Relationship between Amplitude and Timing of Heart Sounds and Endocardial Acceleration
Objective: To study the correlation between heart sounds and peak endocardial acceleration (PEA) amplitudes and timings, by modulation of paced atrioventricular (AV) delay in recipients of dual chamber pacemakers. Methods: Ten recipients of dual chamber pacemakers implanted for high‐degree AV block...
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| Veröffentlicht in: | Pacing and clinical electrophysiology 2009-03, Vol.32 (s1), p.S101-S104 |
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| container_title | Pacing and clinical electrophysiology |
| container_volume | 32 |
| creator | TASSIN, AUDE KOBEISSI, ADONIS VITALI, LUCA ROULEAU, FRÉDÉRIC RITTER, PHILIPPE GAGGINI, GUIDO DUPUIS, JEAN-MARC |
| description | Objective: To study the correlation between heart sounds and peak endocardial acceleration (PEA) amplitudes and timings, by modulation of paced atrioventricular (AV) delay in recipients of dual chamber pacemakers.
Methods: Ten recipients of dual chamber pacemakers implanted for high‐degree AV block were studied. Endocardial acceleration (EA) and phonocardiographic and electrocardiographic signals were recorded during performance of an AV delay scan in VDD and DDD modes.
Results: First PEA (PEA I) and first heart sound (S1) changed similarly with the AV delay. A close intrapatient correlation was observed between S1 and PEA I amplitudes in all patients (P < 0.0001). The interpatient normalized PEA I to S1 amplitudes correlation was r = 0.89 (P < 0.0001) in DDD mode, and r = 0.81 (P < 0.0001) in VDD mode. The mean cycle‐by‐cycle PEA I to S1 delay was −4.3 ± 22 ms and second PEA (PEA II) to second heart sound (S2) delay was −7.7 ± 15 ms.
Conclusions: A close correlation was observed between PEA I and S1 amplitudes and timings, and between PEA II and S2 timings. These observations support the hypothesis that PEA and heart sounds are manifestations of the same phenomena. EA might be a useful tool to monitor cardiac function. |
| doi_str_mv | 10.1111/j.1540-8159.2008.02297.x |
| format | Article |
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Methods: Ten recipients of dual chamber pacemakers implanted for high‐degree AV block were studied. Endocardial acceleration (EA) and phonocardiographic and electrocardiographic signals were recorded during performance of an AV delay scan in VDD and DDD modes.
Results: First PEA (PEA I) and first heart sound (S1) changed similarly with the AV delay. A close intrapatient correlation was observed between S1 and PEA I amplitudes in all patients (P < 0.0001). The interpatient normalized PEA I to S1 amplitudes correlation was r = 0.89 (P < 0.0001) in DDD mode, and r = 0.81 (P < 0.0001) in VDD mode. The mean cycle‐by‐cycle PEA I to S1 delay was −4.3 ± 22 ms and second PEA (PEA II) to second heart sound (S2) delay was −7.7 ± 15 ms.
Conclusions: A close correlation was observed between PEA I and S1 amplitudes and timings, and between PEA II and S2 timings. These observations support the hypothesis that PEA and heart sounds are manifestations of the same phenomena. EA might be a useful tool to monitor cardiac function.</description><identifier>ISSN: 0147-8389</identifier><identifier>EISSN: 1540-8159</identifier><identifier>DOI: 10.1111/j.1540-8159.2008.02297.x</identifier><identifier>PMID: 19250068</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Acceleration ; Aged ; Aged, 80 and over ; Atrioventricular Block - physiopathology ; Atrioventricular Block - prevention & control ; atrioventricular delay ; Cardiac Pacing, Artificial ; Diagnosis, Computer-Assisted - methods ; electro-mechanical delay ; Endocardium - physiopathology ; Female ; first heart sound ; Heart Auscultation - methods ; Heart Sounds ; Humans ; Male ; Middle Aged ; peak endocardial acceleration ; Reproducibility of Results ; second heart sound ; Sensitivity and Specificity ; Sound Spectrography - methods ; Statistics as Topic ; Time Factors ; Treatment Outcome</subject><ispartof>Pacing and clinical electrophysiology, 2009-03, Vol.32 (s1), p.S101-S104</ispartof><rights>2009, The Authors. Journal compilation ©2009 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4067-db619c27286b6d6308323281a41b857a264b7140020439b7b84170e271e917c23</citedby><cites>FETCH-LOGICAL-c4067-db619c27286b6d6308323281a41b857a264b7140020439b7b84170e271e917c23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1540-8159.2008.02297.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1540-8159.2008.02297.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19250068$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>TASSIN, AUDE</creatorcontrib><creatorcontrib>KOBEISSI, ADONIS</creatorcontrib><creatorcontrib>VITALI, LUCA</creatorcontrib><creatorcontrib>ROULEAU, FRÉDÉRIC</creatorcontrib><creatorcontrib>RITTER, PHILIPPE</creatorcontrib><creatorcontrib>GAGGINI, GUIDO</creatorcontrib><creatorcontrib>DUPUIS, JEAN-MARC</creatorcontrib><title>Relationship between Amplitude and Timing of Heart Sounds and Endocardial Acceleration</title><title>Pacing and clinical electrophysiology</title><addtitle>Pacing Clin Electrophysiol</addtitle><description>Objective: To study the correlation between heart sounds and peak endocardial acceleration (PEA) amplitudes and timings, by modulation of paced atrioventricular (AV) delay in recipients of dual chamber pacemakers.
Methods: Ten recipients of dual chamber pacemakers implanted for high‐degree AV block were studied. Endocardial acceleration (EA) and phonocardiographic and electrocardiographic signals were recorded during performance of an AV delay scan in VDD and DDD modes.
Results: First PEA (PEA I) and first heart sound (S1) changed similarly with the AV delay. A close intrapatient correlation was observed between S1 and PEA I amplitudes in all patients (P < 0.0001). The interpatient normalized PEA I to S1 amplitudes correlation was r = 0.89 (P < 0.0001) in DDD mode, and r = 0.81 (P < 0.0001) in VDD mode. The mean cycle‐by‐cycle PEA I to S1 delay was −4.3 ± 22 ms and second PEA (PEA II) to second heart sound (S2) delay was −7.7 ± 15 ms.
Conclusions: A close correlation was observed between PEA I and S1 amplitudes and timings, and between PEA II and S2 timings. These observations support the hypothesis that PEA and heart sounds are manifestations of the same phenomena. EA might be a useful tool to monitor cardiac function.</description><subject>Acceleration</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Atrioventricular Block - physiopathology</subject><subject>Atrioventricular Block - prevention & control</subject><subject>atrioventricular delay</subject><subject>Cardiac Pacing, Artificial</subject><subject>Diagnosis, Computer-Assisted - methods</subject><subject>electro-mechanical delay</subject><subject>Endocardium - physiopathology</subject><subject>Female</subject><subject>first heart sound</subject><subject>Heart Auscultation - methods</subject><subject>Heart Sounds</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>peak endocardial acceleration</subject><subject>Reproducibility of Results</subject><subject>second heart sound</subject><subject>Sensitivity and Specificity</subject><subject>Sound Spectrography - methods</subject><subject>Statistics as Topic</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0147-8389</issn><issn>1540-8159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1P4zAQhi20aCmwfwH5tLdkx45jO5eVqqrASojPAkfLSaa77uaj2Iko_56kreCKL2Nr3nk8egihDGI2nF-rmKUCIs3SLOYAOgbOMxVvDsjko_GNTIAJFelEZ0fkOIQVAEgQ6XdyxDKeDg89IU_3WNnOtU3459Y0x-4VsaHTel25ri-R2qakC1e75i9tl_QSre_oQ9s3Zdi25k3ZFtaXzlZ0WhRYod_STsnh0lYBf-zrCXk8ny9ml9HVzcWf2fQqKgRIFZW5ZFnBFdcyl6VMQCc84ZpZwXKdKsulyBUTABxEkuUq14IpQK4YZkwVPDkhP3fctW9fegydqV0Y1qhsg20fjJSZ4lLKIah3wcK3IXhcmrV3tfVvhoEZnZqVGdWZUZ0ZnZqtU7MZRs_2f_R5jeXn4F7iEPi9C7y6Ct--DDa309l8vA6AaAdwocPNB8D6_0aqRKXm-frCyPOn-7vFrTAqeQfd4ZLN</recordid><startdate>200903</startdate><enddate>200903</enddate><creator>TASSIN, AUDE</creator><creator>KOBEISSI, ADONIS</creator><creator>VITALI, LUCA</creator><creator>ROULEAU, FRÉDÉRIC</creator><creator>RITTER, PHILIPPE</creator><creator>GAGGINI, GUIDO</creator><creator>DUPUIS, JEAN-MARC</creator><general>Blackwell Publishing Inc</general><scope>BSCLL</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>200903</creationdate><title>Relationship between Amplitude and Timing of Heart Sounds and Endocardial Acceleration</title><author>TASSIN, AUDE ; KOBEISSI, ADONIS ; VITALI, LUCA ; ROULEAU, FRÉDÉRIC ; RITTER, PHILIPPE ; GAGGINI, GUIDO ; DUPUIS, JEAN-MARC</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4067-db619c27286b6d6308323281a41b857a264b7140020439b7b84170e271e917c23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Acceleration</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Atrioventricular Block - physiopathology</topic><topic>Atrioventricular Block - prevention & control</topic><topic>atrioventricular delay</topic><topic>Cardiac Pacing, Artificial</topic><topic>Diagnosis, Computer-Assisted - methods</topic><topic>electro-mechanical delay</topic><topic>Endocardium - physiopathology</topic><topic>Female</topic><topic>first heart sound</topic><topic>Heart Auscultation - methods</topic><topic>Heart Sounds</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>peak endocardial acceleration</topic><topic>Reproducibility of Results</topic><topic>second heart sound</topic><topic>Sensitivity and Specificity</topic><topic>Sound Spectrography - methods</topic><topic>Statistics as Topic</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>TASSIN, AUDE</creatorcontrib><creatorcontrib>KOBEISSI, ADONIS</creatorcontrib><creatorcontrib>VITALI, LUCA</creatorcontrib><creatorcontrib>ROULEAU, FRÉDÉRIC</creatorcontrib><creatorcontrib>RITTER, PHILIPPE</creatorcontrib><creatorcontrib>GAGGINI, GUIDO</creatorcontrib><creatorcontrib>DUPUIS, JEAN-MARC</creatorcontrib><collection>Istex</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>Pacing and clinical electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>TASSIN, AUDE</au><au>KOBEISSI, ADONIS</au><au>VITALI, LUCA</au><au>ROULEAU, FRÉDÉRIC</au><au>RITTER, PHILIPPE</au><au>GAGGINI, GUIDO</au><au>DUPUIS, JEAN-MARC</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship between Amplitude and Timing of Heart Sounds and Endocardial Acceleration</atitle><jtitle>Pacing and clinical electrophysiology</jtitle><addtitle>Pacing Clin Electrophysiol</addtitle><date>2009-03</date><risdate>2009</risdate><volume>32</volume><issue>s1</issue><spage>S101</spage><epage>S104</epage><pages>S101-S104</pages><issn>0147-8389</issn><eissn>1540-8159</eissn><abstract>Objective: To study the correlation between heart sounds and peak endocardial acceleration (PEA) amplitudes and timings, by modulation of paced atrioventricular (AV) delay in recipients of dual chamber pacemakers.
Methods: Ten recipients of dual chamber pacemakers implanted for high‐degree AV block were studied. Endocardial acceleration (EA) and phonocardiographic and electrocardiographic signals were recorded during performance of an AV delay scan in VDD and DDD modes.
Results: First PEA (PEA I) and first heart sound (S1) changed similarly with the AV delay. A close intrapatient correlation was observed between S1 and PEA I amplitudes in all patients (P < 0.0001). The interpatient normalized PEA I to S1 amplitudes correlation was r = 0.89 (P < 0.0001) in DDD mode, and r = 0.81 (P < 0.0001) in VDD mode. The mean cycle‐by‐cycle PEA I to S1 delay was −4.3 ± 22 ms and second PEA (PEA II) to second heart sound (S2) delay was −7.7 ± 15 ms.
Conclusions: A close correlation was observed between PEA I and S1 amplitudes and timings, and between PEA II and S2 timings. These observations support the hypothesis that PEA and heart sounds are manifestations of the same phenomena. EA might be a useful tool to monitor cardiac function.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>19250068</pmid><doi>10.1111/j.1540-8159.2008.02297.x</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Acceleration Aged Aged, 80 and over Atrioventricular Block - physiopathology Atrioventricular Block - prevention & control atrioventricular delay Cardiac Pacing, Artificial Diagnosis, Computer-Assisted - methods electro-mechanical delay Endocardium - physiopathology Female first heart sound Heart Auscultation - methods Heart Sounds Humans Male Middle Aged peak endocardial acceleration Reproducibility of Results second heart sound Sensitivity and Specificity Sound Spectrography - methods Statistics as Topic Time Factors Treatment Outcome |
| title | Relationship between Amplitude and Timing of Heart Sounds and Endocardial Acceleration |
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