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Evaluation of the effect of mitral stenosis severity on the left ventricular systolic function using isovolumic myocardial acceleration
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Abstract
Background: Isovolumic acceleration (IVA) is a new tissue Doppler parameter in the assessment of systolic function of both left and right ventricles. It remains unaffected with the changes in pre- and after-load within the physiological range. The aim of our study was to assess the effect of mitral stenosis degree, which is determined by echocardiography, on the left ventricular (LV) function using IVA.
Methods: A total number of 62 patients with mitral stenosis (MS) and 32 healthy controls were examined. The severity of MS (mild, moderate, and severe) was determined on the basis of mitral valve area (MVA) and the mean diastolic mitral gradient findings. The peak myocardial velocities during isovolumic contraction, systole, early diastole and late diastole were measured by using tissue Doppler imaging (TDI).
Results: All TDI-derived global LV basal wall systolic (peak myocardial isovolumic contraction velocity, peak myocardial systolic velocity and IVA), and diastolic velocities (peak early and late diastolic velocities) were significantly decreased in the patients with MS, compared to the healthy patients (p < 0.001, for all). However, IVA was not different when the degree of MS was evaluated (p = 0.114). In addition, IVA was not correlated with the MVA (r = 0.185, p = 0.150).
Conclusions: Left ventricular function is impaired in patients with MS regardless of the severity of the disease.
Abstract
Background: Isovolumic acceleration (IVA) is a new tissue Doppler parameter in the assessment of systolic function of both left and right ventricles. It remains unaffected with the changes in pre- and after-load within the physiological range. The aim of our study was to assess the effect of mitral stenosis degree, which is determined by echocardiography, on the left ventricular (LV) function using IVA.
Methods: A total number of 62 patients with mitral stenosis (MS) and 32 healthy controls were examined. The severity of MS (mild, moderate, and severe) was determined on the basis of mitral valve area (MVA) and the mean diastolic mitral gradient findings. The peak myocardial velocities during isovolumic contraction, systole, early diastole and late diastole were measured by using tissue Doppler imaging (TDI).
Results: All TDI-derived global LV basal wall systolic (peak myocardial isovolumic contraction velocity, peak myocardial systolic velocity and IVA), and diastolic velocities (peak early and late diastolic velocities) were significantly decreased in the patients with MS, compared to the healthy patients (p < 0.001, for all). However, IVA was not different when the degree of MS was evaluated (p = 0.114). In addition, IVA was not correlated with the MVA (r = 0.185, p = 0.150).
Conclusions: Left ventricular function is impaired in patients with MS regardless of the severity of the disease.
Keywords
isovolumic acceleration, mitral stenosis, left ventricular function, tissue Doppler imaging
About this articleTitle
Evaluation of the effect of mitral stenosis severity on the left ventricular systolic function using isovolumic myocardial acceleration
Journal
Issue
Pages
442-448
Published online
2014-08-29
Page views
2600
Article views/downloads
2253
DOI
10.5603/CJ.a2013.0114
Bibliographic record
Cardiol J 2014;21(4):442-448.
Keywords
isovolumic acceleration
mitral stenosis
left ventricular function
tissue Doppler imaging
Authors
Mehmet Erturk
Hale Unal Aksu
Omer Celik
Fatih Uzun
Ozgur Akgul
Hamdi Pusuroglu
Ali Kemal Kalkan
Ahmet Arif Yalcin
Muhammet Hulusi Satilmisoglu
Mustafa Kemal Erol
