TY - JOUR

T1 - Cardiac time intervals and the association with 2D-speckle-tracking, tissue Doppler and conventional echocardiography

T2 - the Thousand&1 Study

AU - Biering-Sørensen, Tor

AU - Jensen, Jan Skov

AU - Andersen, Henrik Ullits

AU - Rossing, Peter

AU - Jensen, Magnus Thorsten

PY - 2016/5

Y1 - 2016/5

N2 - Cardiac time intervals (CTI) are prognostic above and beyond conventional echocardiographic measures. The explanation may be that CTI contain information about both systolic and diastolic measures; this is, however, unknown. The relationship between the CTI and systolic and diastolic function assessed by conventional, tissue Doppler (TDI) and speckle-tracking echocardiography (STE) was investigated. CTI and echocardiographic measurements, including conventional, STE, and TDI echocardiography, were studied in 1088 type 1 diabetes patients without known heart disease randomly selected from the out-patient clinic at Steno Diabetes Center. The CTI were obtained by TDI M-mode through the mitral leaflet and included the isovolumic relaxation time (IVRT), isovolumic contraction time (IVCT), and the myocardial performance index (MPI = (IVRT + IVCT)/ejection time). Standardized beta-values were assessed. Both systolic and diastolic measures associated with CTI. Conventional measures: left ventricular ejection fraction (stand. beta): MPI -0.34, IVRT 0.24, and IVCT -0.21, all p < 0.001. For the TDI measures, the most significant association was found with e': MPI (stand. beta: -0.30, p < 0.001) and IVRT (-0.35, p < 0.001) but no association with IVCT -0.05, p = 0.1). Speckle-tracking derived measures were in general strongly associated with the cardiac time intervals. Thus, global longitudinal strain and MPI (-0.38, p < 0.001), IVRT (-0.23, p < 0.001), and IVCT (-0.10, p < 0.001); and global longitudinal strain rate e and MPI (-0.40, p < 0.001), IVRT (-0.42, p < 0.001), and IVCT (-0.04, p = 0.11). CTI, in particular MPI and IVRT, associate with both systolic and diastolic myocardial function assessed by conventional and newer echocardiographic measures. This may possibly help to explain the prognostic significance of CTI.

AB - Cardiac time intervals (CTI) are prognostic above and beyond conventional echocardiographic measures. The explanation may be that CTI contain information about both systolic and diastolic measures; this is, however, unknown. The relationship between the CTI and systolic and diastolic function assessed by conventional, tissue Doppler (TDI) and speckle-tracking echocardiography (STE) was investigated. CTI and echocardiographic measurements, including conventional, STE, and TDI echocardiography, were studied in 1088 type 1 diabetes patients without known heart disease randomly selected from the out-patient clinic at Steno Diabetes Center. The CTI were obtained by TDI M-mode through the mitral leaflet and included the isovolumic relaxation time (IVRT), isovolumic contraction time (IVCT), and the myocardial performance index (MPI = (IVRT + IVCT)/ejection time). Standardized beta-values were assessed. Both systolic and diastolic measures associated with CTI. Conventional measures: left ventricular ejection fraction (stand. beta): MPI -0.34, IVRT 0.24, and IVCT -0.21, all p < 0.001. For the TDI measures, the most significant association was found with e': MPI (stand. beta: -0.30, p < 0.001) and IVRT (-0.35, p < 0.001) but no association with IVCT -0.05, p = 0.1). Speckle-tracking derived measures were in general strongly associated with the cardiac time intervals. Thus, global longitudinal strain and MPI (-0.38, p < 0.001), IVRT (-0.23, p < 0.001), and IVCT (-0.10, p < 0.001); and global longitudinal strain rate e and MPI (-0.40, p < 0.001), IVRT (-0.42, p < 0.001), and IVCT (-0.04, p = 0.11). CTI, in particular MPI and IVRT, associate with both systolic and diastolic myocardial function assessed by conventional and newer echocardiographic measures. This may possibly help to explain the prognostic significance of CTI.

U2 - 10.1007/s10554-016-0839-7

DO - 10.1007/s10554-016-0839-7

M3 - Journal article

C2 - 26797501

VL - 32

SP - 789

EP - 798

JO - International Journal of Cardiovascular Imaging

JF - International Journal of Cardiovascular Imaging

SN - 1569-5794

IS - 5

ER -