Key result
MR tagging shows smaller anterior wall minimum principal strain in HCM hearts versus normal hearts.
Observational (n=5)
Minimum principal strain derived from magnetic resonance tagging could be an alternative effective index to evaluate cardiac contractility.
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Strain tagging may aid contractility assessment in HCM; leaves open validation before clinical use.
The two-dimensional deformations of human left ventricles(Subjects were four normal volunteers and a patient with a hypertrophic cardiomyopathy)during the ejection period were investigated using the magnetic resonance tagging technique. The displacements were measured by tracking the intersections of tagged stripes formed within the left ventricular myocardial wall, and the strains were calculated from the changes of segment lengths of triangles defined by three adjoining intersections. It was recognized from the results for the normal volunteers that the magnitudes of minimum principal strains were almost uniform over all regions(anterior, septal, posterior and lateral)of the left ventricular wall, while the magnitudes of displacements were different from regions to regions. The magnitude of minimum principal strain in the anterior wall of the heart with the disease was smaller compared with those of the normal hearts. This study may suggest that the minimum principal strain could be an alternative effective index to evaluate the cardiac contractility.
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INABA et al. (1997) conducted an observational in Hypertrophic cardiomyopathy (n=5). Magnetic resonance tagging technique vs. Normal volunteers was evaluated on Minimum principal strain and displacements of the left ventricular myocardial wall. Magnetic resonance tagging revealed that the magnitude of minimum principal strain was smaller in the anterior wall of a hypertrophic cardiomyopathy heart compared to normal hearts.
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