Transient ischemia induced by dobutamine-stress results in distortion of regional and global left ventricular geometry

Marie Arsenault, Banthit Khankirawatana, Erick Avelar, Leng Jiang, Thomas Richard Porter, Navroz Masani, Natesa Pandian

Research output: Contribution to journalArticle

Abstract

Using quantitative echocardiographic shape analysis algorithms, we have previously shown in a canine model that acute ischemia affects regional and global geometry of the LV, thereby influencing regional wall stress distribution and global function. While shape abnormalities have been described in infarcted human myocardium, how distinctly they evolve during transient ischemia is not known. We assessed this in this study during transient ischemia induced by dobutamine stress echo (DSE) in 15 pts and compared the data with 20 subjects with normal DSE (N). The pts with positive DSE had predominantly single territory wail motion abnormalities but normal LV in baseline. In short-axis (SAX) and apical long-axis (LAX) and parasternal short-axis (SAX) echo views, digitized endocardial outlines were analyzed to derive an index of global LV shape (Fourier Power index, PI, unitless) and regional shape (curvature, C, unitless) Results: SAX: Ischemia produced distortion of global LV shape ie. a less circular cavity in systole (PI in N:1±0.7 Isch: 2±0.5). Diastolic shape showed no difference. In systole LV was rounder at peak stress (N PI: 49±5 [sch: 32±5). and the curvature at the ischemic apical region was blunter (N C: 43±4 Isch: 32±3). The C abnormalities corresponded well to the ischemic region. Thus, in transient ischemia, the predominant shape abnormality is during systole; systolic deformation attenuates chamber elongation, contributing to the disruption of normal LV shape. The quantitative regional and global shape analysis yields a new approach to study LV remodeling in different forms of ischemia.

Original languageEnglish (US)
Number of pages1
JournalJournal of the American Society of Echocardiography
Volume10
Issue number4
StatePublished - Dec 1 1997
Externally publishedYes

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Dobutamine
Ischemia
Systole
Canidae
Myocardium

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Transient ischemia induced by dobutamine-stress results in distortion of regional and global left ventricular geometry. / Arsenault, Marie; Khankirawatana, Banthit; Avelar, Erick; Jiang, Leng; Porter, Thomas Richard; Masani, Navroz; Pandian, Natesa.

In: Journal of the American Society of Echocardiography, Vol. 10, No. 4, 01.12.1997.

Research output: Contribution to journalArticle

Arsenault, Marie ; Khankirawatana, Banthit ; Avelar, Erick ; Jiang, Leng ; Porter, Thomas Richard ; Masani, Navroz ; Pandian, Natesa. / Transient ischemia induced by dobutamine-stress results in distortion of regional and global left ventricular geometry. In: Journal of the American Society of Echocardiography. 1997 ; Vol. 10, No. 4.
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