Real-time Three-dimensional Echocardiography to Construct Clinically Ready, Load-independent Indices of Myocardial Contractile Performance

B. Zane Atkins, Johnny Kuo, Ashish S. Shah, Kelley A. Hutcheson, Donald D. Glower, Olaf T. Von Ramm

Research output: Contribution to journalArticle

Abstract

Backgrouncd: Real-time 3-dimensional echocardiography (RT3DE) reliably determines intracardiac chamber volumes without left ventricular (LV) geometric assumptions, yet clinical assessment of contractile performance is often on the basis of potentially inaccurate, load-dependent indices such as ejection fraction. Methods: In 6 chronically instrumented dogs, RT3DE estimated LV volumes at various loading conditions. Preload recruitable stroke work and end-systolic pressure-volume relationships were constructed. RT3DE-derived indices were compared with similar relationships determined by sonomicrometry. Results: Highly linear preload recruitable stroke work and end-systolic pressure-volume relationships were constructed by RT3DE and sonomicrometry. Mean preload recruitable stroke work slopes correlated between methods, but volume intercepts differed as a result of geometric assumptions of sonomicrometry. Conversely, RT3DE-derived endsystolic pressure-volume relationships did not correlate well with sonomicrometry. Conclusions: These data are unique in reporting load-independent measures of LV performance using RT3DE. These techniques would strengthen evaluation of LV function after myocardial ischemia or cardiac operation, in which frequent changes in ventricular geometry or loading conditions confound functional assessment by more traditional methods.

Original languageEnglish (US)
Pages (from-to)922-930
Number of pages9
JournalJournal of the American Society of Echocardiography
Volume16
Issue number9
DOIs
StatePublished - Sep 2003
Externally publishedYes

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Three-Dimensional Echocardiography
Echocardiography
Stroke
Blood Pressure
Left Ventricular Function
Myocardial Ischemia
Dogs
Pressure

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Real-time Three-dimensional Echocardiography to Construct Clinically Ready, Load-independent Indices of Myocardial Contractile Performance. / Atkins, B. Zane; Kuo, Johnny; Shah, Ashish S.; Hutcheson, Kelley A.; Glower, Donald D.; Von Ramm, Olaf T.

In: Journal of the American Society of Echocardiography, Vol. 16, No. 9, 09.2003, p. 922-930.

Research output: Contribution to journalArticle

Atkins, B. Zane ; Kuo, Johnny ; Shah, Ashish S. ; Hutcheson, Kelley A. ; Glower, Donald D. ; Von Ramm, Olaf T. / Real-time Three-dimensional Echocardiography to Construct Clinically Ready, Load-independent Indices of Myocardial Contractile Performance. In: Journal of the American Society of Echocardiography. 2003 ; Vol. 16, No. 9. pp. 922-930.
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