Echokardiograficzna ocena parametrow funkcji rozkurczowej miesnia sercowego u psow z niedomykalnoscia zastawki dwudzielnej

• Autorzy: Garncarz M A

Warianty tytułu

EN

Echocardiographic evaluation of diastolic parameters in dogs with mitral valve regurgitation

• Języki publikacji: PL

Abstrakty

EN

Abnormalities of diastolic filling can lead to diastolic dysfunction and heart failure. Echocardiography is a valuable tool for the evaluation of diastolic cardiac function. A high correlation between measurements of diastolic mitral inflow parameters analyzed with Doppler echocardiography and through invasive methods makes the former valuable. The aim of this study was to compare values obtained from healthy dogs to those obtained from subclinically and clinically ill dogs with mitral valve regurgitation and to determine the value of these parameters for use in diastolic myocardial dysfunction and/or diastolic heart failure diagnosis. The study was performed on 248 healthy and cardiologically ill dogs of different breeds and ages. Eleven parameters were analyzed: E wave, E-AT, E-DT, E time, A wave, A-AT, A-DT, A time, E+A time, E/A ratio, IVRT. Significant differences were found in E wave, A wave, E/A ratio, A-DT and E+A time among healthy dogs and dogs with mitral valve regurgitation. This study confirmed the value of the noninvasive echocardiographic assessment of the diastolic function in dogs. The most useful parameters include E wave, A wave, E-DT, E/A ratio and IVRT.

Słowa kluczowe

PL

serce; psy; miesien sercowy; niedomykalnosc zastawki trojdzielnej; niewydolnosc rozkurczowa serca; echokardiografia

• Wydawca: -
• Czasopismo: Medycyna Weterynaryjna
• Rocznik: 2007
• Tom: 63
• Numer: 11 Supl.
• Opis fizyczny: s.1450-1456,rys.,fot.,tab.,bibliogr.

Twórcy

autor

Garncarz M A

• Szkola Glowna Gospodarstwa Wiejskiego, ul.Nowoursynowska 159 C, 02-776 Warszawa

Bibliografia

• 1.Appleton C. P.: Influence of incremental changes in heart rate on mitral flow velocity: assessment in lightly sedated conscious dogs. J. Am. Coll. Cardiol. 1991, 17, 227-236.
• 2.Appleton C. P, Hatle L. K., Popp R. L.: Relation of transmitral flow velocity patterns to left ventricular diastolic function: new insight from a combined hemodynamic and Doppler echocardiographic study. J. Am. Coll. Cardiol. 1988, 12, 426-440.
• 3.Banerjee P., Banerjee T., Khand A., Clark A. L., Cleland J. G. F.: Rozkurczowa niewydolność serca: zaniedbywana czy błędnie rozpoznawana? J. Am. Coll. Cardiol. -PL 2002, 3, 187-191.
• 4.Blaustein A. S., Gaasch W. H., Adam D., Levine H. J.: Myocardial Relaxation. V. Postextrasystolic Contraction-Relaxation in the Intact Dog Heart. Circulation 1981, 64, 345-350.
• 5.Boon J. A.: Manual of Veterinary Echocardiography. Lippincott Williams&Wilkins, Philadelphia 1998.
• 6.Brutsaert D. L., Sys S. U., Gillebert T. C.: Diastolic Failure: Pathophysiology and Therapeutic Implications. J. Am. Coll. Cardiol. 1993, 22, 318-325.
• 7.Burkhoff D., Maurer M. S., Packer M.: Heart Failure With a Normal Ejection Fraction. Is It Really a Disorder of Diastolic Function? Circulation 2003, 107, 656-658.
• 8.Cohen G. I., Pietrolungo J. F., Thomas J. D., Klein A. L.: A practical guide to assessment of ventricular diastolic function using Doppler echocardiography. J. Am. Coll. Cardiol. 1996, 27, 1735-1760.
• 9.Corin W. J., Murakami T., Monrad E. S., Hess O. M., Krayenbuehl H. P.: Left ventricular passive diastolic properties in chronic mitral regurgitation. Circulation 1991, 83, 797-807.
• 10.Galderisi M.: Diastolic dysfunction and diastolic heart failure: diagnostic, prognostic and therapeutic aspects. Cardiovascular Ultrasound 2005, 3, 9.
• 11.Gutierrez C., Blanchard D. G.: Diastolic Heart Failure: Challenges of Diagnosis and Treatment. Am. Fam. Physician. 2004, 69, 2609-2616.
• 12.Ishida Y., Meisner J. S., Tsujioka K., Gallo J. I., Yoran C. Frater R. W., Yellin E. L.: Left ventricular filling dynamics: influence of left ventricular relaxation and left atrial pressure. Circulation 1986, 74, 187-196.
• 13.Katayama K., Tajimi T., Guth B. D., Matsuzaki M., Lee J. D., Seitelberger R., Peterson K. L.: Early diastolic filling dynamics during experimental mitral regurgitation in the conscious dog. Circulation 1988, 78, 390-400.
• 14.Lord P. F.: Left Ventricular Diastolic Stiffness in Dogs with Congestive Cardiomyopathy and Volume Overload. Am. J. Vet. Res. 1976, 37, 953-957.
• 15.Nishimura R. A., Tajik A. J.: Evaluation of Diastolic Filling of Left Ventricle in Health and Disease: Doppler Echocardiography is the Clinician's Rosetta Stone. J. Am. Coll. Cardiol. 1997, 30, 8-18.
• 16.Paulus W. J., Brutsaert D. L., Gillebert T. C., Rademakers F. E., Sys S. U., i wsp. Working Group Report. How to diagnose diastolic heart failure: European Study Group on Diastolic Heart Failure. Eur. Heart J. 1998, 19, 990-1003.
• 17.Skrzypczak P., Pasławska U., Atamaniuk W., Nicpoń J.: Diagnosis and treatment of cor triatriatum dexter in dogs. Medycyna Wet. 2004, 60, 1296-1298.
• 18.Schober K., Fuentes V. L.: Doppler echocardiographic assessment of left ventricular diastolic function in dogs. Tierärztl. Prax. Ausg. K. Kleintiere Heimtiere. 1998, 26, 13-20.
• 19.Schober K. E., Fuentes V. L.: Effects of age, body weight, and heart rate on transmitral and pulmonary venous flow in clinically normal dogs. Am. J. Vet. Res. 2001, 62, 1447-1454.
• 20.Schober K. E., Fuentes V. L., Bonagura J. D.: Comparison between invasive hemodynamic measurements and noninvasive assessment of left ventricular diastolic function by use of Doppler echocardiography in healthy anesthetized cats. Am. J. Vet. Res. 2003, 64, 93-103.
• 21.Senni M., Redfield M. M.: Niewydolność serca z zachowaną czynnością skurczową. J. Am. Coll. Cardiol. - PL 2002, 3, 169-174.
• 22.Tilley L. P.: Appendix I Recomendation for the Diagnosis of Heart Disease and Treatment of Heart Failure in Small Animals in Manual of Canine and Feline Cardiology. Saunders W. B., Philadelphia 1995, s. 473.
• 23.Witkowska M.: Zaburzenia czynności rozkurczowej serca. Wydawnictwo Lekarskie PZWL, Warszawa 2002, 86-90.
• 24.Zile M. R., Tomita M., Nakano K., Mirsky I., Usher B., Lindroth J., Carabello B. A.: Effects of left ventricular volume overload produced by mitral regurgitation on diastolic function. Am. J. Physiol. 1991, 261, H1471-480.