Strain and strain rate by speckle-tracking echocardiography correlate with pressure-volume loop-derived contractility indices in a rat model of athlete's heart

A Kovács, A Oláh, Á Lux, C Mátyás… - American Journal …, 2015 - journals.physiology.org
A Kovács, A Oláh, Á Lux, C Mátyás, BT Németh, D Kellermayer, M Ruppert, M Török
American Journal of Physiology-Heart and Circulatory Physiology, 2015journals.physiology.org
Contractile function is considered to be precisely measurable only by invasive
hemodynamics. We aimed to correlate strain values measured by speckle-tracking
echocardiography (STE) with sensitive contractility parameters of pressure-volume (PV)
analysis in a rat model of exercise-induced left ventricular (LV) hypertrophy. LV hypertrophy
was induced in rats by swim training and was compared with untrained controls.
Echocardiography was performed using a 13-MHz linear transducer to obtain LV long-and …
Contractile function is considered to be precisely measurable only by invasive hemodynamics. We aimed to correlate strain values measured by speckle-tracking echocardiography (STE) with sensitive contractility parameters of pressure-volume (P-V) analysis in a rat model of exercise-induced left ventricular (LV) hypertrophy. LV hypertrophy was induced in rats by swim training and was compared with untrained controls. Echocardiography was performed using a 13-MHz linear transducer to obtain LV long- and short-axis recordings for STE analysis (GE EchoPAC). Global longitudinal (GLS) and circumferential strain (GCS) and longitudinal (LSr) and circumferential systolic strain rate (CSr) were measured. LV P-V analysis was performed using a pressure-conductance microcatheter, and load-independent contractility indices [slope of the end-systolic P-V relationship (ESPVR), preload recruitable stroke work (PRSW), and maximal dP/dt-end-diastolic volume relationship (dP/dtmax-EDV)] were calculated. Trained rats had increased LV mass index (trained vs. control; 2.76 ± 0.07 vs. 2.14 ± 0.05 g/kg, P < 0.001). P-V loop-derived contractility parameters were significantly improved in the trained group (ESPVR: 3.58 ± 0.22 vs. 2.51 ± 0.11 mmHg/μl; PRSW: 131 ± 4 vs. 104 ± 2 mmHg, P < 0.01). Strain and strain rate parameters were also supernormal in trained rats (GLS: −18.8 ± 0.3 vs. −15.8 ± 0.4%; LSr: −5.0 ± 0.2 vs. −4.1 ± 0.1 Hz; GCS: −18.9 ± 0.8 vs. −14.9 ± 0.6%; CSr: −4.9 ± 0.2 vs. −3.8 ± 0.2 Hz, P < 0.01). ESPVR correlated with GLS (r = −0.71) and LSr (r = −0.53) and robustly with GCS (r = −0.83) and CSr (r = −0.75, all P < 0.05). PRSW was strongly related to GLS (r = −0.64) and LSr (r = −0.71, both P < 0.01). STE can be a feasible and useful method for animal experiments. In our rat model, strain and strain rate parameters closely reflected the improvement in intrinsic contractile function induced by exercise training.
American Physiological Society
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