Assessment of Dyssynchronous Wall Motion During Acute Myocardial Ischemia Using Velocity Vector Imaging

Assessment of Dyssynchronous Wall Motion During Acute Myocardial Ischemia Using Velocity Vector Imaging Kasumi Masuda, Toshihiko Asanuma, Asuka Taniguchi, Ayumi Uranishi, Fuminobu Ishikura, Shintaro Beppu The diagnostic value of velocity vector imaging (VVI) for detecting acute myocardial ischemia w...

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Veröffentlicht in:JACC. Cardiovascular imaging 2008-03, Vol.1 (2), p.210-220
Hauptverfasser: Masuda, Kasumi, MSc, Asanuma, Toshihiko, MD, Taniguchi, Asuka, MSc, Uranishi, Ayumi, MSc, Ishikura, Fuminobu, MD, FACC, Beppu, Shintaro, MD, FACC
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container_start_page 210
container_title JACC. Cardiovascular imaging
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creator Masuda, Kasumi, MSc
Asanuma, Toshihiko, MD
Taniguchi, Asuka, MSc
Uranishi, Ayumi, MSc
Ishikura, Fuminobu, MD, FACC
Beppu, Shintaro, MD, FACC
description Assessment of Dyssynchronous Wall Motion During Acute Myocardial Ischemia Using Velocity Vector Imaging Kasumi Masuda, Toshihiko Asanuma, Asuka Taniguchi, Ayumi Uranishi, Fuminobu Ishikura, Shintaro Beppu The diagnostic value of velocity vector imaging (VVI) for detecting acute myocardial ischemia was investigated. During coronary occlusion, inward wall motion at the mitral valve opening (MVO) was seen in the risk area and percent change in wall thickening, peak systolic radial strain, and systolic radial velocity changed significantly from baseline. However, during flow-limiting stenosis, radial velocity at MVO detected ischemia, with a sensitivity and specificity superior to other parameters. The spatial extent of inward velocity vectors at MVO correlated well with the risk area derived from myocardial contrast echocardiography. Thus, VVI permits easy visual detection of dyssynchronous motion during ischemia that is superior to conventional measurements of regional function.
doi_str_mv 10.1016/j.jcmg.2007.12.002
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subjects Algorithms
Animals
Cardiovascular
Coronary Circulation
Coronary Occlusion - diagnostic imaging
Coronary Occlusion - physiopathology
Coronary Stenosis - diagnostic imaging
Coronary Stenosis - physiopathology
Dogs
Echocardiography, Doppler
Image Interpretation, Computer-Assisted
Myocardial Contraction
Myocardial Ischemia - diagnostic imaging
Myocardial Ischemia - physiopathology
Observer Variation
Predictive Value of Tests
Reproducibility of Results
ROC Curve
Sensitivity and Specificity
title Assessment of Dyssynchronous Wall Motion During Acute Myocardial Ischemia Using Velocity Vector Imaging
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