Doppler Assessment of Diastolic Function Reflect the Severity of Injury in Rats With Chronic Heart Failure

For chronic heart failure (CHF), more emphasis has been placed on evaluation of systolic as opposed to diastolic function. Within the study of diastology, measurements of left ventricular (LV) longitudinal myocardial relaxation have the most validation. Anterior wall radial myocardial tissue relaxat...

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Veröffentlicht in:Journal of cardiac failure 2017-10, Vol.23 (10), p.753-761
Hauptverfasser: Sanchez, Pablo, Lancaster, Jordan J., Weigand, Kyle, Mohran, Saffie-Alrahman Ezz-Eldin, Goldman, Steven, Juneman, Elizabeth
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container_end_page 761
container_issue 10
container_start_page 753
container_title Journal of cardiac failure
container_volume 23
creator Sanchez, Pablo
Lancaster, Jordan J.
Weigand, Kyle
Mohran, Saffie-Alrahman Ezz-Eldin
Goldman, Steven
Juneman, Elizabeth
description For chronic heart failure (CHF), more emphasis has been placed on evaluation of systolic as opposed to diastolic function. Within the study of diastology, measurements of left ventricular (LV) longitudinal myocardial relaxation have the most validation. Anterior wall radial myocardial tissue relaxation velocities along with mitral valve inflow (MVI) patterns are applicable diastolic parameters in the differentiation between moderate and severe disease in the ischemic rat model of CHF. Myocardial tissue relaxation velocities correlate with traditional measurements of diastolic function (ie, hemodynamics, Tau, and diastolic pressure-volume relationships). Male Sprague-Dawley rats underwent left coronary artery ligation or sham operation. Echocardiography was performed at 3 and 6 weeks after coronary ligation to evaluate LV ejection fraction (EF) and LV diastolic function through MVI patterns (E, A, and E/A) and Doppler imaging of the anterior wall (e′ and a′). The rats were categorized into moderate or severe CHF according to their LV EF at 3 weeks postligation. Invasive hemodynamic measurements with solid-state pressure catheters were obtained at the 6-week endpoint. Moderate (N = 20) and severe CHF (N = 22) rats had significantly (P 
doi_str_mv 10.1016/j.cardfail.2017.08.446
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Within the study of diastology, measurements of left ventricular (LV) longitudinal myocardial relaxation have the most validation. Anterior wall radial myocardial tissue relaxation velocities along with mitral valve inflow (MVI) patterns are applicable diastolic parameters in the differentiation between moderate and severe disease in the ischemic rat model of CHF. Myocardial tissue relaxation velocities correlate with traditional measurements of diastolic function (ie, hemodynamics, Tau, and diastolic pressure-volume relationships). Male Sprague-Dawley rats underwent left coronary artery ligation or sham operation. Echocardiography was performed at 3 and 6 weeks after coronary ligation to evaluate LV ejection fraction (EF) and LV diastolic function through MVI patterns (E, A, and E/A) and Doppler imaging of the anterior wall (e′ and a′). The rats were categorized into moderate or severe CHF according to their LV EF at 3 weeks postligation. Invasive hemodynamic measurements with solid-state pressure catheters were obtained at the 6-week endpoint. Moderate (N = 20) and severe CHF (N = 22) rats had significantly (P &lt; .05) different EFs, hemodynamics, and diastolic pressure-volume relationships. Early diastolic anterior wall radial relaxation velocities as well as E/e′ ratios separated moderate from severe CHF and both diastolic parameters had strong correlations with invasive hemodynamic measurements of diastolic function. 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Invasive hemodynamic measurements with solid-state pressure catheters were obtained at the 6-week endpoint. Moderate (N = 20) and severe CHF (N = 22) rats had significantly (P &lt; .05) different EFs, hemodynamics, and diastolic pressure-volume relationships. Early diastolic anterior wall radial relaxation velocities as well as E/e′ ratios separated moderate from severe CHF and both diastolic parameters had strong correlations with invasive hemodynamic measurements of diastolic function. 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subjects Animals
Blood Pressure - physiology
Chronic Disease
diastolic function
Echocardiography
Echocardiography - methods
heart failure
Heart Failure - diagnostic imaging
Heart Failure - physiopathology
Male
mitral velocity
Rats
Rats, Sprague-Dawley
Recovery of Function - physiology
Severity of Illness Index
title Doppler Assessment of Diastolic Function Reflect the Severity of Injury in Rats With Chronic Heart Failure
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