Application of three-dimensional speckle tracking echocardiography to assess left ventricular regional work using wall tension-regional area loop

American Journal of Physiology. Heart and Circulatory Physiology
Ayana HiokiSatoshi Nakatani

Abstract

Three-dimensional (3-D) speckle tracking echocardiography allows us to track a change in regional endocardial surface area. The change of regional area during a cardiac cycle should be useful for assessing left ventricular regional work. We investigated the feasibility of assessing regional work, calculated as the area within the wall tension-regional area (T-A) loop using 3-D echocardiography. Three-dimensional full-volume images were acquired using 3-D echocardiography (Artida, Toshiba) at baseline and during brief occlusion of the left circumflex coronary artery in eight dogs. Wall tension was calculated according to Laplace's law for a spherical model. Area change ratio (in %) determined by area tracking was transformed into a change of regional area (in cm(2)) by a custom software. We calculated the area within the T-A loop (TAA) in the area under transient ischemia (risk area) and the remote area as regional work and validated the T-A loop method by comparing the global integral of TAA with the total work assessed by the pressure-volume loop. During coronary occlusion, regional work for the risk area significantly decreased (baseline vs. occlusion, 26.8 ± 10.7 vs. 18.4 ± 7.8 mmHg·cm(3); P < 0.05), whereas that for the rem...Continue Reading

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Citations

Jun 1, 2021·International Journal for Numerical Methods in Biomedical Engineering·Chen Onn LeongEinly Lim

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