TY - JOUR
T1 - Detecting subclinical biventricular impairment in scleroderma patients by use of pulsed-wave tissue Doppler imaging
AU - Can, Ilknur
AU - Onat, Ahmet Mesut
AU - Aytemir, Kudret
AU - Akdogan, Ali
AU - Ureten, Kemal
AU - Kiraz, Sedat
AU - Ertenli, Ihsan
AU - Tokgozoglu, Lale
AU - Oto, Ali
PY - 2009
Y1 - 2009
N2 - Systemic scleroderma is a disease that is characterized by excessive fibroblastic activity and collagen deposition in various organs, including the heart. We sought to evaluate the limits of biventricular function as derived noninvasively from pulsed-wave tissue Doppler imaging (TDI) of tricuspid and mitral annular motion in patients who had scleroderma. We enrolled 24 patients with scleroderma (study group; mean age, 49 ± 11 yr; 20 women) and 24 healthy participants (control group; mean age, 51 ± 9 yr; 19 women). Persons with cardiovascular risk factors were excluded. We obtained images by conventional echocardiography and by pulsed-wave TDI, measuring the respective peak systolic velocities (S, Sm) and peak early (E, Em) and late (A, Am) diastolic velocities. Mean Sm, mean Em, and mean Am were averages of the 4 measured sites (anterior, inferior, lateral, and septal). We calculated noninvasive estimates of left ventricular (LV) filling pressure by dividing E velocities (from the mitral inflow) by Em velocities (E/Em ratios). Biventricular regional Sm, regional LV myocardial Em, and ratios of myocardial Em/atrial component velocity (Em/Am) for the LV, and mean Sm, mean Em, and mean Em/mean Am ratios for the LV were significantly lower in the study group. The E/Em ratio was higher in the study group (7.3 ± 2.6 vs 5.2 ± 1.0, P=0.01). Global LV systolic and diastolic function did not differ between the groups. Tissue Doppler imaging complements conventional echocardiography in detecting subclinical biventricular impairment in patients with scleroderma who have normal global measurements.
AB - Systemic scleroderma is a disease that is characterized by excessive fibroblastic activity and collagen deposition in various organs, including the heart. We sought to evaluate the limits of biventricular function as derived noninvasively from pulsed-wave tissue Doppler imaging (TDI) of tricuspid and mitral annular motion in patients who had scleroderma. We enrolled 24 patients with scleroderma (study group; mean age, 49 ± 11 yr; 20 women) and 24 healthy participants (control group; mean age, 51 ± 9 yr; 19 women). Persons with cardiovascular risk factors were excluded. We obtained images by conventional echocardiography and by pulsed-wave TDI, measuring the respective peak systolic velocities (S, Sm) and peak early (E, Em) and late (A, Am) diastolic velocities. Mean Sm, mean Em, and mean Am were averages of the 4 measured sites (anterior, inferior, lateral, and septal). We calculated noninvasive estimates of left ventricular (LV) filling pressure by dividing E velocities (from the mitral inflow) by Em velocities (E/Em ratios). Biventricular regional Sm, regional LV myocardial Em, and ratios of myocardial Em/atrial component velocity (Em/Am) for the LV, and mean Sm, mean Em, and mean Em/mean Am ratios for the LV were significantly lower in the study group. The E/Em ratio was higher in the study group (7.3 ± 2.6 vs 5.2 ± 1.0, P=0.01). Global LV systolic and diastolic function did not differ between the groups. Tissue Doppler imaging complements conventional echocardiography in detecting subclinical biventricular impairment in patients with scleroderma who have normal global measurements.
KW - Case-control studies
KW - Diastole/physiology
KW - Echocardiography/methods
KW - Heart diseases/ultrasonography
KW - Heart ventricles/ultrasonography
KW - Scleroderma, systemic/complications/diagnosis/physiopathology
KW - Sensitivity and specificity
KW - Systole/physiology
KW - Ultrasonography, doppler, pulsed/methods
KW - Ventricular dysfunction/ultrasonography
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M3 - Article
C2 - 19436783
AN - SCOPUS:65749084407
SN - 0730-2347
VL - 36
SP - 31
EP - 37
JO - Texas Heart Institute Journal
JF - Texas Heart Institute Journal
IS - 1
ER -