PMID- 20718843 OWN - NLM STAT- MEDLINE DCOM- 20110502 LR - 20161125 IS - 1540-8175 (Electronic) IS - 0742-2822 (Linking) VI - 28 IP - 1 DP - 2011 Jan TI - Differentiation of the left- from right-side ventricular septum in acute anterior myocardial infarction by tissue Doppler imaging. PG - 38-43 LID - 10.1111/j.1540-8175.2010.01258.x [doi] AB - OBJECTIVES: This study was to evaluate the longitudinal and radial function of the left- and right-side ventricular septum (Ls and Rs) in patients with acute anterior myocardial infarction (AMI) by tissue Doppler imaging. METHODS: Thirty patients with anterior ST-elevation AMI and revascularization and 20 age-matched normal subjects were enrolled as controls. The longitudinal and radial systolic tissue velocity (TV), strain rate (SR) and strain (varepsilon) of both Ls and Rs were assessed. RESULTS: In normal, there were no significant differences of longitudinal TV, SR and varepsilon between the Ls and Rs. The radial TV was same directed, but larger in Ls than Rs (P < 0.001). The radial SR and varepsilon were positive values of Ls and negative values of Rs, but the degrees were similar in both sides. In AMI, longitudinal and radial TV were significantly decreased in both sides. However, longitudinal and radial SR and varepsilon were significantly decreased in Ls only (P < 0.001 in all). Fourteen patients with AMI who showed no functional recovery had more reduced radial varepsilon of Ls (3.9 +/- 1.5% vs. 5.5 +/- 2.1%, P = 0.02), but not longitudinal varepsilon of Ls than the other 16 patients with recovery. CONCLUSION: This study showed the ventricular septum can be functionally differentiated the Ls from the Rs, which can be well demonstrated by SR imaging. The impairment of radial rather than longitudinal function of the Ls was related to no functional recovery. CI - (c) 2010, Wiley Periodicals, Inc. FAU - Park, Seong-Mi AU - Park SM AD - Division of Cardiology, Korea University College of Medicine, Seoul, Republic of Korea. FAU - Hong, Soon-Jun AU - Hong SJ FAU - Lim, Do-Sun AU - Lim DS FAU - Shim, Wan-Joo AU - Shim WJ LA - eng PT - Journal Article DEP - 20100817 PL - United States TA - Echocardiography JT - Echocardiography (Mount Kisco, N.Y.) JID - 8511187 SB - IM MH - Case-Control Studies MH - Female MH - Humans MH - Male MH - Middle Aged MH - Myocardial Infarction/*diagnostic imaging/pathology MH - *Ultrasonography, Doppler MH - Ventricular Dysfunction, Left/*diagnostic imaging MH - Ventricular Dysfunction, Right/*diagnostic imaging EDAT- 2010/08/20 06:00 MHDA- 2011/05/03 06:00 CRDT- 2010/08/20 06:00 PHST- 2010/08/20 06:00 [entrez] PHST- 2010/08/20 06:00 [pubmed] PHST- 2011/05/03 06:00 [medline] AID - ECHO1258 [pii] AID - 10.1111/j.1540-8175.2010.01258.x [doi] PST - ppublish SO - Echocardiography. 2011 Jan;28(1):38-43. doi: 10.1111/j.1540-8175.2010.01258.x. Epub 2010 Aug 17.