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Updated: Aug 18, 2026

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
Published on: October 28, 2020
Kinetocardiographic detection of ventricular dyssynergy after myocardial infarction. Correlations with
Insights
Kinetocardiography can detect left ventricular kinetic abnormalities in myocardial infarction patients. This noninvasive method identifies regional wall motion issues, aiding in diagnosis.
Area of Science:
- Cardiology
- Medical Imaging
- Physiology
Background:
- Coronary artery disease can lead to regional left ventricular kinetic abnormalities.
- Accurate detection of these abnormalities is crucial for patient management.
- Echocardiography is a standard tool, but noninvasive alternatives are valuable.
Purpose of the Study:
- To evaluate the efficacy of kinetocardiography in detecting regional left ventricular kinetic abnormalities.
- To compare kinetocardiography findings with echocardiographic assessments in post-myocardial infarction patients.
Main Methods:
- Kinetocardiography, M-mode, and 2D echocardiography were performed on 33 myocardial infarction survivors.
- Echocardiograms assessed regional contractile function (hypokinesis, akinesis, dyskinesis, aneurysm).
- Kinetocardiogram recordings were analyzed for paradoxical systolic movements.
Main Results:
- 2D echocardiography revealed abnormalities in 27 out of 33 patients.
- Kinetocardiography detected paradoxical systolic movements in all patients with ventricular dyssynergy.
- Kinetocardiography was normal in patients with normal ventricular kinetics, even with dilatation or global hypokinesis.
- No direct correlation was found between echocardiography and kinetocardiography regarding the site or extent of abnormalities.
Conclusions:
- Kinetocardiography can noninvasively detect qualitative left ventricular kinetic abnormalities in myocardial infarction patients.
- The technique shows promise as a complementary diagnostic tool.
- Further research may clarify the specific role of kinetocardiography in cardiac assessment.
Abstract:
The aim of this study was to determine if kinetocardiography can detect regional abnormalities of left ventricular kinetics, as occurs in coronary patients. Kinetocardiogram, M-mode and two-dimensional echocardiograms were recorded in 33 subjects (mean age 63, range 29-75 years), who previously had a myocardial infarction. On two dimensional echocardiograms, long axis, short axis, apical 4-chamber and apical 2-chamber projections were studied. Regional contractile abnormalities were rated as hypokinesis, akinesis, dyskinesis and aneurysm. In 6 subjects two dimensional echocardiogram was normal, in 5 it showed hypokinesis with left ventricular normal dimension or dilatation, and in the remaining 22 patients various regional kinetic abnormalities were observed. The kinetocardiogram showed paradoxical systolic movements in all patients with ventricular dyssynergy and was normal in all patients with normal ventricular kinetics, with or without left ventricular dilatation and global hypokinesis. There were no correspondences between echocardiography and kinetocardiography, regarding sites and amount of abnormalities. Kinetocardiography can thus noninvasively detect qualitative left ventricular kinetics abnormalities, in patients with myocardial infarction.
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