DOI QR코드

DOI QR Code

A COMPARISON OF DIFFERENT TECHNIQUES OF TWO-DIMENSIONAL SPECKLE-TRACKING STRAIN MEASUREMENTS OF RIGHT VENTRICULAR SYSTOLIC FUNCTION IN PATIENTS WITH ACUTE PULMONARY EMBOLISM

  • Lee, Jae-Hwan (Department of Cardiology in Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital) ;
  • Park, Jae-Hyeong (Department of Cardiology in Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital) ;
  • Park, Kwang-In (Department of Cardiology in Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital) ;
  • Kim, Mi Joo (Department of Cardiology in Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital) ;
  • Kim, Jun Hyung (Department of Cardiology in Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital) ;
  • Ahn, Moon Sang (Department of Vascular Surgery, School of Medicine, Chungnam National University, Chungnam National University Hospital) ;
  • Choi, Si Wan (Department of Cardiology in Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital) ;
  • Jeong, Jin-Ok (Department of Cardiology in Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital) ;
  • Seong, In-Whan (Department of Cardiology in Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital)
  • 투고 : 2014.04.01
  • 심사 : 2014.06.09
  • 발행 : 2014.06.27

초록

BACKGROUND: Speckle-tracking echocardiography has been applied to measure right ventricular (RV) systolic function in various diseases. However, variations in strain measurement by different vendors have limited the application of these techniques for assessment of RV function. We sought to compare two methods for the assessment of RV systolic function in patients with acute pulmonary embolism (PE). METHODS: From August 2007 to May 2011, all consecutive PE patients were prospectively included in this cohort study. Global longitudinal strains of RV measured with EchoPAC PC software (GLSRV-EchoPAC; GE Medical Systems) and velocity vector imaging (GLSRV-VVI; Siemens Medical Systems) were recorded on the same set of echocardiographic images. RESULTS: We analyzed a total of 50 patients (12 males, $68{\pm}14$ years) with acute PE in this study. GLSRV-EchoPAC and GLSRV-VVI were correlated (r = 0.793, p < 0.001) and they showed significant correlations with conventional echocardiographic parameters of RV systolic function and Log B-type natriuretic peptide (BNP) level. However, GLSRV-VVI only showed significant correlations with cardiac biomarkers as serum creatinine kinase-MB (r = 0.367, p = 0.010) and tropoinin-I concentrations (r = 0.294, p = 0.040). CONCLUSION: GLSRV-VVI and GLSRV-EchoPAC showed significant correlations with conventional echocardiographic parameters of RV systolic function and LogBNP value in patients with PE.

키워드

참고문헌

  1. Torbicki A, Perrier A, Konstantinides S, Agnelli G, Galiè N, Pruszczyk P, Bengel F, Brady AJ, Ferreira D, Janssens U, Klepetko W, Mayer E, Remy-Jardin M, Bassand JP; ESC Committee for Practice Guidelines (CPG). Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). Eur Heart J 2008;29:2276-315. https://doi.org/10.1093/eurheartj/ehn310
  2. Kucher N, Rossi E, De Rosa M, Goldhaber SZ. Prognostic role of echocardiography among patients with acute pulmonary embolism and a systolic arterial pressure of 90 mm Hg or higher. Arch Intern Med 2005;165:1777-81. https://doi.org/10.1001/archinte.165.15.1777
  3. Grifoni S, Olivotto I, Cecchini P, Pieralli F, Camaiti A, Santoro G, Conti A, Agnelli G, Berni G. Short-term clinical outcome of patients with acute pulmonary embolism, normal blood pressure, and echocardiographic right ventricular dysfunction. Circulation 2000;101:2817-22. https://doi.org/10.1161/01.CIR.101.24.2817
  4. Grapsa J, Dawson D, Nihoyannopoulos P. Assessment of right ventricular structure and function in pulmonary hypertension. J Cardiovasc Ultrasound 2011;19:115-25. https://doi.org/10.4250/jcu.2011.19.3.115
  5. Marwick TH. Measurement of strain and strain rate by echocardiography: ready for prime time? J Am Coll Cardiol 2006;47:1313-27. https://doi.org/10.1016/j.jacc.2005.11.063
  6. Jamal F, Bergerot C, Argaud L, Loufouat J, Ovize M. Longitudinal strain quantitates regional right ventricular contractile function. Am J Physiol Heart Circ Physiol 2003;285:H2842-7. https://doi.org/10.1152/ajpheart.00218.2003
  7. Tandri H, Daya SK, Nasir K, Bomma C, Lima JA, Calkins H, Bluemke DA. Normal reference values for the adult right ventricle by magnetic resonance imaging. Am J Cardiol 2006;98:1660-4. https://doi.org/10.1016/j.amjcard.2006.07.049
  8. Cresci SG, Goldstein JA. Hemodynamic manifestations of ischemic right heart dysfunction. Cathet Cardiovasc Diagn 1992;27:28-33; discussion 33-4. https://doi.org/10.1002/ccd.1810270107
  9. Chen J, Cao T, Duan Y, Yuan L, Yang Y. Velocity vector imaging in assessing the regional systolic function of patients with post myocardial infarction. Echocardiography 2007;24:940-5. https://doi.org/10.1111/j.1540-8175.2007.00492.x
  10. Cho GY, Chan J, Leano R, Strudwick M, Marwick TH. Comparison of two-dimensional speckle and tissue velocity based strain and validation with harmonic phase magnetic resonance imaging. Am J Cardiol 2006;97:1661-6. https://doi.org/10.1016/j.amjcard.2005.12.063
  11. Park JH, Kim JH, Lee JH, Choi SW, Jeong JO, Seong IW. Evaluation of right ventricular systolic function by the analysis of tricuspid annular motion in patients with acute pulmonary embolism. J Cardiovasc Ultrasound 2012;20:181-8. https://doi.org/10.4250/jcu.2012.20.4.181
  12. Rudski LG, Lai WW, Afilalo J, Hua L, Handschumacher MD, Chandrasekaran K, Solomon SD, Louie EK, Schiller NB. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr 2010;23:685-713; quiz 786-8. https://doi.org/10.1016/j.echo.2010.05.010
  13. Abbas AE, Fortuin FD, Schiller NB, Appleton CP, Moreno CA, Lester SJ. A simple method for noninvasive estimation of pulmonary vascular resistance. J Am Coll Cardiol 2003;41:1021-7. https://doi.org/10.1016/S0735-1097(02)02973-X
  14. Pirat B, McCulloch ML, Zoghbi WA. Evaluation of global and regional right ventricular systolic function in patients with pulmonary hypertension using a novel speckle tracking method. Am J Cardiol 2006;98:699-704. https://doi.org/10.1016/j.amjcard.2006.03.056
  15. Leitman M, Lysyansky P, Sidenko S, Shir V, Peleg E, Binenbaum M, Kaluski E, Krakover R, Vered Z. Two-dimensional strain-a novel software for real-time quantitative echocardiographic assessment of myocardial function. J Am Soc Echocardiogr 2004;17:1021-9. https://doi.org/10.1016/j.echo.2004.06.019
  16. Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology 1982;143:29-36. https://doi.org/10.1148/radiology.143.1.7063747
  17. McIntyre KM, Sasahara AA. The hemodynamic response to pulmonary embolism in patients without prior cardiopulmonary disease. Am J Cardiol 1971;28:288-94. https://doi.org/10.1016/0002-9149(71)90116-0
  18. Wood KE. Major pulmonary embolism: review of a pathophysiologic approach to the golden hour of hemodynamically significant pulmonary embolism. Chest 2002;121:877-905. https://doi.org/10.1378/chest.121.3.877
  19. Ribeiro A, Lindmarker P, Juhlin-Dannfelt A, Johnsson H, Jorfeldt L. Echocardiography Doppler in pulmonary embolism: right ventricular dysfunction as a predictor of mortality rate. Am Heart J 1997;134:479-87. https://doi.org/10.1016/S0002-8703(97)70085-1
  20. Verhaert D, Mullens W, Borowski A, Popovic ZB, Curtin RJ, Thomas JD, Tang WH. Right ventricular response to intensive medical therapy in advanced decompensated heart failure. Circ Heart Fail 2010;3:340-6. https://doi.org/10.1161/CIRCHEARTFAILURE.109.900134
  21. Puwanant S, Park M, Popovic ZB, Tang WH, Farha S, George D, Sharp J, Puntawangkoon J, Loyd JE, Erzurum SC, Thomas JD. Ventricular geometry, strain, and rotational mechanics in pulmonary hypertension. Circulation 2010;121:259-66. https://doi.org/10.1161/CIRCULATIONAHA.108.844340
  22. Park JH, Park YS, Park SJ, Lee JH, Choi SW, Jeong JO, Seong IW. Midventricular peak systolic strain and Tei index of the right ventricle correlated with decreased right ventricular systolic function in patients with acute pulmonary thromboembolism. Int J Cardiol 2008;125:319-24. https://doi.org/10.1016/j.ijcard.2007.02.030
  23. Park JH, Park YS, Kim YJ, Lee IS, Kim JH, Lee JH, Choi SW, Jeong JO, Seong IW. Differentiation between acute and chronic cor pulmonales with midventricular systolic strain of the right ventricle in the emergency department. Heart Vessels 2011;26:435-9. https://doi.org/10.1007/s00380-010-0072-6
  24. Amundsen BH, Helle-Valle T, Edvardsen T, Torp H, Crosby J, Lyseggen E, Stoylen A, Ihlen H, Lima JA, Smiseth OA, Slordahl SA. Noninvasive myocardial strain measurement by speckle tracking echocardiography: validation against sonomicrometry and tagged magnetic resonance imaging. J Am Coll Cardiol 2006;47:789-93. https://doi.org/10.1016/j.jacc.2005.10.040
  25. Toyoda T, Baba H, Akasaka T, Akiyama M, Neishi Y, Tomita J, Sukmawan R, Koyama Y, Watanabe N, Tamano S, Shinomura R, Komuro I, Yoshida K. Assessment of regional myocardial strain by a novel automated tracking system from digital image files. J Am Soc Echocardiogr 2004;17:1234-8. https://doi.org/10.1016/j.echo.2004.07.010
  26. Bansal M, Cho GY, Chan J, Leano R, Haluska BA, Marwick TH. Feasibility and accuracy of different techniques of two-dimensional speckle based strain and validation with harmonic phase magnetic resonance imaging. J Am Soc Echocardiogr 2008;21:1318-25. https://doi.org/10.1016/j.echo.2008.09.021

피인용 문헌

  1. Assessment of Speckle-Tracking Echocardiography-Derived Global Deformation Parameters During Supine Exercise in Children vol.37, pp.3, 2014, https://doi.org/10.1007/s00246-015-1309-z
  2. Early Ventricular Dysfunction After Anthracycline Chemotherapy in Children vol.37, pp.3, 2016, https://doi.org/10.1007/s00246-015-1311-5
  3. Clinical and echocardiographic predictors of mortality in acute pulmonary embolism vol.14, pp.None, 2014, https://doi.org/10.1186/s12947-016-0087-y
  4. The role of echocardiography in prognosis and clinical complication risk prediction in patients with acute pulmonary embolism vol.15, pp.1, 2014, https://doi.org/10.36290/kar.2016.002