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http://dx.doi.org/10.4250/jcu.2016.24.1.35

2-Dimensional Strain Analysis of Regional Change in Right Ventricular Function after Treadmill Exercise  

Yoon, Se-Jung (Division of Cardiology, Ilsan Hospital, National Health Insurance Service)
Seo, Hye-Sun (Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Hospital)
Park, Sujung (Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Hospital)
Chung, Wook-Jin (Division of Cardiology, Gachon University, Gil Medical Center)
Publication Information
Journal of Cardiovascular Imaging / v.24, no.1, 2016 , pp. 35-39 More about this Journal
Abstract
Background: Function of right ventricle (RV) influences on symptoms and prognosis in various diseases. However the regional RV function analyzed with 2-dimensional (2D) strain echocardiography before and just after treadmill test has not been evaluated. The aim of this study was to show the change of regional RV function just after treadmill exercise with strain analysis. Methods: A total of thirty eight patients who visited hospital for hypertension, chest pain or dyspnea between January 2007 and December 2010 were retrospectively analyzed (men, 47.4%; mean age, $54.9{\pm}7.2years$). Treadmill exercise test and pre and post echocardiography were performed. 2D strain echocardiography was analyzed off line in RV free wall and septum. Results: Mean exercise duration was $737{\pm}132sec$. Tissue velocity in lateral tricuspid annulus is significantly increased in post exercise (initial, $10.5{\pm}2.4cm/sec$ vs. post exercise, $12.2{\pm}1.8cm/sec$, p = 0.006). Systolic strain of RV free wall apex and mid portion were significantly changed in post exercise stage (free wall apex, $-18.2{\pm}7.6%$ vs. $-22.3{\pm}5.8%$, p = 0.010; free wall mid, $-14.1{\pm}6.7%$ vs. $-22.6{\pm}6.8%$, p = 0.022). Conclusion: 2D strain imaging provides a precise tool to quantify regional RV function and reveals a characteristic regional pattern of RV after treadmill exercise.
Keywords
Exercise test; Right ventricular function; 2-dimensional strain echocardiography;
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