Document Detail

Myocardial contraction fraction: a volumetric index of myocardial shortening by freehand three-dimensional echocardiography.
MedLine Citation:
PMID:  12106939     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: This study sought to evaluate myocardial contraction fraction (MCF) as an index of myocardial shortening by comparison to conventional shortening indices in patients with hypertensive hypertrophy, athletes with physiologic hypertrophy and sedentary normal adult subjects. BACKGROUND: A significant percentage of patients with hypertensive hypertrophy have "normal" or "preserved" left ventricular (LV) systolic function by conventional echocardiographic measures whereas their systolic function is depressed when measured by the two-dimensional echocardiographic mid-wall shortening fraction (MWSF). A three-dimensional echocardiographic measure of myocardial shortening analogous to MWSF has been lacking. We describe a volumetric measure of myocardial shortening, the MCF, as the ratio of stroke volume (SV) to myocardial volume (MV), and hypothesize that it may be useful to compare myocardial performance in patients with different degrees and types of hypertrophy. METHODS: We compared the MCF using freehand three-dimensional echocardiographic reconstruction of the LV to conventional measures of LV function (ejection fraction [EF], endocardial shortening fraction [SF] and MWSF) in subjects with pathologic hypertensive hypertrophy, heart failure symptoms and preserved EF (n = 17), athletes with physiologic hypertrophy (n = 41) and normal sedentary adults (n = 80). RESULTS: The EF was in the normal range for all three groups. The MCF was lower in hypertensive hypertrophy compared with normal subjects (0.33 +/- 0.05 vs. 0.44 +/- 0.07, p < 0.01). It also successfully differentiated physiologic hypertrophy from normal subjects (0.50 +/- 0.05 vs. 0.44 +/- 0.07, p < 0.01). The endocardial SF did not distinguish athletes from normal subjects and the MWSF did not distinguish hypertensive from physiologic hypertrophy. CONCLUSIONS: The MCF, a volumetric measure of myocardial shortening, demonstrates that myocardial shortening is decreased in hypertensive hypertrophy and increased in physiologic hypertrophy. The MCF may be useful in assessing differences in myocardial performance in patients with similar degrees of hypertrophy.
Donald L King; Lyna El-Khoury Coffin; Mathew S Maurer
Related Documents :
15262839 - Celiprolol, a vasodilatory beta-blocker, inhibits pressure overload-induced cardiac hyp...
9364279 - Left ventricular geometry in presenting untreated hypertension.
2961839 - The emerging prominence of computer electrocardiography in large population-based surveys.
18274799 - Heart spotting.
2961249 - Overall risk of left ventricular hypertrophy secondary to systemic hypertension.
8675259 - Association of carotid atherosclerosis with electrocardiographic myocardial ischemia an...
3741099 - A study of valve incompetence that developed in an experimental model of venous hyperte...
19317299 - Assessment of local atrial repolarization in a porcine acetylcholine model of atrial fl...
24749959 - Olmesartan prevents cardiac rupture in mice with myocardial infarction by modulating gr...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American College of Cardiology     Volume:  40     ISSN:  0735-1097     ISO Abbreviation:  J. Am. Coll. Cardiol.     Publication Date:  2002 Jul 
Date Detail:
Created Date:  2002-07-10     Completed Date:  2002-07-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8301365     Medline TA:  J Am Coll Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  325-9     Citation Subset:  AIM; IM    
College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Cardiomegaly / etiology,  physiopathology*,  ultrasonography*
Echocardiography, Three-Dimensional* / methods
Hypertension / complications,  physiopathology
Life Style
Middle Aged
Myocardial Contraction*
Ventricular Function, Left*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Correlation of left ventricular diastolic filling characteristics with right ventricular overload an...
Next Document:  The electrophysiologic mechanism of ST-segment elevation in Brugada syndrome.