Left ventricular diastolic properties of hypertensive patients measured by pulsed tissue doppler imaging
Examination of left ventricular (LV) diastolic dysfunction in hypertensive patients has been based on parameters obtained from the transmitral flow velocity during pulsed Doppler echocardiography. However, these parameters are affected by loading conditions. We evaluated LV diastolic function along...
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| Veröffentlicht in: | Journal of the American Society of Echocardiography 1998-12, Vol.11 (12), p.1106-1112 |
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| creator | Oki, Takashi Tabata, Tomotsugu Yamada, Hirotsugu Wakatsuki, Tetsuzo Mishiro, Yuichiro Abe, Miho Onose, Yukiko Iuchi, Arata Ito, Susumu |
| description | Examination of left ventricular (LV) diastolic dysfunction in hypertensive patients has been based on parameters obtained from the transmitral flow velocity during pulsed Doppler echocardiography. However, these parameters are affected by loading conditions. We evaluated LV diastolic function along the longitudinal and transverse axes by pulsed tissue Doppler imaging (TDI) in 50 hypertensive (HT) patiens and 36 age-matched healthy volunteers (N). Transmitral flow velocity was recorded by pulsed Doppler echocardiography. LV posterior wall motion velocity along the longitudinal and transverse axes also was recorded by pulsed TDI. In both groups, peak early diastolic velocity of the LV posterior wall (Ew) along the transverse axis (N: 15.8±5.2 cm/s, HT: 12.2±4.4 cm/s) was higher than that along the longitudinal axis (N: 12.7±3.1 cm/s, HT: 9.5±3.3 cm/s). Peak atrial systolic velocity of the LV posterior wall (Aw) along the longitudinal axis (N: 9.1±1.8 cm/s, HT: 9.7 ±2.6 cm/s) significantly exceeded that along the transverse axis (N: 8.0±2.2 cm/s, HT: 8.4±2.4 cm/s) in both groups. The Ews were lower and the Aws were higher along both axes in the patien group than in the control group. The time intervals from the aortic component of the second heart sound to the peak of the early diastolic wave (
IIa-Ews) along both the transverse (N: 142±18 ms, HT: 154±19 ms) and longitudinal (N: 151±16 ms, HT: 162±20 ms) axes were longer in the patient group. In 19 patients, Ews along both axes corrleted negativel (transverse:
r=≈0.80,
P |
| doi_str_mv | 10.1016/S0894-7317(98)80005-9 |
| format | Article |
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IIa-Ews) along both the transverse (N: 142±18 ms, HT: 154±19 ms) and longitudinal (N: 151±16 ms, HT: 162±20 ms) axes were longer in the patient group. In 19 patients, Ews along both axes corrleted negativel (transverse:
r=≈0.80,
P<.0001; longitudinal:
r=−0.71,
P<.0001) and
IIa-Ews correlated positively (transverse:
r=0.81,
P<.0001; longitudinal:
r=0.74,
P<.001) with the time constant of the LV pressure decay during isovolumic diastole. The Aws along both axes in the 24 patients without pseudonormalization in transmitral flow velocity correlated positively (transverse:
r=0.60,
P<.001; longitudinal:
r=0.74,
P<.0001) with the LV end-diastolic pressure. In conclusion, LV relaxation and filling along the longitudinal and transverse axes were impaired in many patients with hypertension. Pulsed TDI was useful for evaluating LV diastolic dynamics in this disease.]]></description><identifier>ISSN: 0894-7317</identifier><identifier>EISSN: 1097-6795</identifier><identifier>DOI: 10.1016/S0894-7317(98)80005-9</identifier><identifier>PMID: 9923990</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Aged ; Blood Flow Velocity ; Diastole ; Echocardiography, Doppler, Pulsed ; Female ; Humans ; Hypertension - diagnostic imaging ; Hypertension - physiopathology ; Male ; Middle Aged ; Mitral Valve ; Observer Variation ; Ventricular Function, Left</subject><ispartof>Journal of the American Society of Echocardiography, 1998-12, Vol.11 (12), p.1106-1112</ispartof><rights>1998 American Society of Echocardiography</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c426t-f63970cd0ab2d59208c03c178de1693f30478d5a74f8b187e3be86a48f9e22863</citedby><cites>FETCH-LOGICAL-c426t-f63970cd0ab2d59208c03c178de1693f30478d5a74f8b187e3be86a48f9e22863</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0894-7317(98)80005-9$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27928,27929,45999</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9923990$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oki, Takashi</creatorcontrib><creatorcontrib>Tabata, Tomotsugu</creatorcontrib><creatorcontrib>Yamada, Hirotsugu</creatorcontrib><creatorcontrib>Wakatsuki, Tetsuzo</creatorcontrib><creatorcontrib>Mishiro, Yuichiro</creatorcontrib><creatorcontrib>Abe, Miho</creatorcontrib><creatorcontrib>Onose, Yukiko</creatorcontrib><creatorcontrib>Iuchi, Arata</creatorcontrib><creatorcontrib>Ito, Susumu</creatorcontrib><title>Left ventricular diastolic properties of hypertensive patients measured by pulsed tissue doppler imaging</title><title>Journal of the American Society of Echocardiography</title><addtitle>J Am Soc Echocardiogr</addtitle><description><![CDATA[Examination of left ventricular (LV) diastolic dysfunction in hypertensive patients has been based on parameters obtained from the transmitral flow velocity during pulsed Doppler echocardiography. However, these parameters are affected by loading conditions. We evaluated LV diastolic function along the longitudinal and transverse axes by pulsed tissue Doppler imaging (TDI) in 50 hypertensive (HT) patiens and 36 age-matched healthy volunteers (N). Transmitral flow velocity was recorded by pulsed Doppler echocardiography. LV posterior wall motion velocity along the longitudinal and transverse axes also was recorded by pulsed TDI. In both groups, peak early diastolic velocity of the LV posterior wall (Ew) along the transverse axis (N: 15.8±5.2 cm/s, HT: 12.2±4.4 cm/s) was higher than that along the longitudinal axis (N: 12.7±3.1 cm/s, HT: 9.5±3.3 cm/s). Peak atrial systolic velocity of the LV posterior wall (Aw) along the longitudinal axis (N: 9.1±1.8 cm/s, HT: 9.7 ±2.6 cm/s) significantly exceeded that along the transverse axis (N: 8.0±2.2 cm/s, HT: 8.4±2.4 cm/s) in both groups. The Ews were lower and the Aws were higher along both axes in the patien group than in the control group. The time intervals from the aortic component of the second heart sound to the peak of the early diastolic wave (
IIa-Ews) along both the transverse (N: 142±18 ms, HT: 154±19 ms) and longitudinal (N: 151±16 ms, HT: 162±20 ms) axes were longer in the patient group. In 19 patients, Ews along both axes corrleted negativel (transverse:
r=≈0.80,
P<.0001; longitudinal:
r=−0.71,
P<.0001) and
IIa-Ews correlated positively (transverse:
r=0.81,
P<.0001; longitudinal:
r=0.74,
P<.001) with the time constant of the LV pressure decay during isovolumic diastole. The Aws along both axes in the 24 patients without pseudonormalization in transmitral flow velocity correlated positively (transverse:
r=0.60,
P<.001; longitudinal:
r=0.74,
P<.0001) with the LV end-diastolic pressure. In conclusion, LV relaxation and filling along the longitudinal and transverse axes were impaired in many patients with hypertension. Pulsed TDI was useful for evaluating LV diastolic dynamics in this disease.]]></description><subject>Aged</subject><subject>Blood Flow Velocity</subject><subject>Diastole</subject><subject>Echocardiography, Doppler, Pulsed</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension - diagnostic imaging</subject><subject>Hypertension - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mitral Valve</subject><subject>Observer Variation</subject><subject>Ventricular Function, Left</subject><issn>0894-7317</issn><issn>1097-6795</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtOwzAQRS0EKqXwCZW8QrAI2Hk49gqhipdUiQWwthx70hqlSbCdSv17nLZiy2pmfO88fBCaU3JHCWX3H4SLPCkzWt4IfssJIUUiTtCUElEmrBTFKZr-Wc7RhfffoycaJ2giRJoJQaZovYQ64C20wVk9NMphY5UPXWM17l3XgwsWPO5qvN6NBbTebgH3Kj63weMNKD84MLja4X5ofMyC9X4AbLq-b8Bhu1Er264u0Vmton51jDP09fz0uXhNlu8vb4vHZaLzlIWkZpkoiTZEVakpREq4JpmmJTdAmcjqjOQxL1SZ17yivISsAs5UzmsBacpZNkPXh7nx-p8BfJAb6zU0jWqhG7xkghaEpSIai4NRu857B7XsXbzV7SQlciQs94TliE8KLveE5dg3Py4Yqg2Yv64j0qg_HHSIv9xacNLryEqDsQ50kKaz_2z4BcjwjVM</recordid><startdate>19981201</startdate><enddate>19981201</enddate><creator>Oki, Takashi</creator><creator>Tabata, Tomotsugu</creator><creator>Yamada, Hirotsugu</creator><creator>Wakatsuki, Tetsuzo</creator><creator>Mishiro, Yuichiro</creator><creator>Abe, Miho</creator><creator>Onose, Yukiko</creator><creator>Iuchi, Arata</creator><creator>Ito, Susumu</creator><general>Mosby, Inc</general><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>19981201</creationdate><title>Left ventricular diastolic properties of hypertensive patients measured by pulsed tissue doppler imaging</title><author>Oki, Takashi ; Tabata, Tomotsugu ; Yamada, Hirotsugu ; Wakatsuki, Tetsuzo ; Mishiro, Yuichiro ; Abe, Miho ; Onose, Yukiko ; Iuchi, Arata ; Ito, Susumu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-f63970cd0ab2d59208c03c178de1693f30478d5a74f8b187e3be86a48f9e22863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Aged</topic><topic>Blood Flow Velocity</topic><topic>Diastole</topic><topic>Echocardiography, Doppler, Pulsed</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension - diagnostic imaging</topic><topic>Hypertension - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mitral Valve</topic><topic>Observer Variation</topic><topic>Ventricular Function, Left</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oki, Takashi</creatorcontrib><creatorcontrib>Tabata, Tomotsugu</creatorcontrib><creatorcontrib>Yamada, Hirotsugu</creatorcontrib><creatorcontrib>Wakatsuki, Tetsuzo</creatorcontrib><creatorcontrib>Mishiro, Yuichiro</creatorcontrib><creatorcontrib>Abe, Miho</creatorcontrib><creatorcontrib>Onose, Yukiko</creatorcontrib><creatorcontrib>Iuchi, Arata</creatorcontrib><creatorcontrib>Ito, Susumu</creatorcontrib><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>Journal of the American Society of Echocardiography</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oki, Takashi</au><au>Tabata, Tomotsugu</au><au>Yamada, Hirotsugu</au><au>Wakatsuki, Tetsuzo</au><au>Mishiro, Yuichiro</au><au>Abe, Miho</au><au>Onose, Yukiko</au><au>Iuchi, Arata</au><au>Ito, Susumu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Left ventricular diastolic properties of hypertensive patients measured by pulsed tissue doppler imaging</atitle><jtitle>Journal of the American Society of Echocardiography</jtitle><addtitle>J Am Soc Echocardiogr</addtitle><date>1998-12-01</date><risdate>1998</risdate><volume>11</volume><issue>12</issue><spage>1106</spage><epage>1112</epage><pages>1106-1112</pages><issn>0894-7317</issn><eissn>1097-6795</eissn><abstract><![CDATA[Examination of left ventricular (LV) diastolic dysfunction in hypertensive patients has been based on parameters obtained from the transmitral flow velocity during pulsed Doppler echocardiography. However, these parameters are affected by loading conditions. We evaluated LV diastolic function along the longitudinal and transverse axes by pulsed tissue Doppler imaging (TDI) in 50 hypertensive (HT) patiens and 36 age-matched healthy volunteers (N). Transmitral flow velocity was recorded by pulsed Doppler echocardiography. LV posterior wall motion velocity along the longitudinal and transverse axes also was recorded by pulsed TDI. In both groups, peak early diastolic velocity of the LV posterior wall (Ew) along the transverse axis (N: 15.8±5.2 cm/s, HT: 12.2±4.4 cm/s) was higher than that along the longitudinal axis (N: 12.7±3.1 cm/s, HT: 9.5±3.3 cm/s). Peak atrial systolic velocity of the LV posterior wall (Aw) along the longitudinal axis (N: 9.1±1.8 cm/s, HT: 9.7 ±2.6 cm/s) significantly exceeded that along the transverse axis (N: 8.0±2.2 cm/s, HT: 8.4±2.4 cm/s) in both groups. The Ews were lower and the Aws were higher along both axes in the patien group than in the control group. The time intervals from the aortic component of the second heart sound to the peak of the early diastolic wave (
IIa-Ews) along both the transverse (N: 142±18 ms, HT: 154±19 ms) and longitudinal (N: 151±16 ms, HT: 162±20 ms) axes were longer in the patient group. In 19 patients, Ews along both axes corrleted negativel (transverse:
r=≈0.80,
P<.0001; longitudinal:
r=−0.71,
P<.0001) and
IIa-Ews correlated positively (transverse:
r=0.81,
P<.0001; longitudinal:
r=0.74,
P<.001) with the time constant of the LV pressure decay during isovolumic diastole. The Aws along both axes in the 24 patients without pseudonormalization in transmitral flow velocity correlated positively (transverse:
r=0.60,
P<.001; longitudinal:
r=0.74,
P<.0001) with the LV end-diastolic pressure. In conclusion, LV relaxation and filling along the longitudinal and transverse axes were impaired in many patients with hypertension. Pulsed TDI was useful for evaluating LV diastolic dynamics in this disease.]]></abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>9923990</pmid><doi>10.1016/S0894-7317(98)80005-9</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Aged Blood Flow Velocity Diastole Echocardiography, Doppler, Pulsed Female Humans Hypertension - diagnostic imaging Hypertension - physiopathology Male Middle Aged Mitral Valve Observer Variation Ventricular Function, Left |
| title | Left ventricular diastolic properties of hypertensive patients measured by pulsed tissue doppler imaging |
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