Assessment of left ventricular asynchrony using volume-time curves of 16 segments by real-time 3 dimensional echocardiography: comparison with tissue Doppler imaging.

作者: Seong-Mi Park , Ki-Chang Kim , Min-Jae Jeon , Chang-Kun Lee , Dae-Hyeok Kim

DOI: 10.1016/J.EJHEART.2006.04.009

关键词:

摘要: Background: Recent technical developments with high-resolution real-time 3 dimensional echocardiography (RT3DE) facilitate the acquisition of high quality images and analysis segmental volume—time curves (VTCs). Aims: To assess left ventricular (LV) asynchrony using VTCs 16 segments by RT3DE, to evaluate accuracy compared tissue Doppler imaging (TDI). Methods: Twenty-three heart failure (HF) patients (LVEF: 25±6%, age: 60±13 years) normal controls underwent TDI RT3DE. The standard deviation (SD3) end systolic time reaching minimal volume for on was obtained (SD2) electromechanical coupling 8 measured TDI. Results: SD3 markedly higher in HF than (7.7±2.5 vs 1.5±1.0%, P<0.01) increased as LVEF decreased (r=−0.85, P<0.01). SD2 also significantly (27.0±8.6 12.6±5.0 ms, had a good negative correlation (r=−0.72, SD3 well correlated (r=0.66, P<0.01). Conclusions: We suggest that RT3DE may be useful alternative evaluation LV asynchrony.

参考文章(30)
David A Kass, Predicting cardiac resynchronization response by QRS duration: the long and short of it. Journal of the American College of Cardiology. ,vol. 42, pp. 2125- 2127 ,(2003) , 10.1016/J.JACC.2003.09.021
R. S. von Bardeleben, H. P. Kühl, S. Mohr-Kahaly, A. Franke, Second-generation real-time three-dimensional echocardiography. Finally on its way into clinical cardiology? Zeitschrift Fur Kardiologie. ,vol. 93, pp. 56- 64 ,(2004) , 10.1007/S00392-004-1409-X
G. R. Heyndrickx, P. J. Vantrimpont, M. F. Rousseau, H. Pouleur, Effects of asynchrony on myocardial relaxation at rest and during exercise in conscious dogs. American Journal of Physiology-heart and Circulatory Physiology. ,vol. 254, ,(1988) , 10.1152/AJPHEART.1988.254.5.H817
Carly Jenkins, Kristen Bricknell, Lizelle Hanekom, Thomas H. Marwick, Reproducibility and accuracy of echocardiographic measurements of left ventricular parameters using real-time three-dimensional echocardiography Journal of the American College of Cardiology. ,vol. 44, pp. 878- 886 ,(2004) , 10.1016/J.JACC.2004.05.050
D Farwell, NR Patel, A Hall, S Ralph, AN Sulke, How many people with heart failure are appropriate for biventricular resynchronization European Heart Journal. ,vol. 21, pp. 1246- 1250 ,(2000) , 10.1053/EUHJ.1999.1985
GABE B. BLEEKER, MARTIN J. SCHALIJ, SANDER G. MOLHOEK, HARRIETTE F. VERWEY, EDUARD R. HOLMAN, ERIC BOERSMA, PAUL STEENDIJK, ERNST E. VAN DER WALL, JEROEN J. BAX, Relationship between QRS duration and left ventricular dyssynchrony in patients with end-stage heart failure. Journal of Cardiovascular Electrophysiology. ,vol. 15, pp. 544- 549 ,(2004) , 10.1046/J.1540-8167.2004.03604.X
Martin Penicka, Jozef Bartunek, Bernard De Bruyne, Marc Vanderheyden, Marc Goethals, Marc De Zutter, Pedro Brugada, Peter Geelen, Improvement of Left Ventricular Function After Cardiac Resynchronization Therapy Is Predicted by Tissue Doppler Imaging Echocardiography Circulation. ,vol. 109, pp. 978- 983 ,(2004) , 10.1161/01.CIR.0000116765.43251.D7
B.Zane Atkins, Johnny Kuo, Ashish S Shah, Kelley A Hutcheson, Donald D Glower, Olaf T von Ramm, Real-time three-dimensional echocardiography to construct clinically ready, load-independent indices of myocardial contractile performance Journal of The American Society of Echocardiography. ,vol. 16, pp. 922- 930 ,(2003) , 10.1016/S0894-7317(03)00515-7
K. E. HAMMERMEISTER, R. C. BROOKS, J. R. WARBASSE, The rate of change of left ventricular volume in man. I. Validation and peak systolic ejection rate in health and disease. Circulation. ,vol. 49, pp. 729- 738 ,(1974) , 10.1161/01.CIR.49.4.729
Ziad Zeidan, Raimund Erbel, Joerg Barkhausen, Peter Hunold, Thomas Bartel, Thomas Buck, Analysis of global systolic and diastolic left ventricular performance using volume-time curves by real-time three-dimensional echocardiography***★ Journal of The American Society of Echocardiography. ,vol. 16, pp. 29- 37 ,(2003) , 10.1067/MJE.2003.40