Effect of food intake on myocardial performance index

Gårdinger, Ylva; Dieden, Anna; Hlebowicz, Joanna; Björgell, Ola; Dencker, Magnus

doi:10.1186/s12947-017-0101-z

Cited by 4 publications

(10 citation statements)

References 26 publications

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“…[13][14][15] Indeed, researchers have previously used DTI-obtained right ventricular parameters to detect early lesions in diabetic patients. 16 This study showed that DTI can accurately reflect RV systolic and diastolic function along the long axis and provide a basis for diagnosing CSFP patients. Specifically, when E/A is less than one, right ventricular diastolic function is normal.…”

Section: Discussionmentioning

confidence: 72%

Application and clinical significance of tissue ultrasound for assessment of right ventricular diastolic function in patients with coronary slow flow

Zhu¹,

Xu²,

Wei³

et al. 2022

Pak J Med Sci

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Objectives: To evaluate right ventricular diastolic function in patients with coronary slow flow phenomenon (CSFP) by using Doppler tissue imaging (DTI). Methods: CSFP patients diagnosed using coronary angiography from June 2019 to December 2020 at the third Hospital of Quzhou were retrospectively investigated, with a similar number of patients with normal coronary blood flow during the same period taken as the control group. Right ventricular systolic and diastolic function index was measured via DTI. Results: No differences were found between CSFP and control groups in terms of baseline data, RV end systolic diameter, RV end diastolic diameter, or RV ejection fraction. The peak velocity E in the early diastolic phase of the right ventricle was decreased in CSFP patients, while the peak velocity a in the late diastolic phase of the right ventricle was increased, resulting in a lower E / a ratio. Conclusions: Right ventricular diastolic function in patients with CSFP is decreased, and this can be identified using DTI. DTI has important applicative value for evaluating right ventricular diastolic function in patients with CSFP. doi: https://doi.org/10.12669/pjms.38.4.5342 How to cite this:Zhu X, Xu X, Wei Z, Zhu Z. Application and clinical significance of tissue ultrasound for assessment of right ventricular diastolic function in patients with coronary slow flow. Pak J Med Sci. 2022;38(4):---------. doi: https://doi.org/10.12669/pjms.38.4.5342 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 72%

Application and clinical significance of tissue ultrasound for assessment of right ventricular diastolic function in patients with coronary slow flow

Zhu¹,

Xu²,

Wei³

et al. 2022

Pak J Med Sci

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“…[1][2][3][4] Digestion of food is known to alter hemodynamics, [5][6][7] and we have previously shown that both systolic and diastolic functions are affected significantly when comparing echocardiographic exams during fasting and after a meal in a young population. [8][9][10][11] Though the findings might not be of consequence for clinical evaluations in everyday practice, they suggest that the effects of food consumption should be considered, in studies, especially if the sample size is small. [8][9][10][11] The cardiovascular system changes with increasing age, both physiologically and not so rarely pathologically.…”

Section: Introductionmentioning

confidence: 95%

“…[8][9][10][11] Though the findings might not be of consequence for clinical evaluations in everyday practice, they suggest that the effects of food consumption should be considered, in studies, especially if the sample size is small. [8][9][10][11] The cardiovascular system changes with increasing age, both physiologically and not so rarely pathologically. [12][13][14][15][16] Hence, senior people are an important target group in cardiovascular studies.…”

Section: Introductionmentioning

confidence: 95%

Effect of food intake on echocardiographic measurements in healthy elderly

et al. 2022

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Objective: This study evaluates whether food intake affects systolic and diastolic echocardiographic measurements in healthy seniors.Methods: Thirty healthy subjects 65-70 years of age were investigated with echocardiography, at fasting and then 30, 90, and 180 min after a meal. Results:After 30 min the biggest changes were seen in left ventricular wall stress and myocardial performance index with a decrease of 45% and 33%, respectively, compared to fasting values. Significant (p < .05) increases also were seen in left ventricular stroke volume, left ventricular cardiac output, left ventricular cardiac index, left ventricular outflow velocity-time integral, peak of early diastolic (E) and late diastolic (A) mitral flow velocities, the E/A ratio, pulsed tissue Doppler peak systolic (s') and early (e') and late (a') diastolic velocities, pulmonary vein peak velocities in systole (S) and diastole (D), mitral annular plane systolic excursion (MAPSE), tricuspid annular plane systolic excursion (TAPSE), and global longitudinal strain (GLS) (increases ranging 6%-19%). After 90 min there remained a decrease in wall stress and myocardial performance index of 31% and 17%, respectively, and smaller, but still significant, changes could be seen in left ventricular stroke volume, left ventricular outflow velocity-time integral, MAPSE (lateral), TAPSE, GLS, and a few pulsed tissue Doppler peak systolic velocities and late diastolic velocities. An increase also could be seen in deceleration time of E-wave (DT). After 180 min, all variables except DT were back at baseline or below. No significant changes were seen in S/D ratio, lateral early diastolic velocity (e' lateral) and E/e'ratio. Conclusions:This study shows that food intake affects commonly used echocardiographic parameters, both systolic and diastolic, in healthy seniors. With a few exceptions, the changes seen in the older population were less pronounced than previous studies in younger subjects.

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“…For instance, we did not have information on food intake, which is known to influence the MPI as obtained by the conventional method. 21 However, the data were collected according to a structured chart as part of the CT protocol, which reduces the bias regarding data collection. We adjusted for the SCORE chart risk factors; however, we did not have biochemical information on cholesterol levels, so we could not adjust for this parameter.…”

Section: M Itati O N Smentioning

confidence: 99%

“…Accordingly, the study is limited by some details not being available. For instance, we did not have information on food intake, which is known to influence the MPI as obtained by the conventional method 21 . However, the data were collected according to a structured chart as part of the CT protocol, which reduces the bias regarding data collection.…”

Section: Limitationsmentioning

confidence: 99%

Myocardial performance index is associated with cardiac computed tomography findings in patients with suspected coronary artery disease

et al. 2020

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Background Studies suggest cardiac time intervals to be associated with cardiac ischemia. A novel method to assess cardiac time intervals by tissue Doppler echocardiography has been proposed. Cardiac time intervals can assess the myocardial performance index (MPI), which quantifies the proportion of time spent contributing effective myocardial work. We hypothesized that MPI associates with coronary artery lesions detected by cardiac computed tomography (CT) in patients suspected of coronary artery disease (CAD). Methods We investigated patients referred for cardiac CT under suspicion of CAD who had an echocardiogram performed. Curved m‐mode tissue Doppler imaging was used to measure cardiac time intervals and MPI. The outcome was coronary artery lesions, defined as a calcium score > 400 and/or coronary artery stenosis (>70% luminal narrowing). Logistic regression was applied with multivariable models including: (a) SCORE chart risk factors and (b) SCORE chart risk factors, body mass index, dyslipidemia, familial history of CAD, diabetes mellitus, LVEF, and left ventricular mass index. Results Of 404 patients, 41 (10%) had a coronary artery lesion. Overall, 42% were male, mean age was 58 years, and LVEF was 58%. Patients with coronary artery lesions exhibited higher MPI than those without (0.52 vs. 0.44, P < .001). MPI associated with coronary artery lesions in unadjusted analyses (OR = 1.69 [1.30–2.19], per 0.1 increase), and this association persisted when adjusted for SCORE chart risk factors (OR = 1.55 [1.16–2.07], P = .003, per 0.1 increase), and additional risk factors (OR = 1.64 [1.11–2.41], P = .013, per 0.1 increase). Conclusion Curved m‐mode‐derived MPI is associated with coronary artery lesions detected by cardiac CT in suspected CAD patients.

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Effect of food intake on myocardial performance index

Cited by 4 publications

References 26 publications

Application and clinical significance of tissue ultrasound for assessment of right ventricular diastolic function in patients with coronary slow flow

Application and clinical significance of tissue ultrasound for assessment of right ventricular diastolic function in patients with coronary slow flow

Effect of food intake on echocardiographic measurements in healthy elderly

Myocardial performance index is associated with cardiac computed tomography findings in patients with suspected coronary artery disease

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