Document Detail

Determinants of Left Ventricular Vortex Flow Parameters Assessed by Contrast Echocardiography in an In Vivo Animal Model.
MedLine Citation:
PMID:  23252706     Owner:  NLM     Status:  Publisher    
BACKGROUND: Various left ventricular (LV) vortex parameters obtained during contrast echocardiography (CE) have been recently described. The aim of this study was to investigate their determinants and associations with conventional hemodynamic variables. METHODS: CE was performed and LV pressure was simultaneously measured during pharmacologic inotropic modulation in 8 mongrel dogs. Customized software was used to assess both vortex geometric parameters (vortex depth [VD], length [VL], width [VW], transverse position, and sphericity index [SI]) and pulsatility parameters (relative strength [RS], vortex relative strength [VRS], and vortex pulsation correlation [VPC]). The associations between each of these parameters and conventional indices representing LV systolic and diastolic function were analyzed. RESULTS: VD and VW did not change significantly during pharmacologic modulation, whereas VL (P = 0.0034) and SI (P = 0.001) showed significant and progressive linear decreases from baseline during dobutamine infusion. Significant linear changes during positive and negative inotropic modulation were observed in all pulsatiliy parameters (P < 0.01 each). Geometric parameters were critically dependent on LV volume, with pulsatility parameters showing significant positive correlations with heart rate, systolic and diastolic blood pressure (DBP), dp/dt(max) , early and late mitral inflow velocities, and peak systolic and diastolic annular velocities. In multivariate analysis, LV end-diastolic volume was a main determinant for VL (r = 0.29, P < 0.001) and VW (r = 0.65, P < 0.001), whereas dp/dt(max) for pulsatility parameters (RS [r = 0.61, P < 0.001], VRS [r = 0.46, P < 0.001] and VPC [r = 0.62, P < 0.001]). CONCLUSION: Geometric and pulsatility parameters differed in their association with LV geometry and conventional physiologic indices representing LV function. These differences should be considered in interpreting these variables.
Dae-Hee Kim; Jeong-Sook Seo; Yun-Sil Choi; Hye-Ran Kim; Youn-Ju Chung; Sung-Cheol Yun; Jong-Min Song; Duk-Hyun Kang; Jae-Kwan Song
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-18
Journal Detail:
Title:  Echocardiography (Mount Kisco, N.Y.)     Volume:  -     ISSN:  1540-8175     ISO Abbreviation:  Echocardiography     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8511187     Medline TA:  Echocardiography     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012, Wiley Periodicals, Inc.
Cardiac Imaging Center, Asan Heart Institute Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
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