Non-invasive determination of left ventricular relaxation time constant by transthoracic Doppler echocardiography

Wen Chung Yu, Kuan Rau Chiou, Yao Ping Lin, Wen Hsin Lee, Wen Bin Huang, Chen Huan Chen

研究成果: 雜誌貢獻文章

3 引文 斯高帕斯(Scopus)

摘要

Background. Left ventricular (LV) relaxation time constant (Tau) is a relatively load-independent index of diastolic function in the evaluation of heart failure. However, the requirement of high-fidelity intraventricular pressure recording limits its clinical utility. In the present study, we investigated whether Tau could be estimated noninvasively. Methods. Thirty-seven patients indicated for cardiac catheterization were recruited for study. Echocardiography and cardiac catheterization with high-fidelity LV pressue recording were performed sequentially within 1 hour. The non-invasive Taud,Dopp was derived from the formula: TauDopp = IVRTDopp/ [ln(Ps) - ln(10)], where IVRT is the isovolumic relaxation time measured by Doppler echocardiography and Ps is systolic blood pressure measured during the echocardiographic examination. The invasive TauLM was determined by non-linear least-square parameter estimate technique, using the exponential equation: Pv = P0e-t/Tau + b, where Pv is the instantaneous LV pressure, P0 is LV pressure at minimal dP/dt, and b is the theoretical asymptote. The difference between TauDopp and TauLM was compared using paired t-test, and their relation was evaluated using simple correlation and intra-class correlation coefficient. Results. IVRTDopp was significantly correlated with the invasively derived IVRT (r = 0.42, p = 0.012). The completely non-invasive TauDopp was significantly correlated with the direct curve-fitted TauLM (r = 0.41; p = 0.013), and the intraclass correlation coefficient was 0.29 (p 0.04). In addition, TauDopp was significantly smaller than TaULM (36 ± 6 ms vs. 57 ± 15 ms,p < 0.001). Conclusions. Tau can be estimated noninvasively by transthoracic Doppler echocardiographic method with limited accuracy. The clinical utility of TauDopp remains to be determined.
原文英語
頁(從 - 到)317-322
頁數6
期刊Journal of the Chinese Medical Association
67
發行號7
出版狀態已發佈 - 七月 1 2004
對外發佈Yes

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ASJC Scopus subject areas

  • Medicine(all)

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