M-mode left atrioventricular plane displacement correlated closely with pulsed Tissue Doppler (R=0.90, P<0.0001) and colour Tissue Doppler (R=0.86, P<0.0001), but effective concordance was sub-optimal.
Cross-Sectional (n=92)
Despite strong correlations, M-mode, pulsed Tissue Doppler, and colour Tissue Doppler have suboptimal concordance and should not be used interchangeably for measuring mitral annulus systolic excursion.
Effect estimate: R = 0.90
p-value: p=<0.0001
AIMS: M-mode left atrioventricular plane displacement (AVPD) correlates with Tissue Doppler (TD) peak systolic annular velocity in healthy individuals. This approach is biased by several interacting factors related to the structural complexity of mitral annulus physiology, including the different dimensional values of measures, the confounding effect of isovolumic motions, and the spectral thickness of pulsed TD envelope. We sought to analyze the effective concordance between techniques in the assessment of systolic annular excursion. METHODS AND RESULTS: In 92 healthy subjects (age 60.5 +/- 18.6, 43.5% women), systolic AVPD was measured after exclusion of isovolumic components using three techniques: (i) M-mode; (ii) temporal integration of pulsed TD systolic wave; and (iii) colour TD-derived tissue tracking. Close correlations of M-mode AVPD with pulsed TD velocity-time integral (VTI) (R = 0.90, P < 0.0001) and colour TD AVPD (R = 0.86, P < 0.0001) were found. However, M-mode AVPD underestimated pulsed TD VTI (mean error -5.1 +/- 1.7 mm) and overestimated colour TD AVPD (mean error 3.4 +/- 1.3 mm). The concordance between M-mode and pulsed TD increased after adjustment for spectral dispersion of pulsed TD instantaneous velocities (mean error 0.1 +/- 1.1 mm). CONCLUSION: Despite strict correlations exist between M-mode and TD in the assessment of mitral annulus systolic excursion, the effective concordance between techniques is sub-optimal.
Ballo et al. (Sat,) conducted a cross-sectional in Healthy subjects (n=92). M-mode, pulsed Tissue Doppler, and colour Tissue Doppler was evaluated on Concordance between techniques in the assessment of systolic annular excursion (R = 0.90, p=<0.0001). M-mode left atrioventricular plane displacement correlated closely with pulsed Tissue Doppler (R=0.90, P<0.0001) and colour Tissue Doppler (R=0.86, P<0.0001), but effective concordance was sub-optimal.