Journal of Cardiovascular Imaging

  • 제24권1호
  • /
  • Pages.35-39
  • /
  • 2016
  • /
  • 2586-7210(pISSN)
  • /
  • 2586-7296(eISSN)
한국심초음파학회 (Korean Society of Echocardiography)
권호 표지
DOI QR코드

DOI QR Code

2-Dimensional Strain Analysis of Regional Change in Right Ventricular Function after Treadmill Exercise

  • Yoon, Se-Jung (Division of Cardiology, Ilsan Hospital, National Health Insurance Service) ;
  • Seo, Hye-Sun (Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Hospital) ;
  • Park, Sujung (Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Hospital) ;
  • Chung, Wook-Jin (Division of Cardiology, Gachon University, Gil Medical Center)
  • 투고 : 2015.07.13
  • 심사 : 2016.02.01
  • 발행 : 2016.03.27
⟨ 이전 논문 다음 논문 ⟩

초록

Background: Function of right ventricle (RV) influences on symptoms and prognosis in various diseases. However the regional RV function analyzed with 2-dimensional (2D) strain echocardiography before and just after treadmill test has not been evaluated. The aim of this study was to show the change of regional RV function just after treadmill exercise with strain analysis. Methods: A total of thirty eight patients who visited hospital for hypertension, chest pain or dyspnea between January 2007 and December 2010 were retrospectively analyzed (men, 47.4%; mean age, $54.9{\pm}7.2years$). Treadmill exercise test and pre and post echocardiography were performed. 2D strain echocardiography was analyzed off line in RV free wall and septum. Results: Mean exercise duration was $737{\pm}132sec$. Tissue velocity in lateral tricuspid annulus is significantly increased in post exercise (initial, $10.5{\pm}2.4cm/sec$ vs. post exercise, $12.2{\pm}1.8cm/sec$, p = 0.006). Systolic strain of RV free wall apex and mid portion were significantly changed in post exercise stage (free wall apex, $-18.2{\pm}7.6%$ vs. $-22.3{\pm}5.8%$, p = 0.010; free wall mid, $-14.1{\pm}6.7%$ vs. $-22.6{\pm}6.8%$, p = 0.022). Conclusion: 2D strain imaging provides a precise tool to quantify regional RV function and reveals a characteristic regional pattern of RV after treadmill exercise.

키워드

참고문헌

  1. Benza RL, Miller DP, Barst RJ, Badesch DB, Frost AE, McGoon MD. An evaluation of long-term survival from time of diagnosis in pulmonary arterial hypertension from the REVEAL Registry. Chest 2012; 142:448-56. https://doi.org/10.1378/chest.11-1460
  2. Brili S, Stamatopoulos I, Misailidou M, Chrysohoou C, Tousoulis D, Tatsis I, Stefanadis C. Longitudinal strain curves in the RV free wall differ in morphology in patients with pulmonary hypertension compared to controls. Int J Cardiol 2013;167:2753-6. https://doi.org/10.1016/j.ijcard.2012.06.089
  3. Simon MA, Pinsky MR. Right ventricular dysfunction and failure in chronic pressure overload. Cardiol Res Pract 2011;2011:568095.
  4. La Gerche A, Burns AT, Mooney DJ, Inder WJ, Taylor AJ, Bogaert J, Macisaac AI, Heidbuchel H, Prior DL. Exercise-induced right ventricular dysfunction and structural remodelling in endurance athletes. Eur Heart J 2012;33:998-1006. https://doi.org/10.1093/eurheartj/ehr397
  5. Oxborough D, Shave R, Warburton D, Williams K, Oxborough A, Charlesworth S, Foulds H, Hoffman MD, Birch K, George K. Dilatation and dysfunction of the right ventricle immediately after ultraendurance exercise: exploratory insights from conventional two-dimensional and speckle tracking echocardiography. Circ Cardiovasc Imaging 2011;4:253-63. https://doi.org/10.1161/CIRCIMAGING.110.961938
  6. Simsek Z, Tas MH, Gunay E, Degirmenci H. Speckle-tracking echocardiographic imaging of the right ventricular systolic and diastolic parameters in chronic exercise. Int J Cardiovasc Imaging 2013;29:1265-71. https://doi.org/10.1007/s10554-013-0204-z
  7. Dalla Vecchia L, Traversi E, Porta A, Lucini D, Pagani M. On site assessment of cardiac function and neural regulation in amateur half marathon runners. Open Heart 2014;1:e000005. https://doi.org/10.1136/openhrt-2013-000005
  8. Knebel F, Schimke I, Schroeckh S, Peters H, Eddicks S, Schattke S, Brechtel L, Lock J, Wernecke KD, Dreger H, Grubitz S, Schmidt J, Baumann G, Borges AC. Myocardial function in older male amateur marathon runners: assessment by tissue Doppler echocardiography, speckle tracking, and cardiac biomarkers. J Am Soc Echocardiogr 2009;22:803-9. https://doi.org/10.1016/j.echo.2009.04.009
  9. Quyyumi AA, Panza JA, Diodati JG, Lakatos E, Epstein SE. Circadian variation in ischemic threshold. A mechanism underlying the circadian variation in ischemic events. Circulation 1992;86:22-8. https://doi.org/10.1161/01.CIR.86.1.22
  10. 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
  11. Lang RM, Bierig M, Devereux RB, Flachskampf FA, Foster E, Pellikka PA, Picard MH, Roman MJ, Seward J, Shanewise J, Solomon S, Spencer KT, St John Sutton M, Stewart W; American Society of Echocardiography's Nomenclature and Standards Committee; Task Force on Chamber Quantification; American College of Cardiology Echocardiography Committee; American Heart Association; European Association of Echocardiography, European Society of Cardiology. Recommendations for chamber quantification. Eur J Echocardiogr 2006;7:79-108. https://doi.org/10.1016/j.euje.2005.12.014
  12. Gardin JM, Adams DB, Douglas PS, Feigenbaum H, Forst DH, Fraser AG, Grayburn PA, Katz AS, Keller AM, Kerber RE, Khandheria BK, Klein AL, Lang RM, Pierard LA, Quinones MA, Schnittger I; American Society of Echocardiography. Recommendations for a standardized report for adult transthoracic echocardiography: a report from the American Society of Echocardiography's Nomenclature and Standards Committee and Task Force for a Standardized Echocardiography Report. J Am Soc Echocardiogr 2002;15:275-90. https://doi.org/10.1067/mje.2002.121536
  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. Ho SY, Nihoyannopoulos P. Anatomy, echocardiography, and normal right ventricular dimensions. Heart 2006;92 Suppl 1:i2-13. https://doi.org/10.1136/hrt.2005.077875
  15. Mertens LL, Friedberg MK. Imaging the right ventricle--current state of the art. Nat Rev Cardiol 2010;7:551-63. https://doi.org/10.1038/nrcardio.2010.118
  16. Focardi M, Cameli M, Carbone SF, Massoni A, De Vito R, Lisi M, Mondillo S. Traditional and innovative echocardiographic parameters for the analysis of right ventricular performance in comparison with cardiac magnetic resonance. Eur Heart J Cardiovasc Imaging 2015;16:47-52. https://doi.org/10.1093/ehjci/jeu156
  17. Knight DS, Grasso AE, Quail MA, Muthurangu V, Taylor AM, Toumpanakis C, Caplin ME, Coghlan JG, Davar J. Accuracy and reproducibility of right ventricular quantification in patients with pressure and volume overload using single-beat three-dimensional echocardiography. J Am Soc Echocardiogr 2015;28:363-74. https://doi.org/10.1016/j.echo.2014.10.012
  18. Portnoy SG, Rudski LG. Echocardiographic evaluation of the right ventricle: a 2014 perspective. Curr Cardiol Rep 2015;17:21. https://doi.org/10.1007/s11886-015-0578-8
  19. Smith BC, Dobson G, Dawson D, Charalampopoulos A, Grapsa J, Nihoyannopoulos P. Three-dimensional speckle tracking of the right ventricle: toward optimal quantification of right ventricular dysfunction in pulmonary hypertension. J Am Coll Cardiol 2014;64:41-51. https://doi.org/10.1016/j.jacc.2014.01.084
  20. Dandel M, Lehmkuhl H, Knosalla C, Suramelashvili N, Hetzer R. Strain and strain rate imaging by echocardiography - basic concepts and clinical applicability. Curr Cardiol Rev 2009;5:133-48. https://doi.org/10.2174/157340309788166642
  21. Mor-Avi V, Lang RM, Badano LP, Belohlavek M, Cardim NM, Derumeaux G, Galderisi M, Marwick T, Nagueh SF, Sengupta PP, Sicari R, Smiseth OA, Smulevitz B, Takeuchi M, Thomas JD, Vannan M, Voigt JU, Zamorano JL. Current and evolving echocardiographic techniques for the quantitative evaluation of cardiac mechanics: ASE/EAE consensus statement on methodology and indications endorsed by the Japanese Society of Echocardiography. Eur J Echocardiogr 2011;12:167-205. https://doi.org/10.1093/ejechocard/jer021
  22. Serrano-Ferrer J, Walther G, Crendal E, Vinet A, Dutheil F, Naughton G, Lesourd B, Chapier R, Courteix D, Obert P. Right ventricle free wall mechanics in metabolic syndrome without type-2 diabetes: effects of a 3-month lifestyle intervention program. Cardiovasc Diabetol 2014;13:116. https://doi.org/10.1186/s12933-014-0116-9
  23. Anjak A, Lopez-Candales A, Lopez FR, Harris D, Elwing J. Objective measures of right ventricular function during exercise: results of a pilot study. Echocardiography 2014;31:508-15. https://doi.org/10.1111/echo.12417
  24. Lord R, Somauroo J, Stembridge M, Jain N, Hoffman MD, George K, Jones H, Shave R, Haddad F, Ashley E, Oxborough D. The right ventricle following ultra-endurance exercise: insights from novel echocardiography and 12-lead electrocardiography. Eur J Appl Physiol 2015;115:71-80. https://doi.org/10.1007/s00421-014-2995-6
  25. Leggio M, Mazza A, Cruciani G, Sgorbini L, Pugliese M, Bendini MG, Severi P, Jesi AP. Effects of exercise training on systo-diastolic ventricular dysfunction in patients with hypertension: an echocardiographic study with tissue velocity and strain imaging evaluation. Hypertens Res 2014;37:649-54. https://doi.org/10.1038/hr.2014.44