PMID- 32632552 OWN - NLM STAT- MEDLINE DCOM- 20210616 LR - 20210616 IS - 1615-2573 (Electronic) IS - 0910-8327 (Linking) VI - 36 IP - 1 DP - 2021 Jan TI - Noninvasive assessment of intraventricular pressure difference in left ventricular dyssynchrony using vector flow mapping. PG - 92-98 LID - 10.1007/s00380-020-01664-3 [doi] AB - Diastolic intraventricular pressure difference (IVPD) reflects left ventricular (LV) diastolic function. The relative pressure imaging (RPI) enables the noninvasive quantification of IVPD based on vector flow mapping (VFM) and visualization of regional pressure distribution. LV dyssynchrony causes deterioration of cardiac performance. However, it remains unclear how IVPD is modulated by LV dyssynchrony. LV dyssynchrony was created in ten open-chest dogs by right ventricular (RV) pacing. The other ten dogs undergoing right atrial (RA) pacing set at the similar heart rate with RV pacing were used as controls. Echocardiographic images were acquired at baseline and during pacing simultaneously with LV pressure measurement by a micromanometer. Pressure difference (DeltaP) was computed between the apex and the base of the LV inflow tract during a cardiac cycle by RPI and DeltaP during isovolumic relaxation time (DeltaP(IRT)), a parameter of diastolic suction, and that during early filling phase (DeltaP(E)) were measured. During RV pacing, stroke volume (SV) and DeltaP(IRT) decreased significantly, while DeltaP(E) did not change compared to the baseline. During RA pacing, SV, DeltaP(IRT) and DeltaP(E) did not change significantly. DeltaP(IRT) tended to correlate with -dP/dt(min) and end-systolic volume, and significantly correlated with ejection fraction. IVPD during isovolumic relaxation time was decreased by LV dyssynchrony, while IVPD during early filling phase was not. A reduction of diastolic suction is observed in LV dyssynchrony and is significantly related to a decrease in SV. FAU - Minami, Seina AU - Minami S AD - Division of Functional Diagnostics, Department of Health Sciences, Osaka University Graduate School of Medicine, 1-7 Yamadaoka, Suita, Osaka, 565-0871, Japan. FAU - Masuda, Kasumi AU - Masuda K AD - Division of Functional Diagnostics, Department of Health Sciences, Osaka University Graduate School of Medicine, 1-7 Yamadaoka, Suita, Osaka, 565-0871, Japan. FAU - Stugaard, Marie AU - Stugaard M AD - Division of Functional Diagnostics, Department of Health Sciences, Osaka University Graduate School of Medicine, 1-7 Yamadaoka, Suita, Osaka, 565-0871, Japan. FAU - Kamimukai, Toshiki AU - Kamimukai T AD - Division of Functional Diagnostics, Department of Health Sciences, Osaka University Graduate School of Medicine, 1-7 Yamadaoka, Suita, Osaka, 565-0871, Japan. FAU - Asanuma, Toshihiko AU - Asanuma T AD - Division of Functional Diagnostics, Department of Health Sciences, Osaka University Graduate School of Medicine, 1-7 Yamadaoka, Suita, Osaka, 565-0871, Japan. FAU - Nakatani, Satoshi AU - Nakatani S AUID- ORCID: 0000-0002-8709-8615 AD - Saiseikai Senri Hospital, 1-1-6 Tsukumodai, Suita, Osaka, 565-0862, Japan. snakatani@senri.saiseikai.or.jp. LA - eng PT - Journal Article DEP - 20200706 PL - Japan TA - Heart Vessels JT - Heart and vessels JID - 8511258 SB - IM MH - Animals MH - Blood Flow Velocity/*physiology MH - Diastole MH - Disease Models, Animal MH - Dogs MH - Echocardiography MH - Female MH - Heart Rate/physiology MH - Heart Ventricles/diagnostic imaging/*physiopathology MH - Myocardial Contraction/*physiology MH - Stroke Volume/physiology MH - Ventricular Dysfunction, Left/diagnosis/*physiopathology MH - Ventricular Function, Left/*physiology MH - Ventricular Function, Right/*physiology MH - Ventricular Pressure/*physiology OTO - NOTNLM OT - Diastolic function OT - Intraventricular pressure difference OT - Left ventricular dyssynchrony OT - Vector flow mapping EDAT- 2020/07/08 06:00 MHDA- 2021/06/17 06:00 CRDT- 2020/07/08 06:00 PHST- 2020/04/17 00:00 [received] PHST- 2020/07/03 00:00 [accepted] PHST- 2020/07/08 06:00 [pubmed] PHST- 2021/06/17 06:00 [medline] PHST- 2020/07/08 06:00 [entrez] AID - 10.1007/s00380-020-01664-3 [pii] AID - 10.1007/s00380-020-01664-3 [doi] PST - ppublish SO - Heart Vessels. 2021 Jan;36(1):92-98. doi: 10.1007/s00380-020-01664-3. Epub 2020 Jul 6.