Peripartum Cardiomyopathy Associated With Left Ventricular Noncompaction Phenotype and Reversible Rigid Body Rotation

Peters, Ferande; Khandheria, Bijoy K.; Santos, Claudia C. dos; Govender, Samantha; Botha, Francois; Essop, Mohammed R.

doi:10.1161/circheartfailure.113.000492

Cited by 10 publications

(8 citation statements)

References 4 publications

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“…In the first case, reversal of LV-RBR followed 6-month heart failure treatment in a woman with postpartum cardiomyopathy with noncompaction phenotype. [10] In the other report, apical and basal LV rotations were in the same counterclockwise direction, suggesting LV-RBR at rest in a patient with stable angina. During dipyridamole stress at peak hyperemia, basal LV rotation becomes clockwise directed, while apical rotation remained counterclockwise oriented.…”

Section: Discussionmentioning

confidence: 83%

Dipyridamole-induced Left ventricular “Rigid Body Rotation” (A case from the three-dimensional speckle tracking echocardiographic MAGYAR-stress study)

Nemes

Szántó

Kalapos

et al. 2019

J Cardiovasc Echography

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Under normal physiological conditions, the direction of systolic rotation of the left ventricular (LV) base is clockwise, and that of the LV apex is counterclockwise resulting in the wringing motion of the LV around its long axis called as LV twist. The present study was designed to present a patient with significant coronary artery disease in whom near absence of LV twist called as LV rigid body rotation could be induced during dipyridamole stress as assessed noninvasively by three-dimensional speckle-tracking echocardiography.

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Section: Discussionmentioning

confidence: 83%

Dipyridamole-induced Left ventricular “Rigid Body Rotation” (A case from the three-dimensional speckle tracking echocardiographic MAGYAR-stress study)

Nemes

Szántó

Kalapos

et al. 2019

J Cardiovasc Echography

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“…Recently, LV-RBR could be demonstrated in different cardiomyopathies [noncompaction (2-7); dilated (8) and hypertensive (9) with reduced systolic funtion], congenital heart diseases [hypoplastic right heart syndrome (10), univentricular heart (11), Ebstein anomaly (12)] and amyloidosis (13). Interestingly, in a woman with postpartum cardiomyopathy with noncompaction phenotype and LV-RBR, 6-month heart failure treatment was associated with reversal of LV-RBR proceeding normally directed LV rotations (7). No structural or functional cardiac alterations, as well as LV wall depositions could be confirmed in our case.…”

Section: Restmentioning

confidence: 99%

“…In some clinical circumstances, rotation at both basal and apical levels of the LV occurred in the same clockwise or counterclockwise direction during systole resulting the near absence of LV twist as called left ventricular "rigid body rotation" (LV-RBR) (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13). Three-dimensional (3D) speckle-tracking echocardiography (STE) is a new technique with potential for noninvasive assessment of LV myocardial movements (14,15).…”

Section: Introductionmentioning

confidence: 99%

Reversal of left ventricular “rigid body rotation” during dipyridamole-induced stress in a patient with stable angina: a case from the three-dimensional speckle tracking echocardiographic MAGYAR-Stress Study

Nemes¹,

Szántó²,

Kalapos³

et al. 2016

Quant. Imaging Med. Surg.

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Abstract:The left ventricular (LV) twist is defined as the wringing motion of the heart around its longaxis in systole caused by oppositely directed counterclockwise apical and clockwise basal rotations resulted from the movement of two orthogonally oriented muscular bands. In some clinical circumstances, rotation at both basal and apical levels of the LV occurred in the same clockwise or counterclockwise direction during systole resulting the near absence of LV twist as called left ventricular "rigid body rotation" (LV-RBR). Hereby we present that LV-RBR normalization of LV rotational mechanics could be demonstrated at maximum hyperaemia during dipyridamole-induced stress by three-dimensional (3D) speckle tracking echocardiography in a patient with stable angina.Keywords: Three-dimensional (3D); stress; speckle tracking; echocardiography; myocardial; mechanics; rigid body rotation Submitted Feb 25, 2016. Accepted for publication Mar 13, 2016Mar 13, . doi: 10.21037/qims.2016 (Motion Analysis of the heart and Great vessels bY threedimensionAl speckle-tRacking echocardiography during Stress protocols), in which among others drug-induced stress-related pathophysiologic consequences were aimed to be examined ('magyar' means 'Hungarian' in Hungarian language). Informed consent was obtained from the patient and the study protocol was approved by the institution's human research committee.Following complete two-dimensional (2D) Doppler echocardiography 3DSTE was performed with the same Toshiba Artida TM echocardiography equipment (Toshiba, Tokyo, Japan) using a 1-4 MHz matrix phased-array PST-25SX transducer (15). Six wedge-shaped subvolumes were acquired within a single breath-hold from the apical window to create full-volume 3D datasets at rest and at peak hyperaemia. Dipyridamole was used as a vasodilator stress agent using standard international protocols. During chamber quantifications 3D Wall Motion Tracking software version 2.7 was used. The apical two-(AP2CH) and four-chamber (AP4CH) views and three short-axis views at different LV levels from the LV base to apex were automatically selected from the 3D echocardiographic pyramidal dataset at end-diastole by the software. Two points of the LV endocardium at the edges of the mitral valve and one at the LV apex were marked manually on the AP2CH and AP4CH views. Then, the 3D endocardial surface was automatically reconstructed and tracked in 3D space throughout the cardiac cycle. Manual adjustments were also performed, if needed. Curves were generated by the software for quantification of global peak apical, midventricular and basal LV rotations at rest and at peak hyperaemia ( Figure 1). No wall motion abnormalities could be detected both in resting conditions and at peak hyperaemia by visual assessment suggesting a negative stress test result. Interestingly, apical and basal LV rotations were in the same counterclockwise direction suggesting LV-RBR at rest. At peak hyperaemia basal LV rotation become clockwisedirected, while apical rotation remained counterclock...

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“…RBR has previously only been demonstrated in a limited number of disorders, including cardiomyopathies (peripartum, 17 hypertensive, 18 dilated with reduced EF 19 and noncompaction 20 ), infiltrative disorders (amyloidosis) 21 and congenital heart disease (univentricular heart 22 and hypoplastic right heart syndrome 23 ). The underlying mechanism is unknown, but the findings presented could be explained by infiltration of the myocardium by lymphoma tissue, as confirmed in some areas by PET/CT.…”

Section: Discussionmentioning

confidence: 99%

Left ventricular rigid body rotation in a diffuse large B-cell lymphoma patient with cardiac involvement: A case from the three-dimensional speckle-tracking echocardiographic MAGYAR-Path Study

Földeák

Kalapos

Domsik

et al. 2017

Revista Portuguesa de Cardiologia

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Secondary myocardial involvement by diffuse large B-cell lymphoma is a rare occurrence. Left ventricular (LV) twist is considered an essential part of LV function. In normal circumstances LV twist results from the movement of two orthogonally oriented muscular bands of a helical myocardial structure with consequent clockwise rotation of the base and counterclockwise rotation of the apex. Three-dimensional (3D) speckle-tracking echocardiography (3DSTE) has been found to be feasible for non-invasive 3D quantification of LV wall motion and rotational mechanics. The present report aimed to assess LV twisting motion in a patient with diffuse large B-cell lymphoma with positron emission tomography/computer tomography-proven cardiac involvement by 3DSTE. During 3DSTE, reduction in some segmental radial, longitudinal, circumferential, area and 3D LV strains were found. Apical and basal LV rotations were found to be in the same counterclockwise direction, confirming near absence of LV twist ---so-called rigid body rotation. 2174-2049Document downloaded from http://www.elsevier.es, day 10/07/2018. This copy is for personal use. Any transmission of this document by any media or format is strictly prohibited. Document downloaded from http://www.elsevier.es, day 10/07/2018. This copy is for personal use. Any transmission of this document by any media or format is strictly prohibited. 145.e2 D. Földeák et al. PALAVRAS-CHAVETridimensional; Speckle-tracking; Ecocardiografia; Linfoma; Rotação; Torção «Rotação corporal rígida» ventricular esquerda num doente com linfoma difuso de células B e envolvimento cardíaco. Um caso de ecocardiografia tridimensional de speckle-tracking ---estudo MAGYAR-PathResumo O envolvimento do miocárdio secundário ao linfoma difuso de células grandes B é uma ocorrência rara. A torção ventricular esquerda (VE) é considerada uma parte essencial da função VE. Em circunstâncias normais, a torção do VE resulta do movimento de uma estrutura miocárdica helicoidal de duas bandas musculares orientadas ortogonalmente, com a consequente rotação no sentido dos ponteiros do relógio da base do VE e rotação contra os ponteiros do relógio do ápex do VE. A ecocardiografia tridimensional (3D) de speckle-tracking (3DSTE) foi considerada adequada para a quantificação 3D não invasiva da contratilidade segmentar VE e da mecânica de rotação. Este artigo tem como objetivo a avaliação do movimento de torção VE por 3DSTE num doente com linfoma difuso de células grandes B e envolvimento cardíaco comprovado por tomografia de emissão de positrões/tomografia. Por 3DSTE foi verificada uma certa redução do strain radial, longitudinal, circunferencial do VE. A rotação dos segmentos basais e apicais do VE foi semelhante, num mesmo sentido, contra os ponteiros do relógio. Ta l conduziu a uma redução marcada da torção do VE ---rigid body rotations. Detetaram-se rotações VE apicais e basais no sentido contrário ao dos ponteiros do relógio, confirmando a ausência próxima da torção VE conforme referido «rotação rígida do corpo».

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Peripartum Cardiomyopathy Associated With Left Ventricular Noncompaction Phenotype and Reversible Rigid Body Rotation

Abstract: The online-only Data Supplement is available at http://circheartfailure.ahajournals.org/lookup/suppl

Cited by 10 publications

References 4 publications

Dipyridamole-induced Left ventricular “Rigid Body Rotation” (A case from the three-dimensional speckle tracking echocardiographic MAGYAR-stress study)

Dipyridamole-induced Left ventricular “Rigid Body Rotation” (A case from the three-dimensional speckle tracking echocardiographic MAGYAR-stress study)

Reversal of left ventricular “rigid body rotation” during dipyridamole-induced stress in a patient with stable angina: a case from the three-dimensional speckle tracking echocardiographic MAGYAR-Stress Study

Left ventricular rigid body rotation in a diffuse large B-cell lymphoma patient with cardiac involvement: A case from the three-dimensional speckle-tracking echocardiographic MAGYAR-Path Study

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