A novel echocardiographic marker of end systole in the ischemic left ventricle: "Tug of war" sign

American Journal of Physiology - Heart and Circulatory Physiology

Volumn 296, Issue 3, 2009, Pages

  Lyseggen, Erik ^a   Vartdal, Trond ^a   Remme, Espen W ^a   Helle Valle, Thomas ^a   Pettersen, Eirik ^a   Opdahl, Anders ^a   Edvardsen, Thor ^a   Smiseth, Otto A ^a,b  

^a UNIVERSITY OF OSLO   (Norway)

^b OSLO UNIVERSITY HOSPITAL   (Norway)

Author keywords

Echocardiography; Infarction; Reperfusion; Tissue doppler imaging; Ventricular function

Indexed keywords

ACCURACY; ACUTE HEART INFARCTION; ADULT; ANIMAL EXPERIMENT; ANIMAL MODEL; AORTA VALVE; ARTICLE; BLOOD FLOW VELOCITY; CLINICAL ARTICLE; CONTROLLED STUDY; DISEASE MARKER; DOG; FEMALE; HEART FUNCTION; HEART LEFT VENTRICLE CONTRACTION; HEART LEFT VENTRICLE PRESSURE; HEART MUSCLE ISCHEMIA; HUMAN; LEFT ANTERIOR DESCENDING CORONARY ARTERY; MALE; NONHUMAN; PRIORITY JOURNAL; TISSUE DOPPLER IMAGING; AGED; ANIMAL; DISEASE MODEL; DOPPLER ECHOCARDIOGRAPHY; ECHOGRAPHY; FEASIBILITY STUDY; HEART CONTRACTION; HEART INFARCTION; HEART LEFT VENTRICLE FUNCTION; HEART VENTRICLE; HEART VENTRICLE PRESSURE; MECHANICAL STRESS; MIDDLE AGED; OBSERVER VARIATION; PATHOPHYSIOLOGY; PREDICTION AND FORECASTING; SYSTOLE; TIME;

AGED; ANIMALS; DISEASE MODELS, ANIMAL; DOGS; ECHOCARDIOGRAPHY, DOPPLER, COLOR; FEASIBILITY STUDIES; FEMALE; HEART VENTRICLES; HUMANS; MALE; MIDDLE AGED; MYOCARDIAL CONTRACTION; MYOCARDIAL INFARCTION; MYOCARDIAL ISCHEMIA; OBSERVER VARIATION; PREDICTIVE VALUE OF TESTS; STRESS, MECHANICAL; SYSTOLE; TIME FACTORS; VENTRICULAR FUNCTION, LEFT; VENTRICULAR PRESSURE;

EID: 64049099526     PISSN: 03636135     EISSN: 15221539     Source Type: Journal    
DOI: 10.1152/ajpheart.00313.2008     Document Type: Article

References (29)

1. Aase SA, Torp H, Stoylen A. Aortic valve closure: relation to tissue velocities by Doppler and speckle tracking in normal subjects. Eur J Echocardiogr 9: 555-559, 2008.
2. Aase SA, Stoylen A, Ingul CB, Frigstad S, Torp H. Automatic timing of aortic valve closure in apical tissue Doppler images. Ultrasound Med Biol 32: 19-27, 2006.
3. Abel FL. Maximal negative dP/dt as an indicator of end of systole. Am J Physiol Heart Circ Physiol 240: H676-H679, 1981.
4. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1: 307-310, 1986.
5. Brown MA, Norris RM, Takayama M, White HD. Post-systolic shortening: a marker of potential for early recovery of acutely ischaemic myocardium in the dog. Cardiovasc Res 21: 703-716, 1987.
6. Edvardsen T, Urheim S, Skulstad H, Steine K, Ihlen H, Smiseth OA. Quantification of left ventricular systolic function by tissue Doppler echocardiography: added value of measuring pre- and postejection velocities in ischemic myocardium. Circulation 105: 2071-2077, 2002.
7. Forrester JS, Tyberg JV, Wyatt HL, Goldner S, Parmely WW, Swan HJ. Pressure-length loop: a new method for simultaneous measurement of segmental and total cardiac function. J Appl Physiol 37: 771-775, 1974.
8. Heimdal A, Stoylen A, Torp H, Skjaerpe T. Real-time strain rate imaging of the left ventricle by ultrasound. J Am Soc Echocardiogr 11:1013-1019, 1998.
9. Hosokawa H, Sheehan FH, Suzuki T. Measurement of postsystolic shortening to assess viability and predict recovery of left ventricular function after acute myocardial infarction. J Am Coll Cardiol 35: 1842-1849, 2000.
10. Jamal F, Kukulski T, Strotmann Szilard M Jr, D'hooge J, Bijnens B, Rademakers F, Hatle L, De Scheerder I, Sutherland GR. Quantification of the spectrum of changes in regional myocardial function during acute ischemia in closed chest pigs: an ultrasonic strain rate and strain study. J Am Soc Echocardiogr 14: 874-884, 2001.
11. Jamal F, Kukulski T, Sutherland G, Weidemann F, D'hooge J, Bijnens B, Derumeaux G. Can changes in systolic longitudinal deformation quantify regional myocardial function after an acute infarction? An ultrasonic strain rate and strain study. J Am Soc Echocardiogr 15:723-730, 2002.
12. Kukulski T, Jamal F, Herbots L, D'hooge J, Bijnens B, Hatle L, De Scheerder I, Sutherland GR. Identification of acutely ischemic myocardium using ultrasonic strain measurements: a clinical study in patients undergoing coronary angioplasty. J Am Coll Cardiol 41: 810-819, 2003.
13. Lew WY. Influence of ischemic zone size on nonischemic area function in the canine left ventricle. Am J Physiol Heart Circ Physiol 252: H990 -H997, 1987.
14. Lew WY, Chen ZY, Guth B, Covell JW. Mechanisms of augmented segment shortening in nonischemic areas during acute ischemia of the canine left ventricle. Circ Res 56: 351-358, 1985.
15. Lyseggen E, Skulstad H, Helle-Valle T, Vartdal T, Urheim S, Rabben SI, Opdahl A, Ihlen H, Smiseth OA. Myocardial strain analysis in acute coronary occlusion: a tool to assess myocardial viability and reperfusion. Circulation 112: 3901-3910, 2005.
16. Pislaru C, Anagnostopoulos PC, Seward JB, Greenleaf JF, Belohlavek M. Higher myocardial strain rates during isovolumic relaxation phase than during ejection characterize acutely ischemic myocardium. J Am Coll Cardiol 40: 1487-1494, 2002.
17. Pislaru C, Bruce CJ, Anagnostopoulos PC, Allen JL, Seward JB, Pellikka PA, Ritman EL, Greenleaf JF. Ultrasound strain imaging of altered myocardial stiffness: stunned versus infarcted reperfused myocardium. Circulation 109: 2905-2910, 2004.
18. Pislaru C, Bruce CJ, Seward JB, Greenleaf JF. Is postsystolic contraction a marker of viability after acute myocardial infarction? Intracardiac measurements of myocardial wall thickness versus gross histochemical staining (Abstract). J Am Coll Cardiol 39: 387, 2002.
19. Remme EW, Lyseggen E, Helle-Valle T, Opdahl A, Pettersen E, Vartdal T, Ragnarsson A, Ljosland M, Ihlen H, Edvardsen T, Smiseth OA. Mechanisms of preejection and postejection velocity spikes in left ventricular myocardium: interaction between wall deformation and valve events. Circulation 118: 373-380, 2008.
20. Safwat A, Leone BJ, Norris RM, Foex P. Pressure-length loop area: its components analyzed during graded myocardial ischemia. J Am Coll Cardiol 17: 790-796, 1991.
21. Skulstad H, Edvardsen T, Urheim S, Rabben SI, Stugaard M, Lyseggen E, Ihlen H, Smiseth OA. Postsystolic shortening in ischemic myocardium: active contraction or passive recoil? Circulation 106: 718 -724, 2002.
22. Takayama M, Norris RM, Brown MA, Armiger LC, Rivers JT, White HD. Postsystolic shortening of acutely ischemic canine myocardium predicts early and late recovery of function after coronary artery reperfusion. Circulation 78: 994-1007, 1988.
23. Tyberg JV, Forrester JS, Wyatt HL, Goldner SJ, Parmley WW, Swan HJ. An analysis of segmental ischemic dysfunction utilizing the pressure-length loop. Circulation 49: 748 -754, 1974.
24. Tyberg JV, Parmley WW, Sonnenblick EH. In-vitro studies of myo-cardial asynchrony and regional hypoxia. Circ Res 25: 569 -579, 1969.
25. Urheim S, Edvardsen T, Steine K, Skulstad H, Lyseggen E, Rodevand O, Smiseth OA. Postsystolic shortening of ischemic myocardium: a mechanism of abnormal intraventricular filling. Am J Physiol Heart Circ Physiol 284: H2343-H2350, 2003.
26. Urheim S, Edvardsen T, Torp H, Angelsen B, Smiseth OA. Myocardial strain by Doppler echocardiography: validation of a new method to quantify regional myocardial function. Circulation 102: 1158 -1164, 2000.
27. Weidemann F, Dommke C, Bijnens B, Claus P, D'hooge J, Mertens P, Verbeken E, Maes A, Van de Werf F, De Scheerder I, Sutherland GR. Defining the transmurality of a chronic myocardial infarction by ultrasonic strain-rate imaging: implications for identifying intramural viability: an experimental study. Circulation 107: 883-888, 2003.
28. Weisse AB, Saffa RS, Levinson GE, Jacobson J, Regan TJ. Left ventricular function during the early and late stages of scar formation following experimental myocardial infarction. Am Heart J 79: 370-383, 1970.
29. Wiegner AW, Allen GJ, Bing OH. Weak and strong myocardium in series: implications for segmental dysfunction. Am J Physiol Heart Circ Physiol 235: H776-H783, 1978.