A new integrated approach to cardiac mechanics: reference values for normal left ventricle

Autor: Andrea Di Lenarda, Giorgio Faganello, Linda Pagura, Stefano Furlotti, Dario Collia, Michele Zaccari, Gianni Pedrizzetti
Přispěvatelé: Faganello, G., Collia, D., Furlotti, S., Pagura, L., Zaccari, M., Pedrizzetti, G., Di Lenarda, A.
Rok vydání: 2020
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
Heart Ventricles
Cardiovascular risk factors
030204 cardiovascular system & hematology
Ventricular Function
Left
03 medical and health sciences
Young Adult
0302 clinical medicine
Sex Factors
Hemodynamic forces
Predictive Value of Tests
Reference Values
Cardiac mechanics
Deformation imaging
Echocardiography
Internal medicine
medicine
Humans
Radiology
Nuclear Medicine and imaging
Mass index
Prospective Studies
Cardiac imaging
Aged
Aged
80 and over
business.industry
Age Factors
Hemodynamics
Reproducibility of Results
Integrated approach
Middle Aged
Cardiac mechanic
Echocardiography
Doppler
Healthy Volunteers
Biomechanical Phenomena
medicine.anatomical_structure
Ventricle
Reference values
Cardiology
Female
Cardiology and Cardiovascular Medicine
business
030217 neurology & neurosurgery
Zdroj: The international journal of cardiovascular imaging. 36(11)
ISSN: 1875-8312
Popis: The association between left ventricular (LV) myocardial deformation and hemodynamic forces is still mostly unexplored. The normative values and the effects of demographic and technical factors on hemodynamic forces are not known. The authors studied the association between LV myocardial deformation and hemodynamic forces in a large cohort of healthy volunteers. One-hundred seventy-six consecutive subjects (age range, 16–82; 51% women), with no cardiovascular risk factors or any relevant diseases, were enrolled. All subjects underwent an echo-Doppler examination. Both 2D global myocardial and endocardial longitudinal strain (GLS), circumferential strain (GCS), and the hemodynamic forces were measured with new software that enabled to calculate all these values and parameters from the three apical views. Higher LV mass index and larger LV volumes were found in males compared to females (85 ± 17 vs 74 ± 15 g/m2 and 127 ± 28 vs 85 ± 18 ml, p < 0.0001 respectively) while no differences of the mean values of endocardial and myocardial GLS and of myocardial GCS were found (p = ns) and higher endocardial GCS in women (− 30.6 ± 4.2 vs − 31.8 ± 3.7; p = 0.05). LV longitudinal force, LV systolic longitudinal force and LV impulse were higher in men (16.2 ± 5.3 vs 13.2 ± 3.6; 25.1 ± 7.9 vs 19.4 ± 5.6 and 20.4 ± 7 vs 16.6 ± 5.2, p < 0.0001, respectively). A weak but statistically significant decline with age (p < 0.0001) was also found for these force parameters. This new integrated approach could differentiate normality from pathology by providing average deformation values and hemodynamic forces parameters, differentiated by age and gender.
Databáze: OpenAIRE
Externí odkaz: