Aortic root movement correlation with the function of the left ventricle

Abstract Echocardiographic assessment of systolic and diastolic function of the heart is often limited by image quality. However, the aortic root is well visualized in most patients. We hypothesize that the aortic root motion may correlate with the systolic and diastolic function of the left ventric...

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Autores principales: Piotr Karwat, Ziemowit Klimonda, Grzegorz Styczyński, Cezary Szmigielski, Jerzy Litniewski
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:8f2151d69b7e42eba32671e80e8f8e022021-12-02T13:33:51ZAortic root movement correlation with the function of the left ventricle10.1038/s41598-021-83278-x2045-2322https://doaj.org/article/8f2151d69b7e42eba32671e80e8f8e022021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-83278-xhttps://doaj.org/toc/2045-2322Abstract Echocardiographic assessment of systolic and diastolic function of the heart is often limited by image quality. However, the aortic root is well visualized in most patients. We hypothesize that the aortic root motion may correlate with the systolic and diastolic function of the left ventricle of the heart. Data obtained from 101 healthy volunteers (mean age 46.6 ± 12.4) was used in the study. The data contained sequences of standard two-dimensional (2D) echocardiographic B-mode (brightness mode, classical ultrasound grayscale presentation) images corresponding to single cardiac cycles. They also included sets of standard echocardiographic Doppler parameters of the left ventricular systolic and diastolic function. For each B-mode image sequence, the aortic root was tracked with use of a correlation tracking algorithm and systolic and diastolic values of traveled distances and velocities were determined. The aortic root motion parameters were correlated with the standard Doppler parameters used for the assessment of LV function. The aortic root diastolic distance (ARDD) mean value was 1.66 ± 0.26 cm and showed significant, moderate correlation (r up to 0.59, p < 0.0001) with selected left ventricular diastolic Doppler parameters. The aortic root maximal diastolic velocity (ARDV) was 10.8 ± 2.4 cm/s and also correlated (r up to 0.51, p < 0.0001) with some left ventricular diastolic Doppler parameters. The aortic root systolic distance (ARSD) was 1.63 ± 0.19 cm and showed no significant moderate correlation (all r values < 0.40). The aortic root maximal systolic velocity (ARSV) was 9.2 ± 1.6 cm/s and correlated in moderate range only with peak systolic velocity of medial mitral annulus (r = 0.44, p < 0.0001). Based on these results, we conclude, that in healthy subjects, aortic root motion parameters correlate significantly with established measurements of left ventricular function. Aortic root motion parameters can be especially useful in patients with low ultrasound image quality precluding usage of typical LV function parameters.Piotr KarwatZiemowit KlimondaGrzegorz StyczyńskiCezary SzmigielskiJerzy LitniewskiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Piotr Karwat
Ziemowit Klimonda
Grzegorz Styczyński
Cezary Szmigielski
Jerzy Litniewski
Aortic root movement correlation with the function of the left ventricle
description Abstract Echocardiographic assessment of systolic and diastolic function of the heart is often limited by image quality. However, the aortic root is well visualized in most patients. We hypothesize that the aortic root motion may correlate with the systolic and diastolic function of the left ventricle of the heart. Data obtained from 101 healthy volunteers (mean age 46.6 ± 12.4) was used in the study. The data contained sequences of standard two-dimensional (2D) echocardiographic B-mode (brightness mode, classical ultrasound grayscale presentation) images corresponding to single cardiac cycles. They also included sets of standard echocardiographic Doppler parameters of the left ventricular systolic and diastolic function. For each B-mode image sequence, the aortic root was tracked with use of a correlation tracking algorithm and systolic and diastolic values of traveled distances and velocities were determined. The aortic root motion parameters were correlated with the standard Doppler parameters used for the assessment of LV function. The aortic root diastolic distance (ARDD) mean value was 1.66 ± 0.26 cm and showed significant, moderate correlation (r up to 0.59, p < 0.0001) with selected left ventricular diastolic Doppler parameters. The aortic root maximal diastolic velocity (ARDV) was 10.8 ± 2.4 cm/s and also correlated (r up to 0.51, p < 0.0001) with some left ventricular diastolic Doppler parameters. The aortic root systolic distance (ARSD) was 1.63 ± 0.19 cm and showed no significant moderate correlation (all r values < 0.40). The aortic root maximal systolic velocity (ARSV) was 9.2 ± 1.6 cm/s and correlated in moderate range only with peak systolic velocity of medial mitral annulus (r = 0.44, p < 0.0001). Based on these results, we conclude, that in healthy subjects, aortic root motion parameters correlate significantly with established measurements of left ventricular function. Aortic root motion parameters can be especially useful in patients with low ultrasound image quality precluding usage of typical LV function parameters.
format article
author Piotr Karwat
Ziemowit Klimonda
Grzegorz Styczyński
Cezary Szmigielski
Jerzy Litniewski
author_facet Piotr Karwat
Ziemowit Klimonda
Grzegorz Styczyński
Cezary Szmigielski
Jerzy Litniewski
author_sort Piotr Karwat
title Aortic root movement correlation with the function of the left ventricle
title_short Aortic root movement correlation with the function of the left ventricle
title_full Aortic root movement correlation with the function of the left ventricle
title_fullStr Aortic root movement correlation with the function of the left ventricle
title_full_unstemmed Aortic root movement correlation with the function of the left ventricle
title_sort aortic root movement correlation with the function of the left ventricle
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/8f2151d69b7e42eba32671e80e8f8e02
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