Relations between systolic and diastolic function in children with dilated and hypertrophic cardiomyopathy as

Arshiya Mohammed1, Luc Mertens, Mark K Friedberg

  • 1Division of Pediatric Cardiology, The Labatt Family Heart Center, Hospital for Sick Children, Toronto, Ontario, Canada.

Insights

In pediatric dilated cardiomyopathy (DCM) and hypertrophic cardiomyopathy (HCM), systolic and diastolic tissue velocities are linked. This relationship may indicate how systolic function impacts diastolic recoil in children with these heart conditions.

Area of Science:

  • Pediatric Cardiology
  • Cardiovascular Physiology
  • Echocardiography

Background:

  • Dilated cardiomyopathy (DCM) and hypertrophic cardiomyopathy (HCM) are significant pediatric heart conditions.
  • Understanding the interplay between systolic and diastolic function is crucial for managing these diseases.

Purpose of the Study:

  • To investigate the relationship between longitudinal peak systolic tissue velocity (S') and early diastolic tissue velocity (E') in children.
  • To compare these relationships in children with DCM, HCM, and healthy controls.

Main Methods:

  • Tissue Doppler imaging was used to record S' and E' at the lateral mitral annulus and basal interventricular septum.
  • 148 children (0-18 years) were studied: 34 with DCM, 60 with HCM, and 54 controls.
  • Correlations between S', E', and the S'/E' ratio were analyzed, along with other functional indices.

Main Results:

  • A correlation between S' and E' was observed in all groups at both measurement sites.
  • Patients with DCM showed decreased S' and E', while HCM patients had decreased E' with less reduction in S'.
  • The S'/E' ratio correlated with indices of ventricular relaxation and filling.

Conclusions:

  • Longitudinal systolic and diastolic function are interrelated in pediatric DCM and HCM.
  • This relationship may suggest that systolic function influences diastolic recoil in affected children.
  • Findings highlight the complex interplay of cardiac mechanics in pediatric cardiomyopathies.
Abstract

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