Browse > Article

Quantitative Assessment of Myocardial Tissue Velocity in Normal Children with Doppler Tissue Imaging : Reference Values, Growth and Heart Rate Related Change  

Kim, Se Young (Department of Pediatrics, College of Medicine, Daegu Catholic University)
Hyun, Myung Chul (Department of Pediatrics, College of Medicine, Kyungpook National University)
Lee, Sang Bum (Department of Pediatrics, College of Medicine, Kyungpook National University)
Publication Information
Clinical and Experimental Pediatrics / v.48, no.8, 2005 , pp. 846-856 More about this Journal
Abstract
Purpose : To measure the peak myocardial tissue velocities and patterns of longitudinal motion of atrioventricular(AV) annuli and assess body weight and heart rates-related changes in normal children. Methods : Using pulsed wave Tissue Doppler Imaging(TDI), we measured peak systolic, early and late diastolic myocardial velocities in 72 normal children at six different sites in apical-4 chamber (A4C) view and at four different sites in apical-2 chamber(A2C) view and compared those values with each other, also observing effects with body weights and heart rates. Longitudinal motions of the AV annuli were measured at three different sites in A4C. Results : There were no significant differences of the TDI parameters between gender, ECHO-machines and among the three Doctors performing TDI. Peak myocardial velocities were significantly higher at the base of the heart than in the mid-ventricular region and in the right lateral ventricular wall than in the left lateral ventricular wall or IVS. The TDI parameters showed no significant correlation with fractional shortening(%). Peak systolic and early diastolic myocardial velocities had no correlation with heart rates, but peak late diastolic velocities and A/E ratio correlated positively with heart rates. Correlations between the TDI parameters and body weight were inconsistent. Absolute longitudinal displacement and % displacement were not differ between gender and not correlated with the TDI parameters. Conclusion : We measured the peak myocardial velocities with TDI and the longitudinal motion of the AV annuli using M-mode echocardiography in normal children. With more large scale evaluation, we may establish reference values in normal children and broaden clinical applicabilities in congenital and acquired heart diseases.
Keywords
Tissue Doppler Imaging; Myocardial velocity; Pediatrics; Reference value;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Frommelt PC, Ballweg JA, Whitstone BN, Frommelt MA. Usefulness of Doppler tissue imaging analysis of tricuspid annular motion for determination of right ventricular function in normal infants and children. Am J Cardiol 2002;89: 610-3   DOI   ScienceOn
2 Farias CA, Rodriguez L, Garcia MJ, Sun JP, Klein AL, Thomas JD. Assessment of diastolic function by tissue Doppler echocardiography : comparison with standard transmitral and pulmonary venous flow. J Am Soc Echocardiogr 1999;12:609-17   DOI   ScienceOn
3 Oki T, Tabata T, Yamada H, Wakatsuki T, Shinohara H, Nishikado A, et al. Clinical application of pulsed Doppler tissue imaging for assessing abnormal left ventricular relaxation. Am J Cardiol 1997;79:921-8   DOI   ScienceOn
4 Riggs TW, Rodriguez R, Snider AR, Batton D. Doppler echocardiographic evaluation of right and left ventricular diastolic function in normal neonates. J Am Coll Cardiol 1989;13:700-5   DOI
5 Swaminathan S, Ferrer PL, Wolff GS, Gomez-Marin O, Rusconi PG. Usefulness of tissue Doppler echocardiography for evaluating ventricular function in children without heart disease. Am J Cardiol 2003;91:570-4   DOI   ScienceOn
6 Mori K, Hayabuchi Y, Kuroda Y, Nii M, Manabe T. Left ventricular wall motion velocities in healthy children measured by pulsed wave Doppler tissue echocardiography : normal values and relation to age and heart rate. J Am Soc Echocardiogr 2000;13:1002-11   DOI   ScienceOn
7 Sohn DW, Kim YJ, Kim HC, Chun HG, Park YB, Choi YS. Evaluation of left ventricular diastolic function when mitral E and A waves are completely fused : role of assessing mitral annulus velocity. J Am Soc Echocardiogr 1999;12:203-8   DOI   ScienceOn
8 Emilsson K, Alam M, Wandt B. The relation between mitral annulus motion and ejection fraction : a nonlinear function. J Am Soc Echocardiogr 2000;13:896-901   DOI   ScienceOn
9 Hiarada K, Orino T, Yasuoka K, Tamura M, Takada G. Tissue doppler imaging of left and right ventricles in normal children. Tohoku J Exp Med 2000;191:21-9   DOI   ScienceOn
10 Arce OX, Knudson OA, Ellison MC, Baselga P, Ivy DD, Degroff C, et al. Longitudinal motion of the atrioventricular annuli in children : reference values, growth related changes, and effects of right ventricular volume and pressure overload. J Am Soc Echocardiogr 2002;15:906-16   DOI   ScienceOn
11 Zoghbi WA, Habib GB, Quinones MA. Doppler assessment of right ventricular filling in a normal population. Comparison with left ventricular filling dynamics. Circulation 1990;82:1316-24   DOI   ScienceOn
12 Hammarstrom E, Wranne B, Pinto FJ, Puryear J, Popp RL. Tricuspid annular motion. J Am Soc Echocardiogr 1991;4: 131-9
13 Sohn DW, Chai IH, Lee DJ, Kim HC, Kim HS, Oh BH, et al. Assessment of mitral annulus velocity by Doppler tissue imaging in the evaluation of left ventricular diastolic function. J Am Coll Cardiol 1997;30:474-80   DOI   ScienceOn
14 Gulati VK, Katz WE, Follansbee WP, Gorcsan J 3rd. Mitral annular descent velocity by tissue Doppler echocardiography as an index of global left ventricular function. Am J Cardiol 1996;77:979-84   DOI   ScienceOn
15 Palka P, Lange A, Fleming AD, Sutherland GR, Fenn LN, McDicken WN. Doppler tissue imaging: myocardial wall motion velocities in normal subjects. J Am Soc Echocardiogr 1995;8:659-68   DOI   ScienceOn
16 Ohte N, Narita H, Hashimoto T, Akita S, Kurokawa K, Fujinami T. Evaluation of left ventricular early diastolic performance by color tissue Doppler imaging of the mitral annulus. Am J Cardiol 1998;82:1414-7   DOI   ScienceOn
17 Rodriguez L, Garcia M, Ares M, Griffin BP, Nakatani S, Thomas JD. Assessment of mitral annular dynamics during diastole by Doppler tissue imaging : comparison with mitral Doppler inflow in subjects without heart disease and in patients with left ventricular hypertrophy. Am Heart J 1996;131:982-7   DOI   ScienceOn
18 Garcia MJ, Rodriguez L, Ares M, Griffin BP, Klein AL, Stewart WJ, et al. Myocardial wall velocity assessment by pulsed Doppler tissue imaging : characteristic findings in normal subjects. Am Heart J 1996;132:648-56   DOI   ScienceOn
19 McDicken WN, Sutherland GR, Moran CM, Gordon LN. Colour Doppler velocity imaging of the myocardium. Ultrasound Med Biol 1992;18:651-4
20 Pai RG, Gill KS. Amplitudes, durations, and timings of apically directed left ventricular myocardial velocities : II. Systolic and diastolic asynchrony in patients with left ventricular hypertrophy. J Am Soc Echocardiogr 1998;11:112-8   DOI   ScienceOn
21 Rychik J, Tian ZY. Quantitative assessment of myocardial tissue velocities in normal children with Doppler tissue imaging. Am J Cardiol 1996;77:1254-7   DOI   ScienceOn
22 Iwase M, Nagata K, Izawa H, Yokota M, Kamihara S, Inagaki H, et al. Age-related changes in left and right ventricular filling velocity profiles and their relationship in normal subjects. Am Heart J 1993;126:419-26   DOI   ScienceOn
23 Donovan CL, Armstrong WF, Bach DS. Quantitative Doppler tissue imaging of the left ventricular myocardium : validation in normal subjects. Am Heart J 1995;130:100-4   DOI   ScienceOn
24 Yasuoka K, Harada K, Orino T, Takada G. Right ventricular diastolic filling assessed by conventional doppler and tissue Doppler imaging in normal children. Tohoku J Exp Med 1999;189:283-94   DOI   ScienceOn
25 Greenbaum RA, Ho SY, Gibson DG, Becker AE, Anderson RH. Left ventricular fibre architecture in man. Br Heart J 1981;45:248-63   DOI   ScienceOn
26 Kukulski T, Hubbert L, Arnold M, Wranne B, Hatle L, Sutherland GR. Normal regional right ventricular function and its change with age : a Doppler myocardial imaging study. J Am Soc Echocardiogr 2000;13:194-204
27 Bruch C, Marin D, Kuntz S, Schmermund A, Bartel T, Schaar J, et al. Analysis of mitral annulus excursion with tissue Doppler echocardiography(tissue Doppler echocardiography= TDE). Noninvasive assessment of left ventricular, diastolic dysfunction. Z Kardiol 1999;88:353-62   DOI   ScienceOn
28 Sutherland GR, Stewart MJ, Groundstroem KW, Moran CM, Fleming A, Guell-Peris FJ, et al. Color Doppler myocardial imaging: a new technique for the assessment of myocardial function. J Am Soc Echocardiogr 1994;7:441-58
29 Galiuto L, Ignone G, DeMaria AN. Contraction and relaxation velocities of the normal left ventricle using pulsedwave tissue Doppler echocardiography. Am J Cardiol 1998; 81:609-14   DOI   PUBMED   ScienceOn
30 Kapusta L, Thijssen JM, Cuypers MH, Peer PG, Daniels O. Assessment of myocardial velocities in healthy children using tissue Doppler imaging. Ultrasound Med Biol 2000;26: 229-37   DOI   ScienceOn
31 Riggs TW, Snider AR. Respiratory influence on right and left ventricular diastolic function in normal children. Am J Cardiol 1989;63:858-61   DOI   ScienceOn
32 Miyatake K, Yamagishi M, Tanaka N, Uematsu M, Yamazaki N, Mine Y, et al. New method for evaluating left ventricular wall motion by color-coded tissue Doppler imaging : in vitro and in vivo studies. J Am Coll Cardiol 1995;25:717-24   DOI   ScienceOn
33 Kaul S, Tei C, Hopkins JM, Shah PM. Assessment of right ventricular function using two-dimensional echocardiography. Am Heart J 1984;107:526-31   DOI   ScienceOn
34 Isaaz K, Thompson A, Ethevenot G, Cloez JL, Brembilla B, Pernot C. Doppler echocardiographic measurement of low velocity motion of the left ventricular posterior wall. Am J Cardiol 1989;64:66-75   DOI   ScienceOn