsProspective StudiesReference ValuesCardiac cycleCardiac physiologyDiastolePulse wave Doppler

Identifiers

PMID39984037
PMCPMC12138032

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.