Key result
Speckle tracking imaging and tissue Doppler imaging correlated well with intrinsic myocardial function at rest, but STI underestimated strain and strain rate during dobutamine stress (P<0.05).
Why the study?
Does speckle tracking imaging accurately assess LV strain and strain rate compared to tissue Doppler imaging and conductance catheter measurements in murine models of LV dysfunction?
Does speckle tracking imaging accurately assess LV strain and strain rate compared to tissue Doppler imaging and conductance catheter measurements in murine models of LV dysfunction?
p-value: p=<0.05
In murine models, STI and TDI are both acceptable for non-invasive LV function assessment at low heart rates, but STI underestimates strain and strain rate at high heart rates compared to TDI.
STI may underestimate strain at high heart rates in murine models; leaves open translation to clinical stress echocardiography.
This study was designed in order to compare the strain and strain rate deformation parameters assessed by speckle tracking imaging (STI) with those of tissue Doppler imaging (TDI) and conductance catheter measurements in chronic murine models of left ventricular (LV) dysfunction. Twenty-four male C57BL/6J mice were assigned to wild-type (n = 8), myocardial infarction (n = 8) and transaortic constriction (n = 8) groups. Echocardiographic and conductance measurements were simultaneously performed at rest and during dobutamine infusion (5 µg/kg/min) in all animals 10 weeks post-surgery. The LV circumferential strain (Scirc) and the strain rate (SRcirc) were derived from grey scale and tissue Doppler data at frame rates of 224 and 375 Hz, respectively. Scirc and SRcirc by TDI/STI correlated well with the preload recruitable stroke work (PRSW) (r = −0.64 and −0.71 for TDI; r = −0.46 and −0.50 for STI, P < 0.05). Both modalities showed a good agreement with respect to Scirc and SRcirc (r = 0.60 and r = 0.63, P < 0.05). During stress, however, TDI-estimated Scirc and SRcirc values were predominantly higher than those measured by STI (P < 0.05). The similarity of Scirc and SRcirc measurements with respect to the STI/TDI data was examined by the Bland–Altman analysis. In mice, the STI- and TDI-derived strain and strain rate deformation parameters relate closely to intrinsic myocardial function. At low heart rate-to-frame rate ratios (HR/FR), both STI and TDI are equally acceptable for assessing the LV function non-invasively in these animals. At HR/FR (e.g. dobutamine challenge), however, these methods cannot be used interchangeably as STI underestimates S and SR at high values.
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Ferferieva et al. (2012) studied Left ventricular dysfunction (murine model) (n=24). Speckle tracking imaging (STI) vs. Tissue Doppler imaging (TDI) and conductance catheter was evaluated on Correlation of LV circumferential strain and strain rate with preload recruitable stroke work (p=<0.05). Speckle tracking imaging and tissue Doppler imaging correlated well with intrinsic myocardial function at rest, but STI underestimated strain and strain rate during dobutamine stress (P<0.05).
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