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Evaluation of Left Ventricular Twist in Acute Myocardial Infarction Patients Using Speckle Tracking Imaging

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Abstract

The aim of this study is to evaluate the differences of left ventricular (LV) twist and untwisting rate in patients with acute myocardial infarction (AMI) as compared with healthy subjects by means of Speckle Tracking Imaging (STI). 45 AMI patients (AMI group) and 48 healthy subjects (NOR group) were studied. Two-dimensional STI was performed in all patients. Peak apical rotation, peak basal rotation, peak LV twist, peak basal untwisting rate, peak apical untwisting rate, peak LV untwisting rate, time to peak LV twist, and untwisting rate were measured. In comparison with the NOR group, peak LV rotational parameters were found to be decreased in the AMI group (P < 0.01). A strong correlation was found between the peak LV twist and LV ejection fraction in the overall study population (P < 0.001). The LV twist is strongly related to LV systolic function, and the impairment of LV function observed in patients with AMI is associated with a decrease of LV twist and untwist rate. The STI appears to accurately evaluate LV function.

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References

  1. Harvey, W. (1941). An anatomical disposition on the motion of the heart and blood in animals. In F. Willis & T. Keys (Eds.), Cardiac classics (pp. 19–79). London: Henry Kimpton.

    Google Scholar 

  2. Yun, K. L., Niczyporuk, M. A., Daughters, G. T., II, Ingels, N. B., Jr., Stinson, E. B., et al. (1991). Alterations in left ventricular diastolic twist mechanics during acute human cardiac allograft rejection. Circulation, 83, 962–973.

    PubMed  CAS  Google Scholar 

  3. Rademakers, F. E., Buchalter, M. B., Rogers, W. J., Zerhouni, E. A., Weisfeldt, M. L., et al. (1992). Dissociation between left ventricular untwisting and filling. Accentuation by catecholamines. Circulation, 85, 1572–1581.

    PubMed  CAS  Google Scholar 

  4. Stuber, M., Scheidegger, M. B., Fischer, S. E., Nagel, E., Steinemann, F., et al. (1999). Alterations in the local myocardial motion pattern in patients suffering from pressure overload due to aortic stenosis. Circulation, 100, 361–368.

    PubMed  CAS  Google Scholar 

  5. Corno, A. F., Kocica, M. J., & Torrent-Guasp, F. (2006). The helical ventricular myocardial band of Torrent-Guasp: Potential implications in congenital heart defects. European Journal of Cardio-Thoracic Surgery, 29(Suppl 1), S61–S68.

    Article  PubMed  Google Scholar 

  6. Burns, A. T., McDonald, I. G., Thomas, J. D., Macisaac, A., & Prior, D. (2008). Doin’ the twist: New tools for an old concept of myocardial function. Heart, 94, 978–983.

    Article  PubMed  CAS  Google Scholar 

  7. Takeuchi, M., Nakai, H., Kokumai, M., Nishikage, T., Otani, S., et al. (2006). Age-related changes in left ventricular twist assessed by two-dimensional speckle-tracking imaging. Journal of the American Society of Echocardiography, 19, 1077–1084.

    Article  PubMed  Google Scholar 

  8. Notomi, Y., Martin-Miklovic, M. G., Oryszak, S. J., Shiota, T., Deserranno, D., et al. (2006). Enhanced ventricular untwisting during exercise: A mechanistic manifestation of elastic recoil described by Doppler tissue imaging. Circulation, 113, 2524–2533.

    Article  PubMed  Google Scholar 

  9. Galderisi, M., Lomoriello, V. S., Santoro, A., Esposito, R., Olibet, M., et al. (2010). Differences of myocardial systolic deformation and correlates of diastolic function in competitive rowers and young hypertensives: A speckle-tracking echocardiography study. Journal of the American Society of Echocardiography, 23, 1190–1198.

    Article  PubMed  Google Scholar 

  10. Quinones, M. A., Otto, C. M., Stoddard, M., Waggoner, A., & Zoghbi, W. A. (2002). Recommendations for quantification of Doppler echocardiography: A report from the Doppler Quantification Task Force of the Nomenclature and Standards Committee of the American Society of Echocardiography. Journal of the American Society of Echocardiography, 15, 167–184.

    Article  PubMed  Google Scholar 

  11. Puwanant, S., Park, M., Popovic, Z. B., Tang, W. H., Farha, S., et al. (2010). Ventricular geometry, strain, and rotational mechanics in pulmonary hypertension. Circulation, 121, 259–266.

    Article  PubMed  Google Scholar 

  12. Foster, E., & Lease, K. E. (2006). New untwist on diastole: What goes around comes back. Circulation, 113, 2477–2479.

    Article  PubMed  Google Scholar 

  13. Mailloux, G. E., Bleau, A., Bertrand, M., & Petitclerc, R. (1987). Computer analysis of heart motion from two-dimensional echocardiograms. IEEE Trans Biomed Eng, 34, 356–364.

    Article  PubMed  CAS  Google Scholar 

  14. Arts, T., Veenstra, P. C., & Reneman, R. S. (1982). Epicardial deformation and left ventricular wall mechanisms during ejection in the dog. American Journal of Physiology, 243, H379–H390.

    PubMed  CAS  Google Scholar 

  15. Sengupta, P. P., Khandheria, B. K., Korinek, J., Wang, J., & Belohlavek, M. (2005). Biphasic tissue Doppler waveforms during isovolumic phases are associated with asynchronous deformation of subendocardial and subepicardial layers. Journal of Applied Physiology, 99, 1104–1111.

    Article  PubMed  Google Scholar 

  16. Lorenz, C. H., Pastorek, J. S., & Bundy, J. M. (2000). Delineation of normal human left ventricular twist throughout systole by tagged cine magnetic resonance imaging. Journal of Cardiovascular Magnetic Resonance, 2, 97–108.

    Article  PubMed  CAS  Google Scholar 

  17. Henson, R. E., Song, S. K., Pastorek, J. S., Ackerman, J. J., & Lorenz, C. H. (2000). Left ventricular torsion is equal in mice and humans. American Journal of Physiology Heart and Circulatory Physiology, 278, H1117–H1123.

    PubMed  CAS  Google Scholar 

  18. McDonald, I. G. (1970). The shape and movements of the human left ventricle during systole. A study by cineangiography and by cineradiography of epicardial markers. American Journal of Cardiology, 26, 221–230.

    Article  PubMed  CAS  Google Scholar 

  19. Helle-Valle, T., Crosby, J., Edvardsen, T., Lyseggen, E., Amundsen, B. H., et al. (2005). New noninvasive method for assessment of left ventricular rotation: Speckle tracking echocardiography. Circulation, 112, 3149–3156.

    Article  PubMed  Google Scholar 

  20. Notomi, Y., Lysyansky, P., Setser, R. M., Shiota, T., Popovic, Z. B., et al. (2005). Measurement of ventricular torsion by two-dimensional ultrasound speckle tracking imaging. Journal of the American College of Cardiology, 45, 2034–2041.

    Article  PubMed  Google Scholar 

  21. Goffinet, C., Chenot, F., Robert, A., Pouleur, A. C., de Waroux, J. B., et al. (2009). Assessment of subendocardial vs. subepicardial left ventricular rotation and twist using two-dimensional speckle tracking echocardiography: Comparison with tagged cardiac magnetic resonance. European Heart Journal, 30, 608–617.

    Article  PubMed  Google Scholar 

  22. Opdahl, A., Helle-Valle, T., Remme, E. W., Vartdal, T., Pettersen, E., et al. (2008). Apical rotation by speckle tracking echocardiography: A simplified bedside index of left ventricular twist. Journal of the American Society of Echocardiography, 21, 1121–1128.

    Article  PubMed  Google Scholar 

  23. Beyar, R., & Sideman, S. (1986). Left ventricular mechanics related to the local distribution of oxygen demand throughout the wall. Circulation Research, 58, 664–677.

    PubMed  CAS  Google Scholar 

  24. D’ Hooge, J., Claus, P., & Separovic, J. (2002). Alterations of systolic left ventricular twist after acute myocardial infarction. American Journal of Physiology Heart Circulatory Physiology, 283, H2733–H2734.

    Google Scholar 

  25. Bansal, M., Leano, R. L., & Marwick, T. H. (2008). Clinical assessment of left ventricular systolic torsion: Effects of myocardial infarction and ischemia. Journal of the American Society of Echocardiography, 21, 887–894.

    Article  PubMed  Google Scholar 

  26. Sun, J. P., Niu, J., Chou, D., Chuang, H. H., Wang, K., et al. (2007). Alterations of regional myocardial function in a swine model of myocardial infarction assessed by echocardiographic 2-dimensional strain imaging. Journal of the American Society of Echocardiography, 20, 498–504.

    Article  PubMed  Google Scholar 

  27. Bertini, M., Delgado, V., Nucifora, G., Ajmone Marsan, N., Ng, A. C., et al. (2010). Left ventricular rotational mechanics in patients with coronary artery disease: Differences in subendocardial and subepicardial layers. Heart, 96, 1737–1743.

    Article  PubMed  Google Scholar 

  28. Knudtson, M. L., Galbraith, P. D., Hildebrand, K. L., Tyberg, J. V., & Beyar, R. (1997). Dynamics of left ventricular apex rotation during angioplasty: A sensitive index of ischemic dysfunction. Circulation, 96, 801–808.

    PubMed  CAS  Google Scholar 

  29. Garot, J., Pascal, O., Diebold, B., Derumeaux, G., Gerber, B. L., et al. (2002). Alterations of systolic left ventricular twist after acute myocardial infarction. American Journal of Physiology Heart and Circulatory Physiology, 282, H357–H362.

    PubMed  CAS  Google Scholar 

  30. Notomi, Y., Popovic, Z. B., Yamada, H., Wallick, D. W., Martin, M. G., et al. (2008). Ventricular untwisting: A temporal link between left ventricular relaxation and suction. American Journal of Physiology Heart and Circulatory Physiology, 294, H505–H513.

    Article  PubMed  CAS  Google Scholar 

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Acknowledgment

This study was supported by a Science and Technology Research Grant of Liaoning Provincial Department of Education (Grant No. 2008748) to DJ.

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Correspondence to Da-lin Jia.

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Jia, Dl., Ma, Cy., Liu, S. et al. Evaluation of Left Ventricular Twist in Acute Myocardial Infarction Patients Using Speckle Tracking Imaging. Cell Biochem Biophys 61, 673–678 (2011). https://doi.org/10.1007/s12013-011-9223-3

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