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J Am Coll Cardiol, 1997; 30:474-480
© 1997 by the American College of Cardiology Foundation
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Assessment of mitral annulus velocity by Doppler tissue imaging in the evaluation of left ventricular diastolic function

DW Sohn, IH Chai, DJ Lee, HC Kim, HS Kim, BH Oh, MM Lee, YB Park, YS Choi, JD Seo, and YW Lee

Department of Internal Medicine, Seoul National University College of Medicine, Korea.

OBJECTIVES: This study assessed the clinical utility of mitral annulus velocity in the evaluation of left ventricular diastolic function. BACKGROUND: Mitral inflow velocity recorded by Doppler echocardiography has been widely used to evaluate left ventricular diastolic function but is affected by other factors. The mitral annulus velocity profile during diastole may provide additional information about left ventricular diastolic function. METHODS: Mitral annulus velocity during diastole was measured by Doppler tissue imaging (DTI) 1) in 59 normal volunteers (group 1); 2) in 20 patients with a relaxation abnormality as assessed by Doppler mitral inflow variables (group 2) at baseline and after saline loading; 3) in 11 patients (group 3) with normal diastolic function before and after intravenous nitroglycerin infusion; and 4) in 38 consecutive patients (group 4) undergoing cardiac catheterization in whom mitral inflow velocity and tau as well as mitral annulus velocity were measured simultaneously. RESULTS: In group 1, mean +/- SD peak early and late diastolic mitral annulus velocity was 10.0 +/- 1.3 and 9.5 +/- 1.5 cm/s, respectively. In group 2, mitral inflow velocity profile changed toward the pseudonormalization pattern with saline loading (deceleration time 311 +/- 84 ms before to 216 +/- 40 ms after intervention, p < 0.001), whereas peak early diastolic mitral annulus velocity did not change significantly (5.3 +/- 1.2 cm/s to 5.7 +/- 1.4 cm/s, p = NS). In group 3, despite a significant change in mitral inflow velocity profile after nitroglycerin, peak early diastolic mitral annulus velocity did not change significantly (9.5 +/- 2.2 cm/s to 9.2 +/- 1.7 cm/s, p = NS). In group 4, peak early diastolic mitral annulus velocity (r = -0.56, p < 0.01) and the early/late ratio (r = -0.46, p < 0.01) correlated with tau. When the combination of normal mitral inflow variables with prolonged tau (> or = 50 ms) was classified as pseudonormalization, peak early diastolic mitral annulus velocity < 8.5 cm/s and the early/late ratio < 1 could identify the pseudonormalization with a sensitivity of 88% and specificity of 67%. CONCLUSIONS: Mitral annulus velocity determined by DTI is a relatively preload-independent variable in evaluating diastolic function.


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T. G. Neilan, D. M. Yoerger, P. S. Douglas, J. E. Marshall, E. F. Halpern, D. Lawlor, M. H. Picard, and M. J. Wood
Persistent and reversible cardiac dysfunction among amateur marathon runners
Eur. Heart J., May 1, 2006; 27(9): 1079 - 1084.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
M. Cannesson, D. Jacques, M. R. Pinsky, and J. Gorcsan III
Effects of modulation of left ventricular contractile state and loading conditions on tissue Doppler myocardial performance index
Am J Physiol Heart Circ Physiol, May 1, 2006; 290(5): H1952 - H1959.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
M. C. C. Borges, R. C.R. Colombo, J. G. F. Goncalves, J. d. O. Ferreira, and K. G. Franchini
Longitudinal Mitral Annulus Velocities Are Reduced in Hypertensive Subjects With or Without Left Ventricle Hypertrophy
Hypertension, May 1, 2006; 47(5): 854 - 860.
[Abstract] [Full Text] [PDF]


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CirculationHome page
C. Y. Ho and S. D. Solomon
A Clinician's Guide to Tissue Doppler Imaging
Circulation, March 14, 2006; 113(10): e396 - e398.
[Full Text] [PDF]


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SEMIN CARDIOTHORAC VASC ANESTHHome page
O. Kamp
Advanced Systolic and Diastolic Function: Beyond the E-and A-wave
Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2006; 10(1): 63 - 65.
[Abstract] [PDF]


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Eur J EchocardiogrHome page
S. Tassan-Mangina, D. Codorean, M. Metivier, B. Costa, C. Himberlin, C. Jouannaud, A. M. Blaise, J. Elaerts, and P. Nazeyrollas
Tissue Doppler imaging and conventional echocardiography after anthracycline treatment in adults: Early and late alterations of left ventricular function during a prospective study
Eur J Echocardiogr, March 1, 2006; 7(2): 141 - 146.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
J. K. Oh, L. Hatle, A. J. Tajik, and W. C. Little
Diastolic Heart Failure Can Be Diagnosed by Comprehensive Two-Dimensional and Doppler Echocardiography
J. Am. Coll. Cardiol., February 7, 2006; 47(3): 500 - 506.
[Abstract] [Full Text] [PDF]


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J. Appl. Physiol.Home page
M. M. Riordan and S. J. Kovacs
Quantitation of mitral annular oscillations and longitudinal "ringing" of the left ventricle: a new window into longitudinal diastolic function
J Appl Physiol, January 1, 2006; 100(1): 112 - 119.
[Abstract] [Full Text] [PDF]


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Eur J EchocardiogrHome page
J.-W. Ha, J.-A. Ahn, J.-Y. Moon, H.-S. Suh, S.-M. Kang, S.-J. Rim, Y. Jang, N. Chung, W.-H. Shim, and S.-Y. Cho
Triphasic mitral inflow velocity with mid-diastolic flow: The presence of mid-diastolic mitral annular velocity indicates advanced diastolic dysfunction
Eur J Echocardiogr, January 1, 2006; 7(1): 16 - 21.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
A. D. Waggoner, M. N. Faddis, M. J. Gleva, L. de las Fuentes, and V. G. Davila-Roman
Improvements in Left Ventricular Diastolic Function After Cardiac Resynchronization Therapy Are Coupled to Response in Systolic Performance
J. Am. Coll. Cardiol., December 20, 2005; 46(12): 2244 - 2249.
[Abstract] [Full Text] [PDF]


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HeartHome page
P M Mottram, B A Haluska, R Leano, S Carlier, C Case, and T H Marwick
Relation of arterial stiffness to diastolic dysfunction in hypertensive heart disease
Heart, December 1, 2005; 91(12): 1551 - 1556.
[Abstract] [Full Text] [PDF]


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CirculationHome page
P. Reant, S. Lafitte, P. Jais, K. Serri, R. Weerasooriya, M. Hocini, X. Pillois, J. Clementy, M. Haissaguerre, and R. Roudaut
Reverse Remodeling of the Left Cardiac Chambers After Catheter Ablation After 1 Year in a Series of Patients With Isolated Atrial Fibrillation
Circulation, November 8, 2005; 112(19): 2896 - 2903.
[Abstract] [Full Text] [PDF]


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ChestHome page
J.-W. Ha, J.-R. Cho, J.-M. Kim, J.-A. Ahn, E.-Y. Choi, S.-M. Kang, S.-J. Rim, and N. Chung
Tissue Doppler-Derived Indices Predict Exercise Capacity in Patients With Apical Hypertrophic Cardiomyopathy
Chest, November 1, 2005; 128(5): 3428 - 3433.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
J. W. A. Smit, C. F. A. Eustatia-Rutten, E. P. M. Corssmit, A. M. Pereira, M. Frolich, G. B. Bleeker, E. R. Holman, E. E. van der Wall, J. A. Romijn, and J. J. Bax
Reversible Diastolic Dysfunction after Long-Term Exogenous Subclinical Hyperthyroidism: A Randomized, Placebo-Controlled Study
J. Clin. Endocrinol. Metab., November 1, 2005; 90(11): 6041 - 6047.
[Abstract] [Full Text] [PDF]


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CirculationHome page
B. A. Borlaug, V. Melenovsky, T. Marhin, P. Fitzgerald, and D. A. Kass
Sildenafil Inhibits {beta}-Adrenergic-Stimulated Cardiac Contractility in Humans
Circulation, October 25, 2005; 112(17): 2642 - 2649.
[Abstract] [Full Text] [PDF]



 
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