PMID- 35653883 OWN - NLM STAT- MEDLINE DCOM- 20220706 LR - 20220712 IS - 1875-0834 (Electronic) IS - 1760-2734 (Linking) VI - 41 DP - 2022 Jun TI - Non-invasive assessment of left ventricular relaxation property using color M-mode-derived intraventricular pressure gradients in cats. PG - 236-248 LID - S1760-2734(22)00046-7 [pii] LID - 10.1016/j.jvc.2022.03.006 [doi] AB - INTRODUCTION: Diastolic dysfunction is an early clinical feature of feline hypertrophic cardiomyopathy (HCM). The left ventricular filling in early diastole is facilitated by the diastolic intraventricular pressure gradient (IVPG). The study objectives were to evaluate color Doppler M-mode-derived IVPG calculation in cats as a non-invasive assessment of the left ventricular relaxation property to determine the normal ranges of peak IVPG in cats and investigate the influence of left ventricular function and heart rate (HR). ANIMALS: One hundred and six client-owned apparently healthy cats. METHODS: Prospective cross-sectional study. Quantitative analysis of color Doppler M-mode images was used to estimate total and segmental IVPGs non-invasively. RESULTS: The total IVPG was 0.76 mmHg (95% reference interval (RI): 0.28-1.29 mmHg), the basal IVPG 0.34 mmHg (95% RI: 0.07-0.63 mmHg), and the mid-apical IVPG 0.42 mmHg (95% RI: 0.15-0.71 mmHg). Total and segmental IVPG increased with HR (P < 0.003), while segmental percent IVPG was HR independent. A short isovolumic relaxation time (IVRT) and a high mitral annular velocity in early diastole were associated with an increase in total IVPG (P = 0.008 and P = 0.009, respectively) adjusted for HR. An increase in IVPG was associated with an increase in mitral inflow velocity (P < 0.001). CONCLUSIONS: Feline IVPGs increase with HR and a short IVRT, which was believed to be a normal physiologic adrenergic response associated with an increased sympathetic tone. Future studies of segmental IVPG changes in feline HCM are needed to evaluate the clinical applicability of color Doppler M-mode estimated IVPGs in feline cardiology. CI - Copyright (c) 2022 The Authors. Published by Elsevier B.V. All rights reserved. FAU - Matsuura, K AU - Matsuura K AD - Department of Veterinary Surgery, Tokyo University of Agriculture and Technology, Japan. FAU - Bach, M B T AU - Bach MBT AD - Department of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg, Denmark. Electronic address: Maiken.thode@sund.ku.dk. FAU - Takahashi, K AU - Takahashi K AD - Department of Pediatrics, Faculty of Medicine, Juntendo University, Japan. FAU - Willesen, J L AU - Willesen JL AD - Department of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg, Denmark. FAU - Koch, J AU - Koch J AD - Department of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg, Denmark. FAU - Tanaka, R AU - Tanaka R AD - Department of Veterinary Surgery, Tokyo University of Agriculture and Technology, Japan. LA - eng PT - Journal Article DEP - 20220407 PL - Netherlands TA - J Vet Cardiol JT - Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology JID - 101163270 SB - IM MH - Animals MH - Cardiomyopathy, Hypertrophic/diagnostic imaging/veterinary MH - Cat Diseases/diagnostic imaging MH - *Cats MH - Cross-Sectional Studies MH - Diastole/physiology MH - *Echocardiography, Doppler/veterinary MH - Heart Rate MH - *Heart Ventricles/diagnostic imaging MH - Prospective Studies MH - *Ventricular Function, Left/physiology MH - Ventricular Pressure/physiology OTO - NOTNLM OT - Diastole OT - Echocardiography OT - Feline OT - Hypertrophic cardiomyopathy OT - Suction force COIS- Conflicts of Interest Statement The authors do not have any conflicts of interest to disclose. EDAT- 2022/06/03 06:00 MHDA- 2022/07/07 06:00 CRDT- 2022/06/02 18:19 PHST- 2021/08/09 00:00 [received] PHST- 2022/03/30 00:00 [revised] PHST- 2022/03/31 00:00 [accepted] PHST- 2022/06/03 06:00 [pubmed] PHST- 2022/07/07 06:00 [medline] PHST- 2022/06/02 18:19 [entrez] AID - S1760-2734(22)00046-7 [pii] AID - 10.1016/j.jvc.2022.03.006 [doi] PST - ppublish SO - J Vet Cardiol. 2022 Jun;41:236-248. doi: 10.1016/j.jvc.2022.03.006. Epub 2022 Apr 7.