Tissue Doppler and innovative myocardial-deformation imaging techniques for assessment of myocardial viability

Current Opinion in Cardiology

Volumn 21, Issue 5, 2006, Pages 438-442

  Hoffmann, Rainer ^a,b  

^a UNIVERSITY HOSPITAL RWTH AACHEN   (Germany)

^b RWTH AACHEN UNIVERSITY   (Germany)

Author keywords

Echocardiography; Myocardial infarction; Strain imaging; Tissue Doppler imaging; Viability

Indexed keywords

DIASTOLIC BLOOD PRESSURE; DOPPLER ECHOCARDIOGRAPHY; FUNCTIONAL RESIDUAL CAPACITY; HEART LEFT VENTRICLE CONTRACTILITY; HEART LEFT VENTRICLE FAILURE; HEART LEFT VENTRICLE FUNCTION; HEART MUSCLE ISCHEMIA; HUMAN; MEMBRANE STEADY POTENTIAL; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIORITY JOURNAL; REGIONAL PERFUSION; REVIEW; STRESS ECHOCARDIOGRAPHY; STRESS STRAIN RELATIONSHIP; SYSTOLIC BLOOD PRESSURE; TWO DIMENSIONAL ECHOCARDIOGRAPHY;

CARDIOMYOPATHIES; ECHOCARDIOGRAPHY, DOPPLER; HEART; HUMANS; MYOCARDIUM; TISSUE SURVIVAL; VENTRICULAR DYSFUNCTION, LEFT;

EID: 33747059847     PISSN: 02684705     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.hco.0000240579.82182.63     Document Type: Review

References (37)

1. Wijns W, Vatner SF, Camici PG. Mechanisms of disease: hibernating myocardium. N Engl J Med 1998; 339:173-181.
2. Tillisch J, Brunken R, Marshall R, et al. Reversibility of cardiac wall-motion abnormalities by positron tomography. N Engl J Med 1986; 314:884-888.
3. Dilsizian V, Rocco TP, Freddman NMT, et al. Enhanced detection of ischemic but viable myocardium by the reinjection of thallium after stress-redistribution imaging. N Engl J Med 1990; 323:141-146.
4. Fieno DS, Kim RJ, Chen EL, et al. Contrast-enhanced magnetic resonance imaging of myocardium at risk: distinction between reversible and irreversible injury throughout infarct healing. J Am Coll Cardiol 2000; 36:1985-1991.
5. Pierard LA, De Landsheere CM, Berthe C, et al. Identification of viable myocardium by echocardiography during dobutamine infusion in patients with myocardial infarction after thrombolytic therapy: comparison with positron emission tomography. J Am Coll Cardiol 1990; 15:1021-1031.
6. Picano E, Sicari R, Landi P, et al. Prognostic value of myocardial viability in medically treated patients with global left ventricular dysfunction early after an acute uncomplicated myocardial infarction. Circulation 1998; 98:1078-1084.
7. Smart SC, Sawada S, Ryan T, et al. Low-dose dobutamine echocardiography detects reversible dysfunction after thrombolytic therapy of acute myocardial infarction. Circulation 1993; 88:405-415.
8. Watada H, Ito H, Oh H, et al. Dobutamine stress echocardiography predicts reversible dysfunction and quantitates the extent of irreversibly damaged myocardium after reperfusion of anterior myocardial infarction. J Am Coll Cardiol 1994; 24:624-630.
9. Picano E, Lattanzi F, Orlandini A, et al. Stress echocardiography and the human factor: the importance of being expert. J Am Coll Cardiol 1990; 17:666-667.
10. Hoffmann R, Lethen H, Marwick T, et al. Analysis of interinstitutional observer agreement in interpretation of dobutamine stress echocardiograms. J Am Coll Cardiol 1996; 27:330-336.
11. Hatle L, Sutherland GR. Regional myocardial function - a new approach. Eur Heart J 2000; 21:1337-1357.
12. Gorscan J III, Stum DP, Mandarino WA, et al. Quantitative assessment of alteration in regional left ventricular contractility with color coded tissue Doppler echocardiography. Circulation 1997; 95:2423-2433.
13. Derumeaux G, Ovize M, Loufoua J, et al. Doppler tissue imaging quantifies regional wall motion during myocardial ischemia and reperfusion. Circulation 1998; 97:1970-1977.
14. Sutherland GR, Stewart MJ, Groundstrom KWE, et al. Color Doppler myocardial imaging: a new technique for the assessment of myocardial function. J Am Soc Echocardiogr 1994; 7:441-458.
15. Urheim S, Edvardsen T, Torp H, et al. Myocardial strain by Doppler echocardiography: validation of a new method to quantify regional myocardial function. Circulation 2000; 102:1158-1164.
16. Park TH, Nagueh SF, Khoury DS, et al. Impact of myocardial structure and function postinfarction on diastolic strain measurements: implications for assessment of myocardial viability. Am J Physiol Heart Circ Physiol 2006; 290:H724-H731. This animal study demonstrated that diastolic strain measurements determined during dobutamine stress allowed best assessment of myocardial viability after myocardial infarction.
17. Bountioukos M, Schinkel AF, Bax JJ, et al. Pulsed-wave tissue Doppler quantification of systolic and diastolic function of viable and nonviable myocardium in patients with ischemic cardiomyopathy. Am Heart J 2004; 148:1079-1084.
18. Zhang Y, Chan AKY, Yu CM, et al. Strain rate imaging differentiates transmural from nontransmural myocardial infarction. J Am Coll Cardiol 2005; 46:864-871. This study demonstrated on 47 patients that strain and strain-rate parameters obtained by tissue Doppler imaging and determined at rest allows assessment of the extent of nonviable myocardium after myocardial infarction.
19. Becker M, Kuhl H, Grawe H, et al. Analysis of myocardial deformation based on ultrasonic pixel tracking for definition of transmurality in chronic myocardial infarction. J Am Coll Cardiol 2006; 47:134A.
20. Langeland S, D'hooge J, Wouters PF, et al. Experimental validation of a new ultrasound method for the simultaneous assessment of radial and longitudinal myocardial deformation independent of insonation angle. Circulation 2005; 112:2157-2162. This study validated in an animal model that tracking of acoustic pixels allows angle-independent assessment of myocardial deformation.
21. Leitman M, Lysyansky P, Sidenko S, et al. Two-dimensional strain - a novel software for real-time quantitative echocardiographic assessment of myocardial function. J Am Soc Echocardiogr 2004; 17:1021-1029.
22. Becker M, Bilke E, Kühl H, et al. Analysis of myocardial deformation based on pixel tracking in 2D echocardiographic images allows quantitative assessment of regional left ventricular function. Heart 2005, Dec 30 [Epub ahead of print].
23. Cain P, Baglin T, Case C, et al. Application of tissue Doppler to interpretation of dobutamine echocardiography and comparison with quantitative coronary angiography. Am J Cardiol 2001; 87:525-531.
24. Katz WE, Gulati VK, Mahler CM, et al. Quantitative evaluation of the segmental left ventricular response to dobutamine stress by tissue Doppler echocardiography. Am J Cardiol 1997; 79:1036-1042.
25. Yuan D, Kuhl H, Nowak B, et al. Pulsed tissue Doppler imaging to assess myocardial viability by quantification of regional myocardial functional reserve. Echocardiography 2001; 18:657-664.
26. Nishino M, Tanouchi J, Tanaka K, et al. Dobutamine stress echocardiography at 7.5 ug/kg/min using color tissue Doppler imaging M-mode safely predicts reversible dysfunction early after reperfusion in patients with acute myocardial infarction. Am J Cardiol 1999; 83:340-344.
27. Rambaldi R, Poldermans D, Bax JJ, et al. Doppler tissue velocity sampling improves diagnostic accuracy during dobutamine stress echocardiography for the assessment of viable myocardium in patients with severe left ventricular dysfunction. Eur Heart J 2000; 21:1091-1098z.
28. Yang HS, Kang SJ, Song JK, et al. Diagnosis of viable myocardium using velocity data of Doppler myocardial imaging: comparison with positron emission tomography. J Am Soc Echocardiogr 2004; 17:933-940.
29. Greenberg NL, Firstenberg MS, Castro PL, et al. Doppler-derived myocardial systolic strain rate is a strong index of left ventricular contractility. Circulation 2002; 105:99-105.
30. Jamal F, Strotmann J, Weidemann F, et al. Noninvasive quantification of contractile reserve of stunned myocardium by ultrasonic strain rate and strain. Circulation 2001; 104:1059-1065.
31. Hoffmann R, Altiok E, Nowak B, et al. Strain rate measurement by Doppler echocardiography allows improved assessment of myocardial viability in patients with depressed left ventricular function. J Am Coll Cardiol 2002; 39:443-449.
32. Hanekom L, Jenkins C, Jeffries L, et al. Incremental value of strain rate analysis as an adjunct to wall-motion scoring for assessment of myocardial viability by dobutamine echocardiography. Circulation 2005; 112:3892-3900. This study on 55 patients demonstrated that strain-rate analysis with low-dose dobutamine in combination with wall-motion score assessment improves the sensitivity of viability assessment above wall-motion score alone.
33. Hoffmann R, Altiok E, Nowak B, et al. Strain rate analysis allows detection of differences in diastolic function between viable and nonviable myocardial segments. J Am Soc Echocardiogr 2005; 18:330-335. This article demonstrates that increase of early diastolic strain rate during dobutamine stress can be used as additional parameter for myocardial viability defined by positron emission tomography.
34. Pislaru C, Bruce CJ, Anagnostopoulos PC, et al. Ultrasound strain imaging of altered myocardial stiffness: stunned versus infarcted reperfused myocardium. Circulation 2004; 109:2905-2910.
35. Derumeaux G, Loufoua J, Pontier G, et al. Tissue Doppler imaging differentiates transmural from nontransmural acute myocardial infarction after reperfusion therapy. Circulation 2001; 103:589-596.
36. Weidemann F, Dommke C, Bijnens B, et al. Defining the transmurality of a chronic myocardial infarction by ultrasonic strain-rate imaging. Circulation 2003; 107:883-888.
37. Lyseggen E, Skulstad H, Helle-Valle T, et al. Myocardial strain analysis in acute coronary occlusion. Circulation 2005; 112:3901-3910. This experimental study showed that the myocardial late and postsystolic shortening ratio and the systolic compliance determined by strain Doppler echocardiography identify active contraction and necrosis.