Staff Members - Benha University
Patients with Pulmonary Hypertension Exhibit Right Ventricular Dyssynchrony, a Tissue Doppler Study
heart mirror • 2011
Publication Information
Authors
Shaimaa Mustafa, MD1 and Zeinab Ashour, MD2
Keywords
Not Available
Journal
heart mirror
Publisher
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Volume
Not Available
Issue
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Pages
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publication.type
International
Paper Link
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Supplementary Materials
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Abstract
Background Tissue Doppler imaging (TDI) has provided an objective way to quantify global and regional
left ventricular (LV) and right ventricular (RV) function with improved accuracy and greater
reproducibility than conventional echocardiography.
Objective This study was conducted to assess the effect of pulmonary hypertension on the right ventricular
function.
Methods A total of 30 patients with PHT (GP1, mean PASP 56±12mmHg, mean age 43.7±11 years )
and 30 healthy age and gender matched volunteers (GP2, mean PASP 20±12 6mmHg, mean
age 45.6±10 years) underwent standard Doppler echocardiography and TDI. Systolic (Sm),
early- and late-diastolic (Em and Am) peak velocities of the basal left and right ventricular
segments were evaluated in the apical 4 chamber view. RV dyssynchrony was assessed by the
myocardial systolic activation delay. This was defined as the difference in time to peak TDI
systolic velocities between the RV basal lateral wall and basal septal and the difference in time
to peak TDI systolic velocities between the RV basal lateral wall and LV basal lateral wall.
Also, RA area, RV end-diastolic (RVEDA) and end-systolic areas (RVESA) were measured to
calculate RV fractional area (RAFAC) change from the same apical 4-chamber view.
Results Gp1 had increased RA area (25.3±5 vs 11±1cm², P
left ventricular (LV) and right ventricular (RV) function with improved accuracy and greater
reproducibility than conventional echocardiography.
Objective This study was conducted to assess the effect of pulmonary hypertension on the right ventricular
function.
Methods A total of 30 patients with PHT (GP1, mean PASP 56±12mmHg, mean age 43.7±11 years )
and 30 healthy age and gender matched volunteers (GP2, mean PASP 20±12 6mmHg, mean
age 45.6±10 years) underwent standard Doppler echocardiography and TDI. Systolic (Sm),
early- and late-diastolic (Em and Am) peak velocities of the basal left and right ventricular
segments were evaluated in the apical 4 chamber view. RV dyssynchrony was assessed by the
myocardial systolic activation delay. This was defined as the difference in time to peak TDI
systolic velocities between the RV basal lateral wall and basal septal and the difference in time
to peak TDI systolic velocities between the RV basal lateral wall and LV basal lateral wall.
Also, RA area, RV end-diastolic (RVEDA) and end-systolic areas (RVESA) were measured to
calculate RV fractional area (RAFAC) change from the same apical 4-chamber view.
Results Gp1 had increased RA area (25.3±5 vs 11±1cm², P