Impact of cardiac growth on doppler tissue imaging velocities

A study in healthy children

Benjamin W. Eidem, Colin J. McMahon, Radha R. Cohen, Jin Wu, Irina Finkelshteyn, John P. Kovalchin, Nancy A. Ayres, Louis I. Bezold, E. O B Smith, Ricardo H. Pignatelli

Research output: Contribution to journalArticle

264 Citations (Scopus)

Abstract

Background Doppler tissue imaging (DTI) is a useful modality to quantitatively assess regional myocardial function. Studies attempting to establish reference values for DTI velocities in healthy children have been limited by small sample sizes and limited age distribution. In addition, the clinical effect of cardiac growth and other demographic and echocardiographic parameters on DTI velocities during childhood has not been adequately evaluated. Methods Pulsed wave DTI velocities were obtained in 325 healthy children at the lateral mitral annulus, interventricular septum, and lateral tricuspid annulus during early diastole, late diastole, and ventricular systole and were compared with demographic and echocardiographic study variables. Results In healthy children, parameters of cardiac growth, most notably left ventricular end-diastolic dimension, have the most significant correlation with the majority of DTI velocities. Age was also significantly correlated with most DTI velocities whereas sex, heart rate, and other echocardiographic parameters demonstrated minimal or no correlation. Conclusions This study establishes reference values for DTI velocities and demonstrates the important clinical effects of cardiac growth and age on DTI velocities in neonates and children.

Original languageEnglish (US)
Pages (from-to)212-221
Number of pages10
JournalJournal of the American Society of Echocardiography
Volume17
Issue number3
DOIs
StatePublished - Mar 2004
Externally publishedYes

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Growth
Diastole
Reference Values
Demography
Systole
Age Distribution
Sample Size
Heart Rate
Newborn Infant

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Impact of cardiac growth on doppler tissue imaging velocities : A study in healthy children. / Eidem, Benjamin W.; McMahon, Colin J.; Cohen, Radha R.; Wu, Jin; Finkelshteyn, Irina; Kovalchin, John P.; Ayres, Nancy A.; Bezold, Louis I.; Smith, E. O B; Pignatelli, Ricardo H.

In: Journal of the American Society of Echocardiography, Vol. 17, No. 3, 03.2004, p. 212-221.

Research output: Contribution to journalArticle

Eidem, BW, McMahon, CJ, Cohen, RR, Wu, J, Finkelshteyn, I, Kovalchin, JP, Ayres, NA, Bezold, LI, Smith, EOB & Pignatelli, RH 2004, 'Impact of cardiac growth on doppler tissue imaging velocities: A study in healthy children', Journal of the American Society of Echocardiography, vol. 17, no. 3, pp. 212-221. https://doi.org/10.1016/j.echo.2003.12.005
Eidem, Benjamin W. ; McMahon, Colin J. ; Cohen, Radha R. ; Wu, Jin ; Finkelshteyn, Irina ; Kovalchin, John P. ; Ayres, Nancy A. ; Bezold, Louis I. ; Smith, E. O B ; Pignatelli, Ricardo H. / Impact of cardiac growth on doppler tissue imaging velocities : A study in healthy children. In: Journal of the American Society of Echocardiography. 2004 ; Vol. 17, No. 3. pp. 212-221.
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AB - Background Doppler tissue imaging (DTI) is a useful modality to quantitatively assess regional myocardial function. Studies attempting to establish reference values for DTI velocities in healthy children have been limited by small sample sizes and limited age distribution. In addition, the clinical effect of cardiac growth and other demographic and echocardiographic parameters on DTI velocities during childhood has not been adequately evaluated. Methods Pulsed wave DTI velocities were obtained in 325 healthy children at the lateral mitral annulus, interventricular septum, and lateral tricuspid annulus during early diastole, late diastole, and ventricular systole and were compared with demographic and echocardiographic study variables. Results In healthy children, parameters of cardiac growth, most notably left ventricular end-diastolic dimension, have the most significant correlation with the majority of DTI velocities. Age was also significantly correlated with most DTI velocities whereas sex, heart rate, and other echocardiographic parameters demonstrated minimal or no correlation. Conclusions This study establishes reference values for DTI velocities and demonstrates the important clinical effects of cardiac growth and age on DTI velocities in neonates and children.

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