scholarly journals Reduced myocardial reserve in cirrhotic patients: an evaluation by dobutamine stress speckle tracking and tissue Doppler imaging (TDI) echocardiography

2019 ◽  
Vol 11 (2) ◽  
pp. 127-131 ◽  
Author(s):  
Mahmood Zamirian ◽  
Forough Afsharizadeh ◽  
Alireza Moaref ◽  
Firoozeh Abtahi ◽  
Fatemeh Amirmoezi ◽  
...  
Keyword(s):  
Heart Failure ◽  
Strain Rate ◽  
Speckle Tracking ◽  
Systolic Function ◽  
Peak Stress ◽  
Tissue Doppler ◽  
Doppler Imaging ◽  
Control Group ◽  
Basal Segment ◽  
Cirrhotic Patients

Introduction: Despite the normal systolic function at rest, cirrhotic patients often suffer from volume overload and symptoms of heart failure as they face stressful situations. This study investigated the myocardial reserve in cirrhotic patients at resting condition and peak stress by dobutamine speckle tracking echocardiography (STE) and tissue Doppler imaging (TDI). Methods: Twenty cirrhotic patients and 10 normal individuals aged 30-50 were selected randomly. For all of the participants, complete echocardiographic study of 2D, STE and TDI was done at rest and peak stress status with dobutamine. The following parameters were assessed: ejection fraction (EF), global longitudinal LV strain (GLS), strain rate in the septal basal segment and lateral wall and E’ in the septal basal segment by color-coded method. Results: At baseline, EF was higher than 55% in both groups. GLS was higher (-22.6±2.4%) in the case group than the control group (-19.2±1.9%) at resting condition. After stress, it showed a greater increase (-22.5±1.7%) in the controls compared to cirrhotic patients (-22.6±3.3%; mean difference = 2.6 ± 2.03, P = 0.02). In cirrhotic patients, the average strain rate in the basal septal segment decreased after stress (-1.2 ± 0.3/s to-1.1 ± 0.3/s), but it increased in the control group (-1.1 ± 0.2/s to -1.8 ± 0.2/s). Conclusion: Despite the presence of normal resting systolic function in cirrhotic patients, there was insufficient increase or even a decrease in myocardial function with stress; this may indicate the absence of sufficient myocardial reserve in cirrhotic patients. These findings would help to explain the reason for occurrence of heart failure or hemodynamic changes in cirrhotic patients.

Echocardiographic right ventricular function correlations with cardiac catheterisation data in biventricular congenital heart patients

2017 ◽  
Vol 27 (6) ◽  
pp. 1186-1193 ◽  
Author(s):  
Holly Nadorlik ◽  
Corey Stiver ◽  
Sairah Khan ◽  
Yongjie Miao ◽  
Ralf Holzer ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Strain Rate ◽  
Tissue Doppler Imaging ◽  
Right Ventricular Function ◽  
Congenital Heart ◽  
Diastolic Pressure ◽  
Systolic Function ◽  
Tissue Doppler ◽  
Doppler Imaging ◽  
S Wave

AbstractBackgroundNewer echocardiographic techniques may allow for more accurate assessment of right ventricular function. Adult studies have correlated these echocardiographic measurements with invasive data, but minimal data exist in the paediatric congenital heart population. The purpose of this study was to evaluate echocardiographic measurements that correlate best with right ventricular systolic and diastolic catheterisation parameters.MethodsPatients with two-ventricle physiology who underwent simultaneous echocardiogram and cardiac catheterisation were included in this study. Right ventricular systolic echocardiographic data included fractional area change, displacement, tissue Doppler imaging s’ wave, global longitudinal strain, and strain rate s’ wave. Diastolic echocardiographic data included tricuspid E and A waves, tissue Doppler imaging e’ and a’ waves, and strain rate e’ and a’ waves. E/tissue Doppler imaging e’, tissue Doppler imaging e’/tissue Doppler imaging a’, E/strain rate e’, and strain rate e’/strain rate a’ ratios were also calculated. Catheterisation dP/dt was used as a marker for systolic function and right ventricular end-diastolic pressure for diastolic function.ResultsA total of 32 patients were included in this study. The median age at catheterisation was 3.1 years (0.3–17.6 years). The DP/dt was 493±327 mmHg/second, and the right ventricular end-diastolic pressure was 7.7±2.4 mmHg. There were no significant correlations between catheterisation dP/dt and systolic echocardiographic parameters. Right ventricular end-diastolic pressure correlated significantly with strain rate e’ (r=−0.4, p=0.02), strain rate a’ (r=−0.5, p=0.03), and E/tissue Doppler imaging e’ (r=0.4, p=0.04).ConclusionCatheterisation dP/dt did not correlate with echocardiographic measurements of right ventricular systolic function. Strain rate and tissue Doppler imaging analysis significantly correlated with right ventricular end-diastolic pressure. These values should be further studied to determine whether they may be used as an alternative method to estimate right ventricular end-diastolic pressure in this patient population.

Studying of morphology and left ventricular function by conventional and speckle tracking echocardiography in football players

2019 ◽  
pp. 36-40
Author(s):  
Kien Duoc Vang ◽  
Anh Vu Nguyen
Keyword(s):  
Tissue Doppler Imaging ◽  
Speckle Tracking ◽  
Circumferential Strain ◽  
Speckle Tracking Echocardiography ◽  
Early Stage ◽  
Tissue Doppler ◽  
Left Ventricular ◽  
Doppler Imaging ◽  
Control Group ◽  
Cross Sectional

Objective: Recent studies have showed that Tissue Doppler Imaging and Speckle Tracking Echocardiography can discover these changes at functional and structural cardiac in athletes at early stage, especially at the footballers. The purpose of this research was evaluated the structural and functional adaption of left ventricular in footballer by conventional and advanced echocardiography. Materials and methods: We performed a cross-sectional study of 30 footballers who have been trained over 2 years compared to 30 healthy candidate with the same ages. We carried out TM, 2D, STE. Echo machine was Philips Affinity 50CV with QLAB version 10.04 which can analyze online or offline. Result: In comparison with control group, IVSd, LVEDd, PWTd, LVM, LVMI (p = 0.001) was different from athlete group. Left ventricular adaption trended to eccentric hypertrophy and increased left ventricular mass index. A wave was decrease velocity and increased E/A, E/El’, E/E’s ratio. Base circumferential strain, apex circumferential strain, rotation and twist (10.12 ± 1.2) (°) athletes (7.42 ± 2.6) (°) control group with (p = 0.05), were more than control group. Conclusion: Conventional and advanced echocardiography can evaluate structural and functional left ventricular adaption in athletes. Especially, STE provided more data in myocardial deformation, rotation and twist so that it can discover these changes at athlete heart in early stages Key words: Athletes heart, Speckle Tracking Echocardiography, Tissue Doppler Imaging

scholarly journals Cardiac dysfunction in acromegaly: evidence by pulsed wave tissue Doppler imaging

2000 ◽  
pp. 363-369 ◽  
Author(s):  
G Mercuro ◽  
S Zoncu ◽  
P Colonna ◽  
P Cherchi ◽  
S Mariotti ◽  
...  
Keyword(s):  
Diastolic Dysfunction ◽  
Tissue Doppler Imaging ◽  
Systolic Function ◽  
Lateral Wall ◽  
Tissue Doppler ◽  
Left Ventricular ◽  
Doppler Imaging ◽  
Control Group ◽  
Diastolic Velocity ◽  
Acromegalic Cardiomyopathy

OBJECTIVE: To verify whether the accuracy of data on myocardial function provided by pulsed-wave tissue Doppler imaging (PWTDI), a new echocardiographic application that allows quantitative measurements of myocardial wall velocities, could help towards a better understanding of the natural history of acromegalic cardiomyopathy. DESIGN: Eighteen patients with active acromegaly (ten men and eight women; mean age 48.0+/-15.0 years) with no other detectable cause of heart disease underwent PWTDI. Thirteen healthy individuals matched for age and body mass index acted as a control group. METHODS: Ejection fraction (EF), transmitral early/late diastolic velocity (E/A) ratio and isovolumic relaxation time (IVRT) were measured by conventional echocardiography; systolic peak (Sv) and early (Ev) and late (Av) diastolic peak velocities, Ev/Av ratio and regional IVRT (IVRTs) were obtained by PWTDI. RESULTS: All patients showed appreciably abnormal left ventricular global diastolic function represented by prolongation of the IVRT (P<0.001). Using PWTDI we found a prolongation of IVRTs and inversion of the Ev/Av ratio. In addition, the Ev/Av ratio proved to be significantly negatively correlated with IVRT; this correlation was not present in the case of the E/A ratio. Furthermore, a decrease in Sv was detected in the basal segment of the lateral wall (P<0.01), which had the greatest degree of diastolic dysfunction. CONCLUSIONS: PWTDI confirmed the acknowledged diastolic dysfunction that accompanies acromegalic cardiomyopathy and highlighted the greater sensitivity of regional PWTDI with respect to global Doppler diastolic indexes. Furthermore, by revealing an impairment of regional systolic function in presence of a normal EF, the findings with PWTDI contradicted the largely accepted theory that systolic function remains normal for several years in patients affected by acromegalic cardiomyopathy.

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