The effects of quiet respiration on assessment of left ventricular function by twodimensional echocardiography were investigated in 12 healthy men. End-diastolic area in the parasternal short-axis view decreased with inspiration (from 17.3 + 2.1 [mean + SDI to 16.0 + 2. 1 cm2; p < .01), while end-systolic area did not change (from 7.6 + 1.4 to 7.7 + 1.5 cm2; NS). A fixed cursor that was located through the center of the left ventricular area at end-expiration made a tangential cut of the area at end-inspiration as the heart moved medially during inspiration. Thus left ventricular dimensions at end-inspiration were smaller along the cursor than through the center of the short-axis area both at end-diastole (1.9 + 1.7 mm: p < .01) and end-systole (3.8 + 4.0 mm; p < .01
Subjects and methodsTwelve men 22 to 41 years old were studied. None had evidence of cardiopulmonary disease as judged by history.physical examination, blood pressure at rest, electrocardiogram, M mode and two-dimensional echocardiograms, vital capacity, and forced expiratory volume in 1 sec. Two others were excluded from the study, one with a history of exerciseinduced asthma and one because of technically unsatisfactory recordings.Recording. The subjects were examined in a slight left lateral decubitus position during quiet respiration. Two-dimensional echocardiograms were obtained in the parasternal short-axis viewl0 at the papillary muscle level by a 78 degree phased array sector scanner (Toshiba Sonolayergraph SSH-IOA) with a 2.4 MHz hand-held transducer. Before recording, a steerable cursor was directed through the center of the left ventricle at endexpiration. The echocardiogram, one-lead electrocardiogram, and respiratory tracing by a nasal thermistor were recorded by a Sony video camera and were stored on and replayed from a video tape recorder (Victor Co. of Japan Ltd.). The electrocardiogram and the respiratory tracing were recorded simultaneously on a Honeywell strip chart recorder with a paper speed of 50 mm/sec. Care was taken to keep the body position and the transducer position unchanged during the recording.Measurements and calculations. The heart beats selected for analysis were