Correlations of left ventricular systolic function indices with aortic root systolic excursion (ARSE): A cross-sectional echocardiographic study

Jingi, Ahmadou Musa; Hamadou, Bâ; Noubiap, Jean Jacques; Mfeukeu-Kuaté, Liliane; Boombhi, Jerome; Nganou, Chris Nadège; Ateba, Narcisse Assene; Ndoadoumgue, Aude Laetitia; Nyaga, Ulrich Flore; Menanga, Alain; Kingué, Samuel

doi:10.1371/journal.pone.0206199

Cited by 4 publications

(13 citation statements)

References 20 publications

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“…In humans AAPSE correlates with other measures of longitudinal systolic function such as MAPSE and GLS. 12,15 Although GLS was not performed in our retrospective cases, AAPSE did correlate with MAPSE and tissue Doppler S 0 wave from the IVS. AAPSE has advantages over other methods to assess systolic function as it uses a standard echocardiographic view that is routinely obtained in feline echocardiography, even in unstable cats (unlike MAPSE), and requires no calculation to compare to reference values.…”

Section: Discussionmentioning

confidence: 66%

“…Some of these difficulties have been overcome by assessing mitral annular plane systolic excursion (MAPSE), which is a marker of LV longitudinal systolic function and correlates with GLS in people. 12,13 Cats with HCM with a reduced MAPSE are more likely to be in congestive heart failure (CHF) and have a worse prognosis. 2,4,6 But this measurement requires a left apical view, which can be challenging to acquire especially in unstable cats.…”

Section: Introductionmentioning

confidence: 99%

“…In humans, aortic annular plane systolic excursion (AAPSE) is suggested as a marker of LV longitudinal systolic function which is technically easier to obtain and correlates with MAPSE and GLS. 12,[14][15][16] Currently there are no published reference intervals for AAPSE in cats and no reports on the diagnostic use of AAPSE in cats with HCM.…”

Section: Introductionmentioning

confidence: 99%

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Aortic annular plane systolic excursion in cats with hypertrophic cardiomyopathy

Dutton,

Spalla,

Seo

et al. 2023

Veterinary Internal Medicne

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BackgroundImpairment of left ventricular (LV) longitudinal function is an early marker of systolic dysfunction in hypertrophic cardiomyopathy (HCM). Aortic annular plane systolic excursion (AAPSE) is a measure of LV longitudinal function in people that has not been evaluated in cats.HypothesisAortic annular plane systolic excursion is lower in cats with HCM compared to control cats, and cats in stage C have the lowest AAPSE.AnimalsOne hundred seventy‐five cats: 60 normal, 61 HCM stage B and 54 HCM stage C cats.MaterialsMulticenter retrospective case‐control study. Electronic medical records from 4 referral hospitals were reviewed for cats diagnosed with HCM and normal cats. HCM was defined as LV wall thickness ≥6 mm and normal cats ≤5 mm. M‐mode bisecting the aorta in right parasternal short‐axis view was used to measure AAPSE.ResultsAortic annular plane systolic excursion was lower in HCM cats compared to normal cats (3.9 ± 0.9 mm versus 4.6 ± 0.9 mm, P < .001) and was lowest in HCM stage C (2.4 ± 0.6 mm, P < .001). An AAPSE <2.9 mm gave a sensitivity of 83% (95% CI 71%‐91%) and specificity of 92% (95% CI 82%‐97%) to differentiate HCM stage C from stage B. AAPSE correlated with mitral annular plane systolic excursion (r = .6 [.4‐.7], P < .001), and atrial fractional shortening (r = .6 [.5‐.7], P < .001), but showed no correlation with LV fractional shortening.Conclusions and Clinical ImportanceAortic annular plane systolic excursion is an easily acquired echocardiographic variable and might be a new measurement of LV systolic performance in cats with HCM.

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Section: Discussionmentioning

confidence: 66%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Aortic annular plane systolic excursion in cats with hypertrophic cardiomyopathy

Dutton,

Spalla,

Seo

et al. 2023

Veterinary Internal Medicne

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“…Jingi et al also studied the aortic root motion and derived a formula to calculate EF based on ARSE, LVEF (%) = 29 × In [ARSE]. [5] This formula is applicable even in patients with severe LV dysfunction. Hence, these findings are in agreement with the findings of our study.…”

Section: Discussionmentioning

confidence: 99%

Correlation of Aortic Root Movement with Left Ventricular Function

Imran

2023

IJCDW

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Objectives: The motion of structures of the heart is the basis for cardiac function. Factors such as low image quality and low signal-to-noise ratio create hindrances in the adequate valuation of left ventricular (LV) systolic and diastolic function. Even in cases with poor image quality, the aorta being a large structure is well visualized. One of the unorthodox approaches to the assessment of heart function is the study of aortic root movement. Materials and Methods: We studied patients who came to the Nizam Institute of Medical Sciences. The ethics committee of the institute approved our study. We studied 85 patients who came to the emergency or outpatient department with or without various cardiovascular problems. We have included patients who presented with myocardial infarction, arrhythmia, and heart failure, cerebrovascular accident. We measured the constants pertaining to the aortic root motion and LV function with the standard parameters of echocardiography. Then, we aimed to check for a correlation between aortic root movement parameters and the LV function of the heart. Patients filling the inclusion criteria were enrolled in the study after taking informed consent. The data from the participants were collected prospectively. We recorded the echocardiography according to the standard guidelines. We used the Vivid E9 scanner (GE Vingmed Ultrasound AS) with the M5S-D (1.7–3.3 MHz) cardiac probe to acquire the data. We studied the echocardiographic 2D images and Doppler parameters. We used the parasternal long axis view as well as the parasternal short axis view to measure the aortic movement. Results: We included a total number of 85 patients as per the defined criteria among which 22 (25.88%) are females and 63 (74.11%) are males. The average age of enrolled participants was 56.30 years (±14.95 years). The mean age of the patients was 56.3 ± 14.9. About 75% of the subjects had LV dysfunction and the remaining had normal lv function. Sixty-five patients had LV dysfunction either due to ischemic or non-ischemic cardiomyopathy. We, then, checked for the relationship between the aortic root constants and the LV function parameters. We found the mean value of aortic root diastolic distance (ARDD) as 2.59 ± 0.43 cm and. The aortic root maximal diastolic velocity (ARDV) was 10.8 ± 2.4 cm/s. The aortic root systolic distance (ARSD) was 2.71 ± 0.65 cm. The aortic root maximal systolic velocity (ARSV) was 7.92 ± 2.26 cm/s. Mean aortic root excursion was 4.3 mm. Aortic root systolic excursion (ARSE) showed a parallel relation with LV function (r up to 0.7). We found ARSD and ARSV correlating weakly with systolic Doppler parameters, such as ejection fraction (EF), maximum annular plane systolic excursion (MAPSE), and s' medial. ARSE was an exception that it showed a good correlation with s’medial r = 0.746 (P < 0.001), EF r = 0.807 (P < 0.001), and MAPSE r = 0.68 (P < 0.001). The ARDD and ARDV related poorly with LV diastolic parameters such as e' mean, e' medial, e' lateral, E/A, and E/e’. E velocity, E/A, and E/e’mean showed a negative correlation with ARDV. ARDD (r up to 0.02) and ARSD (all r values < 0.40) did not correlate with the LV Doppler measurements. ARDV correlated (r up to 0.51) with some LV diastolic Doppler parameters and ARSV correlated in moderate range only with mitral annulus plane systolic excursion (r = 0.31). In fact, we found that ARDD is related better than ARDV with Doppler measurements. Conclusion: In our study, we included subjects with cardiovascular diseases and we conclude that systolic aortic root motion correlates significantly with systolic LV function, the most essential being the aortic root systolic velocity. We found that the diastolic root motion parameters correlated weakly with the diastolic LV function. In patients with poor echo windows, aortic root motion may be helpful in predicting LV function in patients with or without LV dysfunction.

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“…Furthermore, aortic root has high echogenicy and ARSE can easily be imagined by M-mode echocardiography. 9,10 However, the ARSE in patients with HFpEF is not clearly investigated. We hypothesized that aortic root systolic excursion (ARSE) as a simple echocardiographic marker, could predict exercise tolerance in subjects with HFpEF.…”

Section: Introductionmentioning

confidence: 99%

Aortic root systolic excursion and its association with exercise tolerance in patients with heart failure with preserved ejection fraction

Mahfouz¹,

Gad²,

Arab³

et al. 2021

JCCR

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Subjects & methodsEighty subjects with HFpEF were enrolled for the research (mean age 53.5±11.3 y, 45% of them were female). The study included patients with: (1) typical symptoms of HF; (2) LVEF more than 50%;(3) abnormal LV relaxation, blunted early mitral annular velocity (e'); high E/e' and B-type natriuretic peptide (BNP) >400pg/ml. 11,12 They were compared with 80 healthy subjects, who matched with patients in age and sex.We excluded patients with Acute Myocardial Infarction, unstable angina, pacemaker implantation, dilated left ventricle, cardiomyopathy, and valvular heart problems, atrial fibrillation, chronic obstructive and

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Correlations of left ventricular systolic function indices with aortic root systolic excursion (ARSE): A cross-sectional echocardiographic study

Cited by 4 publications

References 20 publications

Aortic annular plane systolic excursion in cats with hypertrophic cardiomyopathy

Aortic annular plane systolic excursion in cats with hypertrophic cardiomyopathy

Correlation of Aortic Root Movement with Left Ventricular Function

Aortic root systolic excursion and its association with exercise tolerance in patients with heart failure with preserved ejection fraction

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