Ventricular function after coronary artery bypass grafting: Evaluation by magnetic resonance imaging and myocardial strain analysis
Magnetic resonance imaging with radiofrequency tissue tagging permits quantitative assessment of regional systolic myocardial strain. We sought to investigate the utility of this imaging modality to quantitatively determine preoperative impairment and postoperative improvement in ventricular functio...
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description | Magnetic resonance imaging with radiofrequency tissue tagging permits quantitative assessment of regional systolic myocardial strain. We sought to investigate the utility of this imaging modality to quantitatively determine preoperative impairment and postoperative improvement in ventricular function in patients with ischemic heart disease.
Magnetic resonance imaging with radiofrequency tissue tagging was performed on 6 patients (average age 60.2 +/- 13.7 years) with coronary artery disease and 32 control subjects with no known heart disease. Patients with coronary artery disease underwent imaging before and 3 months after coronary artery bypass grafting. The ventricle was divided into 6 segments within a midventricular plane. Regional 2-dimensional left ventricular circumferential strain was calculated from tagged magnetic resonance images throughout systole. Circumferential strain results were compared in patients before and after and 3 months after coronary artery bypass grafting and also in control subjects.
Before the operation circumferential strain identified 100% (10/10) of all regional wall motion abnormalities seen by preoperative ventriculography. Postoperatively, improvements were demonstrated in 56% (20/36) of the regions, and these improvements agreed with viability testing by single-photon emission computed tomography when available. Additionally, preoperative global circumferential strain for the ischemic group was significantly depressed relative to that in control subjects (0.11 +/- 0.05 vs 0.20 +/- 0.03, P |
doi_str_mv | 10.1016/j.jtcvs.2003.10.028 |
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Magnetic resonance imaging with radiofrequency tissue tagging was performed on 6 patients (average age 60.2 +/- 13.7 years) with coronary artery disease and 32 control subjects with no known heart disease. Patients with coronary artery disease underwent imaging before and 3 months after coronary artery bypass grafting. The ventricle was divided into 6 segments within a midventricular plane. Regional 2-dimensional left ventricular circumferential strain was calculated from tagged magnetic resonance images throughout systole. Circumferential strain results were compared in patients before and after and 3 months after coronary artery bypass grafting and also in control subjects.
Before the operation circumferential strain identified 100% (10/10) of all regional wall motion abnormalities seen by preoperative ventriculography. Postoperatively, improvements were demonstrated in 56% (20/36) of the regions, and these improvements agreed with viability testing by single-photon emission computed tomography when available. Additionally, preoperative global circumferential strain for the ischemic group was significantly depressed relative to that in control subjects (0.11 +/- 0.05 vs 0.20 +/- 0.03, P <.001). Global circumferential strain correlated with ejection fraction by ventriculography (r = 0.84, P <.01) and improved after coronary artery bypass grafting (0.14 +/- 0.05 vs 0.11 +/- 0.05, P <.01).
Magnetic resonance imaging with radiofrequency tissue tagging permitted circumferential strain calculation. This technology quantitatively demonstrated improvements in left ventricular wall motion after coronary artery bypass grafting for both individual regions and the entire ventricle. This noninvasive method may prove useful in preoperative evaluation and postoperative serial assessment of left ventricular wall motion.</description><identifier>ISSN: 0022-5223</identifier><identifier>EISSN: 1097-685X</identifier><identifier>DOI: 10.1016/j.jtcvs.2003.10.028</identifier><identifier>PMID: 15224024</identifier><identifier>CODEN: JTCSAQ</identifier><language>eng</language><publisher>Philadelphia, PA: AATS/WTSA</publisher><subject>Adult ; Aged ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Angina Pectoris - diagnosis ; Angina Pectoris - physiopathology ; Angina Pectoris - surgery ; Biological and medical sciences ; Cardiology. Vascular system ; Coronary Artery Bypass ; Coronary Artery Disease - diagnosis ; Coronary Artery Disease - physiopathology ; Coronary Artery Disease - surgery ; Female ; Heart Ventricles - diagnostic imaging ; Heart Ventricles - surgery ; Humans ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Myocardial Contraction - physiology ; Pneumology ; Postoperative Care ; Preoperative Care ; Radiography ; Severity of Illness Index ; Statistics as Topic ; Stroke Volume - physiology ; Tomography, Emission-Computed, Single-Photon ; Treatment Outcome ; Ventricular Dysfunction - diagnosis ; Ventricular Dysfunction - physiopathology ; Ventricular Dysfunction - surgery ; Ventricular Function - physiology</subject><ispartof>The Journal of thoracic and cardiovascular surgery, 2004-07, Vol.128 (1), p.76-82</ispartof><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c407t-7ada2d82b0faec50f63371fb947d716b0fa93af365b771d46f3dd89cf7b122cb3</citedby><cites>FETCH-LOGICAL-c407t-7ada2d82b0faec50f63371fb947d716b0fa93af365b771d46f3dd89cf7b122cb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15927302$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15224024$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maniar, Hersh S</creatorcontrib><creatorcontrib>Cupps, Brian P</creatorcontrib><creatorcontrib>Potter, D. Dean</creatorcontrib><creatorcontrib>Moustakidis, Pavlos</creatorcontrib><creatorcontrib>Camillo, Cindy J</creatorcontrib><creatorcontrib>Chu, Celeste M</creatorcontrib><creatorcontrib>Pasque, Michael K</creatorcontrib><creatorcontrib>Sundt, Thoralf M., III</creatorcontrib><title>Ventricular function after coronary artery bypass grafting: Evaluation by magnetic resonance imaging and myocardial strain analysis</title><title>The Journal of thoracic and cardiovascular surgery</title><addtitle>J Thorac Cardiovasc Surg</addtitle><description>Magnetic resonance imaging with radiofrequency tissue tagging permits quantitative assessment of regional systolic myocardial strain. We sought to investigate the utility of this imaging modality to quantitatively determine preoperative impairment and postoperative improvement in ventricular function in patients with ischemic heart disease.
Magnetic resonance imaging with radiofrequency tissue tagging was performed on 6 patients (average age 60.2 +/- 13.7 years) with coronary artery disease and 32 control subjects with no known heart disease. Patients with coronary artery disease underwent imaging before and 3 months after coronary artery bypass grafting. The ventricle was divided into 6 segments within a midventricular plane. Regional 2-dimensional left ventricular circumferential strain was calculated from tagged magnetic resonance images throughout systole. Circumferential strain results were compared in patients before and after and 3 months after coronary artery bypass grafting and also in control subjects.
Before the operation circumferential strain identified 100% (10/10) of all regional wall motion abnormalities seen by preoperative ventriculography. Postoperatively, improvements were demonstrated in 56% (20/36) of the regions, and these improvements agreed with viability testing by single-photon emission computed tomography when available. Additionally, preoperative global circumferential strain for the ischemic group was significantly depressed relative to that in control subjects (0.11 +/- 0.05 vs 0.20 +/- 0.03, P <.001). Global circumferential strain correlated with ejection fraction by ventriculography (r = 0.84, P <.01) and improved after coronary artery bypass grafting (0.14 +/- 0.05 vs 0.11 +/- 0.05, P <.01).
Magnetic resonance imaging with radiofrequency tissue tagging permitted circumferential strain calculation. This technology quantitatively demonstrated improvements in left ventricular wall motion after coronary artery bypass grafting for both individual regions and the entire ventricle. This noninvasive method may prove useful in preoperative evaluation and postoperative serial assessment of left ventricular wall motion.</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Angina Pectoris - diagnosis</subject><subject>Angina Pectoris - physiopathology</subject><subject>Angina Pectoris - surgery</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Coronary Artery Bypass</subject><subject>Coronary Artery Disease - diagnosis</subject><subject>Coronary Artery Disease - physiopathology</subject><subject>Coronary Artery Disease - surgery</subject><subject>Female</subject><subject>Heart Ventricles - diagnostic imaging</subject><subject>Heart Ventricles - surgery</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Contraction - physiology</subject><subject>Pneumology</subject><subject>Postoperative Care</subject><subject>Preoperative Care</subject><subject>Radiography</subject><subject>Severity of Illness Index</subject><subject>Statistics as Topic</subject><subject>Stroke Volume - physiology</subject><subject>Tomography, Emission-Computed, Single-Photon</subject><subject>Treatment Outcome</subject><subject>Ventricular Dysfunction - diagnosis</subject><subject>Ventricular Dysfunction - physiopathology</subject><subject>Ventricular Dysfunction - surgery</subject><subject>Ventricular Function - physiology</subject><issn>0022-5223</issn><issn>1097-685X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkEtv1DAUhS0EokPhFyAhb2CXwY_ETtihqjykSmwAsbNuHHvqkeMMvklR1vxxnHaksrJ8_J1zrw8hrznbc8bV--P-ONs73AvGZFH2TLRPyI6zTleqbX49JTvGhKgaIeQFeYF4ZIxpxrvn5IIXsWai3pG_P12ac7BLhEz9kuwcpkTBzy5TO-UpQV4p5HJdab-eAJEecnkO6fCBXt9BXODe0a90hENyc7A0Oyy-ZB0NRSskhTTQcZ0s5CFApDhnCGVKgrhiwJfkmYeI7tX5vCQ_Pl1_v_pS3Xz7_PXq401la6bnSsMAYmhFzzw42zCvpNTc912tB83VJncSvFRNrzUfauXlMLSd9brnQtheXpJ3D7mnPP1eHM5mDGhdjJDctKBRSjVNK-sCygfQ5gkxO29OuXwlr4Yzs3Vvjua-e7N1v4ml--J6c45f-tENj55z2QV4ewYALUSfS0cB_-M6oSUTj3vehsPtn5CdwRFiLLF8G4tctIYbreQ_nrigDQ</recordid><startdate>20040701</startdate><enddate>20040701</enddate><creator>Maniar, Hersh S</creator><creator>Cupps, Brian P</creator><creator>Potter, D. Dean</creator><creator>Moustakidis, Pavlos</creator><creator>Camillo, Cindy J</creator><creator>Chu, Celeste M</creator><creator>Pasque, Michael K</creator><creator>Sundt, Thoralf M., III</creator><general>AATS/WTSA</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040701</creationdate><title>Ventricular function after coronary artery bypass grafting: Evaluation by magnetic resonance imaging and myocardial strain analysis</title><author>Maniar, Hersh S ; Cupps, Brian P ; Potter, D. Dean ; Moustakidis, Pavlos ; Camillo, Cindy J ; Chu, Celeste M ; Pasque, Michael K ; Sundt, Thoralf M., III</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c407t-7ada2d82b0faec50f63371fb947d716b0fa93af365b771d46f3dd89cf7b122cb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Angina Pectoris - diagnosis</topic><topic>Angina Pectoris - physiopathology</topic><topic>Angina Pectoris - surgery</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Coronary Artery Bypass</topic><topic>Coronary Artery Disease - diagnosis</topic><topic>Coronary Artery Disease - physiopathology</topic><topic>Coronary Artery Disease - surgery</topic><topic>Female</topic><topic>Heart Ventricles - diagnostic imaging</topic><topic>Heart Ventricles - surgery</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial Contraction - physiology</topic><topic>Pneumology</topic><topic>Postoperative Care</topic><topic>Preoperative Care</topic><topic>Radiography</topic><topic>Severity of Illness Index</topic><topic>Statistics as Topic</topic><topic>Stroke Volume - physiology</topic><topic>Tomography, Emission-Computed, Single-Photon</topic><topic>Treatment Outcome</topic><topic>Ventricular Dysfunction - diagnosis</topic><topic>Ventricular Dysfunction - physiopathology</topic><topic>Ventricular Dysfunction - surgery</topic><topic>Ventricular Function - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maniar, Hersh S</creatorcontrib><creatorcontrib>Cupps, Brian P</creatorcontrib><creatorcontrib>Potter, D. Dean</creatorcontrib><creatorcontrib>Moustakidis, Pavlos</creatorcontrib><creatorcontrib>Camillo, Cindy J</creatorcontrib><creatorcontrib>Chu, Celeste M</creatorcontrib><creatorcontrib>Pasque, Michael K</creatorcontrib><creatorcontrib>Sundt, Thoralf M., III</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maniar, Hersh S</au><au>Cupps, Brian P</au><au>Potter, D. Dean</au><au>Moustakidis, Pavlos</au><au>Camillo, Cindy J</au><au>Chu, Celeste M</au><au>Pasque, Michael K</au><au>Sundt, Thoralf M., III</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ventricular function after coronary artery bypass grafting: Evaluation by magnetic resonance imaging and myocardial strain analysis</atitle><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle><addtitle>J Thorac Cardiovasc Surg</addtitle><date>2004-07-01</date><risdate>2004</risdate><volume>128</volume><issue>1</issue><spage>76</spage><epage>82</epage><pages>76-82</pages><issn>0022-5223</issn><eissn>1097-685X</eissn><coden>JTCSAQ</coden><abstract>Magnetic resonance imaging with radiofrequency tissue tagging permits quantitative assessment of regional systolic myocardial strain. We sought to investigate the utility of this imaging modality to quantitatively determine preoperative impairment and postoperative improvement in ventricular function in patients with ischemic heart disease.
Magnetic resonance imaging with radiofrequency tissue tagging was performed on 6 patients (average age 60.2 +/- 13.7 years) with coronary artery disease and 32 control subjects with no known heart disease. Patients with coronary artery disease underwent imaging before and 3 months after coronary artery bypass grafting. The ventricle was divided into 6 segments within a midventricular plane. Regional 2-dimensional left ventricular circumferential strain was calculated from tagged magnetic resonance images throughout systole. Circumferential strain results were compared in patients before and after and 3 months after coronary artery bypass grafting and also in control subjects.
Before the operation circumferential strain identified 100% (10/10) of all regional wall motion abnormalities seen by preoperative ventriculography. Postoperatively, improvements were demonstrated in 56% (20/36) of the regions, and these improvements agreed with viability testing by single-photon emission computed tomography when available. Additionally, preoperative global circumferential strain for the ischemic group was significantly depressed relative to that in control subjects (0.11 +/- 0.05 vs 0.20 +/- 0.03, P <.001). Global circumferential strain correlated with ejection fraction by ventriculography (r = 0.84, P <.01) and improved after coronary artery bypass grafting (0.14 +/- 0.05 vs 0.11 +/- 0.05, P <.01).
Magnetic resonance imaging with radiofrequency tissue tagging permitted circumferential strain calculation. This technology quantitatively demonstrated improvements in left ventricular wall motion after coronary artery bypass grafting for both individual regions and the entire ventricle. This noninvasive method may prove useful in preoperative evaluation and postoperative serial assessment of left ventricular wall motion.</abstract><cop>Philadelphia, PA</cop><pub>AATS/WTSA</pub><pmid>15224024</pmid><doi>10.1016/j.jtcvs.2003.10.028</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Angina Pectoris - diagnosis Angina Pectoris - physiopathology Angina Pectoris - surgery Biological and medical sciences Cardiology. Vascular system Coronary Artery Bypass Coronary Artery Disease - diagnosis Coronary Artery Disease - physiopathology Coronary Artery Disease - surgery Female Heart Ventricles - diagnostic imaging Heart Ventricles - surgery Humans Magnetic Resonance Imaging Male Medical sciences Middle Aged Myocardial Contraction - physiology Pneumology Postoperative Care Preoperative Care Radiography Severity of Illness Index Statistics as Topic Stroke Volume - physiology Tomography, Emission-Computed, Single-Photon Treatment Outcome Ventricular Dysfunction - diagnosis Ventricular Dysfunction - physiopathology Ventricular Dysfunction - surgery Ventricular Function - physiology |
title | Ventricular function after coronary artery bypass grafting: Evaluation by magnetic resonance imaging and myocardial strain analysis |
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