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Published on: July 14, 2021
Is mitral annular ascent useful in studying left ventricular function through left atrio-ventricular interactions?
Paula M Hernández Burgos1, Francisco Lopez Menedez2, Maria D Candales3
1University of Puerto Rico School of Medicine, Medical Sciences Campus, San Juan, Puerto Rico, United States.
M-mode evaluation of mitral annulus (MA) longitudinal motion, specifically MA excursion during systole (MAPSE), is useful for assessing atrio-ventricular interactions. Left ventricular ejection fraction and diastolic dysfunction significantly impact MA motion.
Area of Science:
- Cardiology
- Echocardiography
- Cardiac Mechanics
Background:
- The mitral annulus (MA) is a dynamic cardiac structure essential for proper heart function.
- Understanding MA motion aids in evaluating the complex interactions between the atria and ventricles.
Purpose of the Study:
- To determine if M-mode echocardiography of MA longitudinal motion can assess atrio-ventricular interactions.
- To identify echocardiographic determinants of MA motion.
Main Methods:
- Evaluated echocardiographic data from 150 patients.
- Assessed the relationship between MA motion and atrio-ventricular interaction measures.
Main Results:
- Left ventricular ejection fraction (LVEF) and diastolic dysfunction (LVDD) are key determinants of MA excursion during systole (MAPSE) and after atrial contraction (MAa).
- MAPSE serves as a surrogate for LVEF, and MA excursion during systole primarily determines MAa.
- LV diastolic function impacts MAPSE more than MAa, with variations in MAa amplitude linked to LVDD type.
Conclusions:
- M-mode assessment of MA longitudinal motion is a novel tool for evaluating atrio-ventricular interactions.
- Further research is needed to correlate this longitudinal measure with circumferential rotational data.
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