Left Ventricular Mechanics in Idiopathic Dilated Cardiomyopathy: Systolic-Diastolic Coupling and Torsion

作者: Jaroslav Meluzin , Lenka Spinarova , Petr Hude , Jan Krejci , Hana Poloczkova

DOI: 10.1016/J.ECHO.2009.02.022

关键词: Ventricular mechanicsClockwiseIdiopathic dilated cardiomyopathyTorsion (mechanics)MedicineIn patientInternal medicineCardiologyEarly diastolicDiastoleRadiology Nuclear Medicine and imagingCardiology and Cardiovascular Medicine

摘要: Background In idiopathic dilated cardiomyopathy (IDC), myocardial deformational parameters and their mutual relationships remain incompletely characterized. Methods Thirty-seven patients with IDC underwent two-dimensional speckle-tracking echocardiography (2D-STE) to assess left ventricular rotation, torsion, longitudinal, circumferential, radial systolic diastolic strains strain rates. Additionally, 2D-STE was performed in 14 controls. Results All on were significantly lower compared Seven exhibited opposite basal (positive, counterclockwise) 11 apical (negative, clockwise) rotation at end-systole. Circumferential, radial, longitudinal early rates correlated most strongly the corresponding spatial components of deformation. Conclusion IDC, all torsional, systolic, decreased. Corresponding three-dimensional deformations closely coupled. Considerable variation direction exists a subset IDC.

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