Relationship between left ventricular ejection fraction and mitral annular displacement derived by speckle tracking echocardiography in patients with different heart diseases

Suzuki, Kazuhiro; Akashi, Yoshihiro J.; Mizukoshi, Kei; Kou, Seisyou; Takai, Manabu; Izumo, Masaki; Hayashi, Akio; Ohtaki, Eiji; Nobuoka, Sachihiko; Miyake, Fumihiko

doi:10.1016/j.jjcc.2012.01.014

Cited by 37 publications

(25 citation statements)

References 29 publications

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“…S′ has a limitation of angle dependency which can be measured only in the ultrasound beam direction. In comparison of TMAD and S′ in various cardiac diseases and normal controls, previous reports recommended the use of TMAD for the evaluation of longitudinal systolic function …”

Section: Discussionmentioning

confidence: 99%

“…[7][8][9][10][11][12] Reduced GLS has been shown as a predictor of long-term LV dysfunction after MV surgery in patients with organic MR. [9][10][11][12] However, measurement of GLS requires analysis of three apical views with good visualization of all the LV segments. Application of speckle-tracking technology to the mitral annulus provides a quick assessment of tissue-tracking mitral annular displacement (TMAD) at the lateral, septal, and midpoint between these portions of the mitral annulus relative to the apex during one cardiac beat [15][16][17][18][19] and can be performed more rapidly than GLS. 17,18 TMAD has been reported to be a sensitive and reproducible method for assessment of longitudinal systolic function, and it does not depend on endocardial definition.…”

Section: Introductionmentioning

confidence: 99%

“…Application of speckle-tracking technology to the mitral annulus provides a quick assessment of tissue-tracking mitral annular displacement (TMAD) at the lateral, septal, and midpoint between these portions of the mitral annulus relative to the apex during one cardiac beat [15][16][17][18][19] and can be performed more rapidly than GLS. 17,18 TMAD has been reported to be a sensitive and reproducible method for assessment of longitudinal systolic function, and it does not depend on endocardial definition. 16,17 This simple index may be useful for assessment of decreased LV longitudinal deformation in asymptomatic patients with organic MR.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of decreased left ventricular longitudinal deformation in asymptomatic patients with organic mitral regurgitation and preserved ejection fraction using tissue‐tracking mitral annular displacement by speckle‐tracking echocardiography

et al. 2019

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Background Application of speckle‐tracking echocardiography (STE) provides rapid assessment of tissue‐tracking mitral annular displacement (TMAD). We investigated the value of TMAD for the assessment of decreased LV longitudinal deformation in asymptomatic patients with severe or moderate‐to‐severe mitral regurgitation (MR) and preserved LV ejection fraction (LVEF). Methods We retrospectively studied 50 patients with severe or moderate‐to‐severe organic MR and preserved LVEF (>60%) in whom global longitudinal strain (GLS) was successfully measured by STE. TMAD was quickly assessed in the apical four‐chamber view using STE. We calculated the percentage of TMAD to LV length from the midpoint of mitral annulus to the apex at end‐diastolic (%TMAD). The study population was divided into two groups: decreased GLS patients (>−20%; Group A) and preserved GLS patients (≤−20%; Group B). We examined whether %TMAD could be used as a diagnostic factor of decreased GLS. Results %TMAD was significantly lower in Group A than Group B (12.5 ± 0.5 vs 16.8 ± 2.2, P < 0.0001). By univariate logistic regression analysis, %TMAD was a diagnostic factor of decreased GLS. By multiple regression analysis, %TMAD remained an independent diagnostic factor of decreased GLS (Odds ratio [OR] = 4.21, 95% confidence interval [CI] = 1.34–28.94, P < 0.0001). A cutoff value of %TMAD <14.6 had a sensitivity of 94% and specificity of 94% for the presence of decreased GLS. Conclusions Tissue‐tracking mitral annular displacement is useful in the assessment of decreased LV longitudinal deformation in asymptomatic patients with severe or moderate‐to‐severe MR and preserved LVEF.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessment of decreased left ventricular longitudinal deformation in asymptomatic patients with organic mitral regurgitation and preserved ejection fraction using tissue‐tracking mitral annular displacement by speckle‐tracking echocardiography

et al. 2019

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“…17 However, this method is highly dependent on image quality. [26][27][28] Thus, we attempted to apply this technique to the lateral and septal tricuspid annulus for the assessment of RV systolic dysfunction. Several studies have shown that this method can be used for the assessment of left ventricular systolic dysfunction.…”

Section: Introductionmentioning

confidence: 99%

“…Several studies have shown that this method can be used for the assessment of left ventricular systolic dysfunction. [26][27][28] Thus, we attempted to apply this technique to the lateral and septal tricuspid annulus for the assessment of RV systolic dysfunction. This STE technique provides tracking of the midpoint of tricuspid annular plane displacement, which reflects not only lateral but also septal annular wall motion without angle dependence.…”

Section: Introductionmentioning

confidence: 99%

Value of tissue‐tracking tricuspid annular plane by speckle‐tracking echocardiography for the assessment of right ventricular systolic dysfunction

et al. 2018

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Background: Assessment of right ventricular (RV) function remains challenging because of its complex geometry. Application of speckle-tracking echocardiography (STE) to the tricuspid annulus provides rapid and automated assessment of the midpoint of the tricuspid annular plane displacement (TAD). The aim of this study was to investigate the value of tissue-tracking TAD for the assessment of RV systolic dysfunction. Methods:We retrospectively studied 61 patients in whom RV ejection fraction (EF) measured by 3-dimensional echocardiography was performed. STE-derived displacement of the midpoint between the septal and lateral tricuspid annulus and its percentage of RV length at end-diastole (MTAD) were automatically assessed. We performed comparative analyses between the RVEF ≥45% group and the RVEF <45% group in each parameter for the assessment of RV systolic function.Results: MTAD was successfully assessed in 56 (91.2%). According to receiver operating characteristics analysis, RVEF <45% was best detected by MTAD <14.7% with area under curve (AUC) 0.97, sensitivity 93%, specificity 95%, followed by RV free wall longitudinal strain (AUC 0.86), RV fractional area change (AUC 0.84), tricuspid annular plane systolic excursion (AUC 0.79), and systolic peak velocity of tricuspid annulus (AUC 0.70), although there was no significant difference between MTAD and RV free wall strain (P = 0.14). Conclusion:The present study showed that MTAD was simple index and useful for the assessment of RV systolic dysfunction. K E Y W O R D Sright ventricular function, three-dimensional echocardiography | 111 MANIWA et Al.

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Comparison of left ventricular longitudinal systolic function parameters in the prediction of adverse outcome in heart failure with preserved ejection fraction

et al. 2021

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Aims Several different diagnostic parameters can be used to assess left ventricular (LV) longitudinal systolic function, but no studies comparing their predictive value have been conducted. We sought to compare the prognostic value of LV long-axis function parameters at rest and exercise using the population with heart failure with preserved ejection fraction (HFpEF). Methods and results Clinical and biochemical variables were collected at baseline in 201 patients with HFpEF. Echocardiography was performed at rest and immediately after exercise, with measurement of mitral annular plane systolic excursion, systolic tissue velocity (s′), global longitudinal strain (GLS), and global longitudinal strain rate (GLSR). Participants were followed for 48 (24-60) months for heart failure hospitalization and cardiovascular death. Seventy-four patients (36.8%) met the study endpoint. Cox regression analysis revealed that after adjustment for Meta-Analysis Global Group in Chronic Heart Failure risk score, brain natriuretic peptide (BNP), and peak VO 2 , heart failure hospitalization and cardiovascular death were significantly associated with GLS at rest [hazard ratio (HR) 0.91; 95% confidence interval (CI) 0.84-0.98; P = 0.016], GLS after exercise (HR 0.84; 95% CI 0.77-0.91; P < 0.001), and GLSR after exercise (HR 0.13; 95% CI 0.04-0.48; P = 0.002). The addition of each of the following: exercise GLS and GLSR and resting GLS to the base model including Meta-Analysis Global Group in Chronic Heart Failure, BNP, and peak VO 2 improved predictive power for the study endpoint [net reclassification improvement (NRI) = 49%, P < 0.001; NRI = 42%, P = 0.004; and NRI = 38%, P = 0.009, respectively]. Exercise GLS was the only longitudinal parameter significantly improving c-statistics of the base model (0.68 vs. 0.73; P = 0.047). Conclusions Echocardiographic parameters of LV longitudinal function are not equipotential in predicting adverse outcomes in HFpEF. LV deformation indices, especially assessed with exercise, show the highest predictive utility independent from and incremental to clinical data and BNP.

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Relationship between left ventricular ejection fraction and mitral annular displacement derived by speckle tracking echocardiography in patients with different heart diseases

Abstract: The specificity in the correlation between STE-derived MAD and LVEF was found in patients with each heart disease, which should be taken into account when assessing these parameters.

Cited by 37 publications

References 29 publications

Assessment of decreased left ventricular longitudinal deformation in asymptomatic patients with organic mitral regurgitation and preserved ejection fraction using tissue‐tracking mitral annular displacement by speckle‐tracking echocardiography

Assessment of decreased left ventricular longitudinal deformation in asymptomatic patients with organic mitral regurgitation and preserved ejection fraction using tissue‐tracking mitral annular displacement by speckle‐tracking echocardiography

Value of tissue‐tracking tricuspid annular plane by speckle‐tracking echocardiography for the assessment of right ventricular systolic dysfunction

Comparison of left ventricular longitudinal systolic function parameters in the prediction of adverse outcome in heart failure with preserved ejection fraction

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