Document Detail


Impact of acute normobaric hypoxia on regional and global myocardial function: a speckle tracking echocardiography study.
MedLine Citation:
PMID:  22918573     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim of this study was to evaluate the influence of normobaric hypoxia on myocardial function in healthy humans. Fourteen subjects underwent two-dimensional speckle tracking echocardiography (2D-STE) examination during normoxia and in a normobaric hypoxia chamber. Examinations were performed at rest and during bicycle exercise test. The following parameters were quantified in both atria and ventricles by 2D-STE: Global Strain (S), systolic strain rate (SR(S)), early (SR(E)) and late (SR(A)) diastolic strain rate. During hypoxia SR(S) and SR(E) increased significantly in both ventricles compared to baseline. The increase of LV SR(S) and SR(E) during normoxic exercise was significantly higher when compared with exercise under hypoxia (for SR(S) -0.55 ± 0.22 vs. -0.34 ± 0.24 1/s, p = 0.024; for SR(E) 0.56 ± 0.29 vs. 0.23 ± 0.29 1/s, p = 0.005). For the right ventricle (RV) no significant difference of exercise induced increase of systolic contractility was found (SR(S) -1.07 ± 0.53 under normoxia vs. -1.28 ± 0.24 1/s under hypoxic conditions, p = 0.47). A shift from passive conduit (SR(E)) to active contraction (SR(A)) phase during hypoxia was noted for the right atrium (RA) (SR(E)/SR(A) 0.72 ± 0.13 under hypoxia vs. 1.17 ± 0.17 under normoxia). The ratio SR(E)/SR(A) of RA was closely related to pulmonary systolic pressure (r = -0.78, p < 0.001). Exposure to normobaric hypoxia leads to an increase of regional myocardial deformation in both ventricles. The contractile reserve during hypoxic exercise is reduced in LV, whereas RV systolic deformation rate is maintained. In addition, hypoxia had an impact on the ratio of passive conduit to active contraction phase in right atrium.
Authors:
Björn Goebel; Veronika Handrick; Alexander Lauten; Michael Fritzenwanger; Juliane Schütze; Sylvia Otto; Hans R Figulla; Thor Edvardsen; Tudor C Poerner; Christian Jung
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-24
Journal Detail:
Title:  The international journal of cardiovascular imaging     Volume:  -     ISSN:  1875-8312     ISO Abbreviation:  Int J Cardiovasc Imaging     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100969716     Medline TA:  Int J Cardiovasc Imaging     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Division of Cardiology, 1st Department of Medicine, University Hospital of Jena, Erlanger Allee 101, 07740, Jena, Germany, goebelbjoern@googlemail.com.
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