Real-time Three-dimensional Echocardiography (RT-3DE) Application in Evaluation of Left Ventricular Motion in Patients with Rheumatic Mitral Stenosis_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

HUANGFeng ¹ , LEIYun-hong ¹ , DAIYing ² ,  HANTao ¹

1. Department of Cardiovascular Surgery, Fujian Province Hospital, Fuzhou 350001, P. R. China;
2. Department of Ultrasound, Fujian Province Hospital, Fuzhou 350001, P. R. China;

Corresponding?author：

HANTao, Email: fjsxxwk@163.com

Keywords：

Rheumatic mitral stenosis; Myocardial strain; Real-time three-dimensional echocardiography; Atrial fibrillation

DOI：

10.7507/1007-4848.20160115

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate myocardial segmental motion function in left ventricular of patients with rheumatic mitral stenosis by using the technology of real-time three-dimensional echocardiography (RT-3DE). Methods We retrospectively analyzed the clinical data of 14 patients with rheumatic mitral stenosis between October and November 2014 in our hospital as a trial group. There were 4 males and 10 females with a mean age of 50.9±9.0 years ranging from 34 to 64 years. We chose 11 healthy individuals as a control group. There were 7 males and 4 females with a mean age of 49.5±9.7 years ranging from 32 to 67 years. Both the two groups were subjected to myocardial performance evaluation using two-dimensional echocardiography (2DE) and real-time three-dimensional echocardiography (RT-3DE) to examine the left ventricular ejection fraction (LVEF), left ventricular end-diastolic volume (LVEDV), left ventricular end systolic volume (LVESV), longitudinal strain, circumferential strain, area strain, and lateral strain of each left ventricular myocardial segments. Result RT-3DE detected that the trial group had significantly lower values of LVEF, LVEDV and LVESV than those of the control group (P < 0.05). RT-3DE also revealed that the trial group had a significantly weaker longitudinal strain than the control group (P < 0.05). Conclusion RT-3DE is an accurate technology for assessing myocardial motion and function in patients with rheumatic mitral valve disease.

Citation： HUANGFeng, LEIYun-hong, DAIYing, HANTao. Real-time Three-dimensional Echocardiography (RT-3DE) Application in Evaluation of Left Ventricular Motion in Patients with Rheumatic Mitral Stenosis. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(5): 490-495. doi: 10.7507/1007-4848.20160115 Copy

1.	Badano LP, Boccalini F, Muraru D, et al. Current clinical applica-tions of transthoracic three-dimensional echocardiography. J Cardiovasc Ultrasound, 2012, 20(1):1-22.
2.	Liu M, Lu L, Sun R, et al. Rheumatic Heart Disease(2015):causes, symptoms, and treatments. Cell Biochem Biophys, 2013, 15:552-555.
3.	Carapetis JR. The stark reality of rheumatic heart disease. Eur Heart J, 2015, 10:507.
4.	孫衍慶, 主編. 現代胸心外科學. 北京:人民軍醫出版社, 2000. 1329-1338.
5.	Jones CJ, Raposo L, Gibson DG. Functional importance of the long axisdynamics of the human left ventricle. Br Heart J, 1990, 63(4):215-220.
6.	Greenbaum RA, Lew YH, Gibson DG. Functional importance of the long axis dynamics of the human left ventricle. Br Heart J, 1990, 63(4):215-220.
7.	舒先紅, 潘翠珍, 施月芳, 等. 實時三維超聲心動圖評價左心室心肌收縮同步性的初步臨床研究. 中華超聲影像學雜志, 2005, 14(9):645-648.
8.	Stellbrink C, Breithardt OA, Sinha AM, et al. How to discriminatere-sponders from nonresponders to cardiac resynchronization therapy. Eur Heart J, 2004, 6(Suppl D):101-105.
9.	Mohan JC, Chutanisk, Sethi KK, et al. Determinants of left ventri-cular function in isolated rheumatic mitral stenosis. Ind Heart J, 1992, 42(3):175-179.
10.	Zucchi R, Ronca-Testoni S, Di Napolli P, et al. Sarcoplasmic reticu-lum calcium uptake in human myocardium subjected to ischemia and reperfusion during cardic surgery. J Molcell Cardiol, 1996, 28(8):693-701.
11.	肖公正, 朱家麟, 張寶仁, 等. 風心病心肌病理損害與術后早期心功能的關系. 西北國防醫學雜志, 1998, 19(l):22-23.
12.	Abusaid GH, Ahmad M. Real time three-dimensional stress echo-cardiography advantages and limitation. Echocardiography, 2012, 29(2):202-206.
13.	Liang HY, Cauduro S, Pelllkka P, et al. Usefulness of two-dimen-sional speckle strain for evaluation of left ventricular diastolic deformation in patients with coronary artery disease. Am J Cardial, 2009, 98(12):1581-1586.
14.	Muraru D, Badano L, Piccoli G, et al. Validation of a novel autom-ated border-detection algorithm for rapid and accurate quantita-tion of left ventricular volumes based on three-dimensional echocar-diography. Eur J Echocardiogr, 2010, 11(4):359-368.
15.	Sliwa K, Carrington M, Mayosi BM, et al. Incidence and charac-teristics of newly diagnosed rheumatic heart disease in urban African adults:insights from the heart of Soweto study. Eur Heart J, 2010, 31:719-727.
16.	Gunther G, Asmera J, Parry E. Death from rheumatic heart disease in rural Ethiopia. Lancet, 2006, 367(9508):391.
17.	陳萬林. 實時三維超聲心動圖的臨床應用及研究進展. 心血管病學進展, 2010, 31(3):441-444.
18.	Ishtoya H. Recovery of left ventricular function after mitral valve replacement for chronic mitral regurgitation;optimal timing of operation according to long-term recovery. J Cardiol, 2000, 36(1):37-44.
19.	Buss SJ, Humpert PM, Bekeredjian R, et al. Echocardiographic phase imaging to predict reverse remodeling after cardiac resynchroni-zation therapy. JACC Cardiovasc Imag, 2009, 2(5):535-543.
20.	Price DJA, Wallbridge DR, Stewar MJ. Tissue Doppler imaging:current and potential clinical applications. Heart, 2000, 84:11-18.
21.	Onose Y, Oki T, Mishiro Y, et al. Influence of aging on systolic left ventricular wall motion velocities along the long and short axes in clinically normal pationts determined by pulsed tissue Doppler imaging. J Am cardiogr, 1999, 12(11):921-926.
22.	Soliman OI, Kirschbaum SW, van Dalen BM, et al. Accuracy and reproducibility of quantitation of left ventricular function by real-time three-dimensional echocardiography versus cardiac magnetic resonance. Am J Cardiol, 2008, 102(6):778-783.

1. Badano LP, Boccalini F, Muraru D, et al. Current clinical applica-tions of transthoracic three-dimensional echocardiography. J Cardiovasc Ultrasound, 2012, 20(1):1-22.
2. Liu M, Lu L, Sun R, et al. Rheumatic Heart Disease(2015):causes, symptoms, and treatments. Cell Biochem Biophys, 2013, 15:552-555.
3. Carapetis JR. The stark reality of rheumatic heart disease. Eur Heart J, 2015, 10:507.
4. 孫衍慶, 主編. 現代胸心外科學. 北京:人民軍醫出版社, 2000. 1329-1338.
5. Jones CJ, Raposo L, Gibson DG. Functional importance of the long axisdynamics of the human left ventricle. Br Heart J, 1990, 63(4):215-220.
6. Greenbaum RA, Lew YH, Gibson DG. Functional importance of the long axis dynamics of the human left ventricle. Br Heart J, 1990, 63(4):215-220.
7. 舒先紅, 潘翠珍, 施月芳, 等. 實時三維超聲心動圖評價左心室心肌收縮同步性的初步臨床研究. 中華超聲影像學雜志, 2005, 14(9):645-648.
8. Stellbrink C, Breithardt OA, Sinha AM, et al. How to discriminatere-sponders from nonresponders to cardiac resynchronization therapy. Eur Heart J, 2004, 6(Suppl D):101-105.
9. Mohan JC, Chutanisk, Sethi KK, et al. Determinants of left ventri-cular function in isolated rheumatic mitral stenosis. Ind Heart J, 1992, 42(3):175-179.
10. Zucchi R, Ronca-Testoni S, Di Napolli P, et al. Sarcoplasmic reticu-lum calcium uptake in human myocardium subjected to ischemia and reperfusion during cardic surgery. J Molcell Cardiol, 1996, 28(8):693-701.
11. 肖公正, 朱家麟, 張寶仁, 等. 風心病心肌病理損害與術后早期心功能的關系. 西北國防醫學雜志, 1998, 19(l):22-23.
12. Abusaid GH, Ahmad M. Real time three-dimensional stress echo-cardiography advantages and limitation. Echocardiography, 2012, 29(2):202-206.
13. Liang HY, Cauduro S, Pelllkka P, et al. Usefulness of two-dimen-sional speckle strain for evaluation of left ventricular diastolic deformation in patients with coronary artery disease. Am J Cardial, 2009, 98(12):1581-1586.
14. Muraru D, Badano L, Piccoli G, et al. Validation of a novel autom-ated border-detection algorithm for rapid and accurate quantita-tion of left ventricular volumes based on three-dimensional echocar-diography. Eur J Echocardiogr, 2010, 11(4):359-368.
15. Sliwa K, Carrington M, Mayosi BM, et al. Incidence and charac-teristics of newly diagnosed rheumatic heart disease in urban African adults:insights from the heart of Soweto study. Eur Heart J, 2010, 31:719-727.
16. Gunther G, Asmera J, Parry E. Death from rheumatic heart disease in rural Ethiopia. Lancet, 2006, 367(9508):391.
17. 陳萬林. 實時三維超聲心動圖的臨床應用及研究進展. 心血管病學進展, 2010, 31(3):441-444.
18. Ishtoya H. Recovery of left ventricular function after mitral valve replacement for chronic mitral regurgitation;optimal timing of operation according to long-term recovery. J Cardiol, 2000, 36(1):37-44.
19. Buss SJ, Humpert PM, Bekeredjian R, et al. Echocardiographic phase imaging to predict reverse remodeling after cardiac resynchroni-zation therapy. JACC Cardiovasc Imag, 2009, 2(5):535-543.
20. Price DJA, Wallbridge DR, Stewar MJ. Tissue Doppler imaging:current and potential clinical applications. Heart, 2000, 84:11-18.
21. Onose Y, Oki T, Mishiro Y, et al. Influence of aging on systolic left ventricular wall motion velocities along the long and short axes in clinically normal pationts determined by pulsed tissue Doppler imaging. J Am cardiogr, 1999, 12(11):921-926.
22. Soliman OI, Kirschbaum SW, van Dalen BM, et al. Accuracy and reproducibility of quantitation of left ventricular function by real-time three-dimensional echocardiography versus cardiac magnetic resonance. Am J Cardiol, 2008, 102(6):778-783.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Real-time Three-dimensional Echocardiography (RT-3DE) Application in Evaluation of Left Ventricular Motion in Patients with Rheumatic Mitral Stenosis

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