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Transthoracic Speckle Tracking Echocardiography for the Quantitative Assessment of Left Ventricular Myocardial Deformation
Published on: October 20, 2016
Assessment of regional left ventricular long-axis motion with MR velocity mapping in healthy subjects
S P Karwatowski1, R Mohiaddin, G Z Yang
1Royal Brompton National Heart and Lung Hospital, London, England.
Insights
Magnetic resonance (MR) velocity mapping reveals regional differences in left ventricular long-axis motion during early diastole. Peak early-diastolic velocity decreases with age, highlighting its utility in assessing cardiac function.
Area of Science:
- Cardiology
- Medical Imaging
- Physiology
Background:
- Understanding left ventricular function is crucial for diagnosing cardiac conditions.
- Assessing regional myocardial motion provides insights into heart health.
Purpose of the Study:
- To evaluate left ventricular long-axis motion during early diastole using magnetic resonance (MR) velocity mapping.
- To investigate regional variations in velocity and their correlation with age and heart rate.
Main Methods:
- Magnetic resonance (MR) velocity mapping was employed in 31 healthy volunteers.
- Regional long-axis velocities were measured throughout the cardiac cycle.
- Data were analyzed for variations in velocity across different ventricular walls and correlation with physiological parameters.
Main Results:
- The greatest magnitude of long-axis velocity occurred during early diastole.
- Significant regional differences were observed: lateral wall (140 mm/sec), anterior (96 mm/sec), inferior (92 mm/sec), and inferoseptal (87 mm/sec).
- Peak early-diastolic velocity showed a significant decline with age (r = -0.64, P < .001) but was not dependent on heart rate (r = 0.014, P = .94).
Conclusions:
- Magnetic resonance (MR) velocity mapping is effective for assessing regional left ventricular long-axis function.
- Age is a significant factor influencing early diastolic velocity, suggesting potential age-related changes in myocardial function.
- Regional variations in ventricular wall motion are detectable with this technique.
Abstract:
The pattern of left ventricular long-axis motion during early diastole was assessed with magnetic resonance (MR) velocity mapping in 31 healthy volunteers. Regional long-axis velocity varied with time and position around the ventricle. During systole, the base descended toward the apex. The greatest magnitude of long-axis velocity occurred during early diastole. The lateral wall had the highest velocity (140 mm/sec +/- 40 [mean +/- standard deviation]); the anterior and inferior walls had lower velocities (96 mm/sec +/- 27 and 92 mm/sec +/- 34, respectively). The inferoseptal area consistently had the lowest velocities (87 mm/sec +/- 40). Absolute values of peak early-diastolic velocity declined with age (r = -.64, P < .001). Peak early-diastolic velocity was not dependent on heart rate (r = .014, P = .94). Regional variations in left ventricular wall motion were seen. MR velocity mapping is a useful technique for assessing regional left ventricular long-axis heart function.
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