Comparison of myocardial tissue Doppler with transmitral flow Doppler in left ventricular hypertrophy
We sought to determine the most useful echocardiographic measurements for assessment of diastolic function in patients with left ventricular hypertrophy (LVH) and normal systolic function. We compared myocardial Doppler velocities of the basal inferoposterior wall with mitral inflow pulsed wave Dopp...
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| Veröffentlicht in: | Journal of the American Society of Echocardiography 2001-12, Vol.14 (12), p.1153-1160 |
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| creator | Naqvi, Tasneem Z. Neyman, Greg Broyde, Anatoly Mustafa, Julius Siegel, Robert J. |
| description | We sought to determine the most useful echocardiographic measurements for assessment of diastolic function in patients with left ventricular hypertrophy (LVH) and normal systolic function. We compared myocardial Doppler velocities of the basal inferoposterior wall with mitral inflow pulsed wave Doppler velocities in 11 healthy volunteers (age, 36 ± 6 years), 25 patients (age, 64 ± 14 years) without LVH, and 37 patients (age, 67 ± 14 years) with LVH and otherwise normal echocardiograms. The discriminatory measurements were myocardial A-wave duration (120 ± 18 versus 98 ± 20 and 92 ± 12 ms, P |
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We compared myocardial Doppler velocities of the basal inferoposterior wall with mitral inflow pulsed wave Doppler velocities in 11 healthy volunteers (age, 36 ± 6 years), 25 patients (age, 64 ± 14 years) without LVH, and 37 patients (age, 67 ± 14 years) with LVH and otherwise normal echocardiograms. The discriminatory measurements were myocardial A-wave duration (120 ± 18 versus 98 ± 20 and 92 ± 12 ms, P <.0001), myocardial isovolumetric relaxation time (124 ± 45 versus 95 ± 48 and 78 ± 25 ms, P =.0035), mitral A-wave velocity (0.98 ± 0.37 versus 0.73 ± 0.28 m/s and 0.61 ± 0.22 m/s, P =.009), and mitral E-wave deceleration time (257 ± 93 versus 201 ± 85 ms and 184 ± 83 ms, P =.015), which were significantly increased, and myocardial E-wave velocity (0.84 ± 0.04 m/s versus 0.13 ± 0.03 m/s and 0.14 ± 0.03 m/s, P <.0001), which was significantly decreased, in patients with LVH compared with patients without LVH and normal volunteers, respectively. Left ventricular posterior wall thickness correlated with myocardial isovolumetric relaxation time (r = 0.52, P <.0001) and myocardial A-wave duration (r = 0.59, P <.0001), negatively with myocardial E wave (r = −0.43, P <.0001), and showed no correlation with mitral inflow parameters except mitral inflow A wave (r = 0.43, P =.002). On multivariate analysis using these variables, myocardial isovolumetric relaxation time (P =.0014) and A-wave duration (P =.001) were the only 2 variables that correlated with posterior wall thickness (multiple R = 0.71). In the presence of LVH and preserved left ventricular systolic function, myocardial relaxation time and velocities are more sensitive than mitral Doppler inflow parameters in detecting abnormal left ventricular relaxation. (J Am Soc Echocardiogr 2001;14:1153-60.)</description><identifier>ISSN: 0894-7317</identifier><identifier>EISSN: 1097-6795</identifier><identifier>DOI: 10.1067/mje.2001.113543</identifier><identifier>PMID: 11734781</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Adult ; Age Factors ; Blood Flow Velocity ; Body Mass Index ; Diastole - physiology ; Electrocardiography ; Female ; Humans ; Hypertension - complications ; Hypertrophy, Left Ventricular - diagnostic imaging ; Hypertrophy, Left Ventricular - etiology ; Hypertrophy, Left Ventricular - physiopathology ; Male ; Middle Aged ; Mitral Valve - diagnostic imaging ; Myocardial Contraction - physiology ; Observer Variation ; Sensitivity and Specificity ; Ultrasonography, Doppler - methods</subject><ispartof>Journal of the American Society of Echocardiography, 2001-12, Vol.14 (12), p.1153-1160</ispartof><rights>2001 American Society of Echocardiography</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c343t-986d2c51c09d81454d413f84786849a1648fb4f1597e6de7ecf4424206892a933</citedby><cites>FETCH-LOGICAL-c343t-986d2c51c09d81454d413f84786849a1648fb4f1597e6de7ecf4424206892a933</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1067/mje.2001.113543$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,782,786,3552,27931,27932,46002</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11734781$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Naqvi, Tasneem Z.</creatorcontrib><creatorcontrib>Neyman, Greg</creatorcontrib><creatorcontrib>Broyde, Anatoly</creatorcontrib><creatorcontrib>Mustafa, Julius</creatorcontrib><creatorcontrib>Siegel, Robert J.</creatorcontrib><title>Comparison of myocardial tissue Doppler with transmitral flow Doppler in left ventricular hypertrophy</title><title>Journal of the American Society of Echocardiography</title><addtitle>J Am Soc Echocardiogr</addtitle><description>We sought to determine the most useful echocardiographic measurements for assessment of diastolic function in patients with left ventricular hypertrophy (LVH) and normal systolic function. We compared myocardial Doppler velocities of the basal inferoposterior wall with mitral inflow pulsed wave Doppler velocities in 11 healthy volunteers (age, 36 ± 6 years), 25 patients (age, 64 ± 14 years) without LVH, and 37 patients (age, 67 ± 14 years) with LVH and otherwise normal echocardiograms. The discriminatory measurements were myocardial A-wave duration (120 ± 18 versus 98 ± 20 and 92 ± 12 ms, P <.0001), myocardial isovolumetric relaxation time (124 ± 45 versus 95 ± 48 and 78 ± 25 ms, P =.0035), mitral A-wave velocity (0.98 ± 0.37 versus 0.73 ± 0.28 m/s and 0.61 ± 0.22 m/s, P =.009), and mitral E-wave deceleration time (257 ± 93 versus 201 ± 85 ms and 184 ± 83 ms, P =.015), which were significantly increased, and myocardial E-wave velocity (0.84 ± 0.04 m/s versus 0.13 ± 0.03 m/s and 0.14 ± 0.03 m/s, P <.0001), which was significantly decreased, in patients with LVH compared with patients without LVH and normal volunteers, respectively. Left ventricular posterior wall thickness correlated with myocardial isovolumetric relaxation time (r = 0.52, P <.0001) and myocardial A-wave duration (r = 0.59, P <.0001), negatively with myocardial E wave (r = −0.43, P <.0001), and showed no correlation with mitral inflow parameters except mitral inflow A wave (r = 0.43, P =.002). On multivariate analysis using these variables, myocardial isovolumetric relaxation time (P =.0014) and A-wave duration (P =.001) were the only 2 variables that correlated with posterior wall thickness (multiple R = 0.71). In the presence of LVH and preserved left ventricular systolic function, myocardial relaxation time and velocities are more sensitive than mitral Doppler inflow parameters in detecting abnormal left ventricular relaxation. (J Am Soc Echocardiogr 2001;14:1153-60.)</description><subject>Adult</subject><subject>Age Factors</subject><subject>Blood Flow Velocity</subject><subject>Body Mass Index</subject><subject>Diastole - physiology</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>Hypertrophy, Left Ventricular - diagnostic imaging</subject><subject>Hypertrophy, Left Ventricular - etiology</subject><subject>Hypertrophy, Left Ventricular - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mitral Valve - diagnostic imaging</subject><subject>Myocardial Contraction - physiology</subject><subject>Observer Variation</subject><subject>Sensitivity and Specificity</subject><subject>Ultrasonography, Doppler - methods</subject><issn>0894-7317</issn><issn>1097-6795</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1PBCEQhonR6PlR2xkquz1hYRcozfmZmNhoTZAdchh2WYHV3L93zV20snqLeebNzIPQOSVLSlpx1b_DsiaELillDWd7aEGJElUrVLOPFkQqXglGxRE6zvmdENJIQg7REaWCcSHpAsEq9qNJPscBR4f7TbQmdd4EXHzOE-CbOI4BEv7yZY1LMkPu_RwBuxC_fqd-wAFcwZ8wlOTtFEzC680IqaQ4rjen6MCZkOFslyfo9e72ZfVQPT3fP66unyrLOCuVkm1X24ZaojpJecM7TpmT86Wt5MrQlkv3xh1tlIC2AwHWcV7zmrRS1UYxdoIut71jih8T5KJ7ny2EYAaIU9aiZjUnspnBqy1oU8w5gdNj8r1JG02J_jGrZ7P6x6zemp03LnbV01sP3R-_UzkDagvA_OCnh6Sz9TBY6HwCW3QX_b_l3wksiHo</recordid><startdate>20011201</startdate><enddate>20011201</enddate><creator>Naqvi, Tasneem Z.</creator><creator>Neyman, Greg</creator><creator>Broyde, Anatoly</creator><creator>Mustafa, Julius</creator><creator>Siegel, Robert J.</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>20011201</creationdate><title>Comparison of myocardial tissue Doppler with transmitral flow Doppler in left ventricular hypertrophy</title><author>Naqvi, Tasneem Z. ; Neyman, Greg ; Broyde, Anatoly ; Mustafa, Julius ; Siegel, Robert J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c343t-986d2c51c09d81454d413f84786849a1648fb4f1597e6de7ecf4424206892a933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Blood Flow Velocity</topic><topic>Body Mass Index</topic><topic>Diastole - physiology</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>Hypertrophy, Left Ventricular - diagnostic imaging</topic><topic>Hypertrophy, Left Ventricular - etiology</topic><topic>Hypertrophy, Left Ventricular - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mitral Valve - diagnostic imaging</topic><topic>Myocardial Contraction - physiology</topic><topic>Observer Variation</topic><topic>Sensitivity and Specificity</topic><topic>Ultrasonography, Doppler - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Naqvi, Tasneem Z.</creatorcontrib><creatorcontrib>Neyman, Greg</creatorcontrib><creatorcontrib>Broyde, Anatoly</creatorcontrib><creatorcontrib>Mustafa, Julius</creatorcontrib><creatorcontrib>Siegel, Robert J.</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>Naqvi, Tasneem Z.</au><au>Neyman, Greg</au><au>Broyde, Anatoly</au><au>Mustafa, Julius</au><au>Siegel, Robert J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of myocardial tissue Doppler with transmitral flow Doppler in left ventricular hypertrophy</atitle><jtitle>Journal of the American Society of Echocardiography</jtitle><addtitle>J Am Soc Echocardiogr</addtitle><date>2001-12-01</date><risdate>2001</risdate><volume>14</volume><issue>12</issue><spage>1153</spage><epage>1160</epage><pages>1153-1160</pages><issn>0894-7317</issn><eissn>1097-6795</eissn><abstract>We sought to determine the most useful echocardiographic measurements for assessment of diastolic function in patients with left ventricular hypertrophy (LVH) and normal systolic function. We compared myocardial Doppler velocities of the basal inferoposterior wall with mitral inflow pulsed wave Doppler velocities in 11 healthy volunteers (age, 36 ± 6 years), 25 patients (age, 64 ± 14 years) without LVH, and 37 patients (age, 67 ± 14 years) with LVH and otherwise normal echocardiograms. The discriminatory measurements were myocardial A-wave duration (120 ± 18 versus 98 ± 20 and 92 ± 12 ms, P <.0001), myocardial isovolumetric relaxation time (124 ± 45 versus 95 ± 48 and 78 ± 25 ms, P =.0035), mitral A-wave velocity (0.98 ± 0.37 versus 0.73 ± 0.28 m/s and 0.61 ± 0.22 m/s, P =.009), and mitral E-wave deceleration time (257 ± 93 versus 201 ± 85 ms and 184 ± 83 ms, P =.015), which were significantly increased, and myocardial E-wave velocity (0.84 ± 0.04 m/s versus 0.13 ± 0.03 m/s and 0.14 ± 0.03 m/s, P <.0001), which was significantly decreased, in patients with LVH compared with patients without LVH and normal volunteers, respectively. Left ventricular posterior wall thickness correlated with myocardial isovolumetric relaxation time (r = 0.52, P <.0001) and myocardial A-wave duration (r = 0.59, P <.0001), negatively with myocardial E wave (r = −0.43, P <.0001), and showed no correlation with mitral inflow parameters except mitral inflow A wave (r = 0.43, P =.002). On multivariate analysis using these variables, myocardial isovolumetric relaxation time (P =.0014) and A-wave duration (P =.001) were the only 2 variables that correlated with posterior wall thickness (multiple R = 0.71). In the presence of LVH and preserved left ventricular systolic function, myocardial relaxation time and velocities are more sensitive than mitral Doppler inflow parameters in detecting abnormal left ventricular relaxation. (J Am Soc Echocardiogr 2001;14:1153-60.)</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>11734781</pmid><doi>10.1067/mje.2001.113543</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Age Factors Blood Flow Velocity Body Mass Index Diastole - physiology Electrocardiography Female Humans Hypertension - complications Hypertrophy, Left Ventricular - diagnostic imaging Hypertrophy, Left Ventricular - etiology Hypertrophy, Left Ventricular - physiopathology Male Middle Aged Mitral Valve - diagnostic imaging Myocardial Contraction - physiology Observer Variation Sensitivity and Specificity Ultrasonography, Doppler - methods |
| title | Comparison of myocardial tissue Doppler with transmitral flow Doppler in left ventricular hypertrophy |
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