M-mode apical systolic excursion: A new and simple method to evaluate global left ventricular longitudinal strain
Introduction: Since M-mode measurements can assess deformation of specific regions of the left ventricle, we hypothesized that M-mode measurements like M-mode apical systolic excursion (MMASE) and mitral annular plane systolic excursion (MAPSE) may be correlated with left ventricular longitudinal st...
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doaj-e2caab47d6ef48ee9c9cc0ab2f2b15652020-11-25T02:23:31ZengElsevierRevista Portuguesa de Cardiologia0870-25512015-09-01349551554M-mode apical systolic excursion: A new and simple method to evaluate global left ventricular longitudinal strainJosé Amado0Fabián Islas1Islas Leopoldo Pérez de Isla2Jose Juan Gómez de Diego3Alberto de Agustín4Miguel Angel García-Fernandez5Cardiology Department, Hospital Clínico San Carlos, Madrid, Spain; Corresponding author.Cardiology Department, Hospital Clínico San Carlos, Madrid, SpainCardiology Department, Hospital Clínico San Carlos, Madrid, Spain; Universidad Carlos III, Madrid, SpainCardiology Department, Hospital Clínico San Carlos, Madrid, SpainCardiology Department, Hospital Clínico San Carlos, Madrid, SpainCardiology Department, Hospital Clínico San Carlos, Madrid, Spain; Universidad Complutense de Madrid, Madrid, SpainIntroduction: Since M-mode measurements can assess deformation of specific regions of the left ventricle, we hypothesized that M-mode measurements like M-mode apical systolic excursion (MMASE) and mitral annular plane systolic excursion (MAPSE) may be correlated with left ventricular longitudinal strain (LVLS). Methods: All subjects of the study underwent a full echocardiographic evaluation and MMASE and MAPSE measurement. Three-dimensional wall motion tracking (3D-WMT) was performed. Results: Thirty-one patients were evaluated. Significant correlations between MAPSE and LVLS (−0.372; p=0.04) and between MMASE and LVLS (−0.398; p=0.027) were found. LVLS was linearly related to MAPSE and MMASE (in mm) as follows: ST=−10.6 −0.4 * MAPSE (r2=0.14) and ST=−13.1 −0.5 * MMASE (r2=0.16). Conclusions: Our results demonstrate that simpler and faster methods than strain based on complex speckle analysis can also have a role in predicting subclinical left ventricular systolic dysfunction. Resumo: Introdução: Uma vez que as medições em Modo-M podem determinar a deformação de regiões específicas do ventrículo esquerdo, neste trabalho é colocada a hipótese de que medidas como a excursão sistólica apical em modo-M (MMASE) e a MAPSE podem ser correlacionadas com o Strain Longitudinal do Ventrículo Esquerdo (SLVE). Métodos: Todos os indivíduos do estudo foram submetidos a uma avaliação ecocardiográfica completa, à medição da MMASE e da MAPSE. Foi ainda realizado o 3D-wall motion tracking (3D-WMT). Resultados: Foram avaliados 31 pacientes, tendo sido obtida uma correlação estatisticamente significativa entre a MAPSE e o SLVE (−0.372; p=0.04) e entre a MMASE e o SLVE (−0,398; p=0,027). Estas medidas apresentaram uma correlação linear: ST=−10,6 -0,4 * MAPSE (r2=0.14) and ST=−13,1 −0,5 * MMASE (r2=0,16). Conclusão: Os nossos resultados demonstram que métodos mais simples e rápidos que o strain podem também ser úteis na determinação da disfunção subclínica sistólica do ventrículo esquerdo. Keywords: M-mode echocardiography, Longitudinal strain, 3D wall motion tracking, Palavras-chave: Ecocardiograma Modo-M, Strain longitudinal, 3D wall motion trackinghttp://www.sciencedirect.com/science/article/pii/S0870255115001869 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
José Amado Fabián Islas Islas Leopoldo Pérez de Isla Jose Juan Gómez de Diego Alberto de Agustín Miguel Angel García-Fernandez |
spellingShingle |
José Amado Fabián Islas Islas Leopoldo Pérez de Isla Jose Juan Gómez de Diego Alberto de Agustín Miguel Angel García-Fernandez M-mode apical systolic excursion: A new and simple method to evaluate global left ventricular longitudinal strain Revista Portuguesa de Cardiologia |
author_facet |
José Amado Fabián Islas Islas Leopoldo Pérez de Isla Jose Juan Gómez de Diego Alberto de Agustín Miguel Angel García-Fernandez |
author_sort |
José Amado |
title |
M-mode apical systolic excursion: A new and simple method to evaluate global left ventricular longitudinal strain |
title_short |
M-mode apical systolic excursion: A new and simple method to evaluate global left ventricular longitudinal strain |
title_full |
M-mode apical systolic excursion: A new and simple method to evaluate global left ventricular longitudinal strain |
title_fullStr |
M-mode apical systolic excursion: A new and simple method to evaluate global left ventricular longitudinal strain |
title_full_unstemmed |
M-mode apical systolic excursion: A new and simple method to evaluate global left ventricular longitudinal strain |
title_sort |
m-mode apical systolic excursion: a new and simple method to evaluate global left ventricular longitudinal strain |
publisher |
Elsevier |
series |
Revista Portuguesa de Cardiologia |
issn |
0870-2551 |
publishDate |
2015-09-01 |
description |
Introduction: Since M-mode measurements can assess deformation of specific regions of the left ventricle, we hypothesized that M-mode measurements like M-mode apical systolic excursion (MMASE) and mitral annular plane systolic excursion (MAPSE) may be correlated with left ventricular longitudinal strain (LVLS). Methods: All subjects of the study underwent a full echocardiographic evaluation and MMASE and MAPSE measurement. Three-dimensional wall motion tracking (3D-WMT) was performed. Results: Thirty-one patients were evaluated. Significant correlations between MAPSE and LVLS (−0.372; p=0.04) and between MMASE and LVLS (−0.398; p=0.027) were found. LVLS was linearly related to MAPSE and MMASE (in mm) as follows: ST=−10.6 −0.4 * MAPSE (r2=0.14) and ST=−13.1 −0.5 * MMASE (r2=0.16). Conclusions: Our results demonstrate that simpler and faster methods than strain based on complex speckle analysis can also have a role in predicting subclinical left ventricular systolic dysfunction. Resumo: Introdução: Uma vez que as medições em Modo-M podem determinar a deformação de regiões específicas do ventrículo esquerdo, neste trabalho é colocada a hipótese de que medidas como a excursão sistólica apical em modo-M (MMASE) e a MAPSE podem ser correlacionadas com o Strain Longitudinal do Ventrículo Esquerdo (SLVE). Métodos: Todos os indivíduos do estudo foram submetidos a uma avaliação ecocardiográfica completa, à medição da MMASE e da MAPSE. Foi ainda realizado o 3D-wall motion tracking (3D-WMT). Resultados: Foram avaliados 31 pacientes, tendo sido obtida uma correlação estatisticamente significativa entre a MAPSE e o SLVE (−0.372; p=0.04) e entre a MMASE e o SLVE (−0,398; p=0,027). Estas medidas apresentaram uma correlação linear: ST=−10,6 -0,4 * MAPSE (r2=0.14) and ST=−13,1 −0,5 * MMASE (r2=0,16). Conclusão: Os nossos resultados demonstram que métodos mais simples e rápidos que o strain podem também ser úteis na determinação da disfunção subclínica sistólica do ventrículo esquerdo. Keywords: M-mode echocardiography, Longitudinal strain, 3D wall motion tracking, Palavras-chave: Ecocardiograma Modo-M, Strain longitudinal, 3D wall motion tracking |
url |
http://www.sciencedirect.com/science/article/pii/S0870255115001869 |
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