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Pavlyukova E.N.

Research Institute of Cardiology, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia

Kuzhel D.A.

Research Institute of Cardiology, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia;
Krasnoyarsk Territory Hospital Two, Krasnoyarsk, Russia

Matyushin G.V.

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russia

Time course of changes in left ventricular twist in the presence of idiopathic left bundle branch block during exercise testing

Authors:

Pavlyukova E.N., Kuzhel D.A., Matyushin G.V.

More about the authors

Journal: Therapeutic Archive. 2017;89(9): 15‑19

DOI: 10.17116/terarkh201789915-19

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TIME COURSE OF CHANGES IN LEFT VENTRICULAR TWIST IN THE PRESENCE OF IDIOPATHIC LEFT BUNDLE BRANCH BLOCK DURING EXERCISE TESTING
TIME COURSE OF CHANGES IN LEFT VENTRICULAR TWIST IN THE PRESENCE OF IDIOPATHIC LEFT BUNDLE BRANCH BLOCK DURING EXERCISE TESTING

To cite this article:

Pavlyukova EN, Kuzhel DA, Matyushin GV. Time course of changes in left ventricular twist in the presence of idiopathic left bundle branch block during exercise testing. Therapeutic Archive. 2017;89(9):15‑19. (In Russ.)
https://doi.org/10.17116/terarkh201789915-19

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Abstract:

Aim. To investigate left ventricular (LV) deformation properties, rotation, and twist during a bicycle ergometer exercise test among patients with idiopathic left bundle branch block (LBBB). Subjects and methods. Thirty-four patients with idiopathic LBBB having a mean QRS duration of 153±24 msec were examined. A control group included 18 apparently healthy volunteers. All the patients and apparently healthy individuals underwent echocardiography to determine LV hemodynamic parameters, deformity, rotation and twist at rest and after exercise test. Results. As compared with the control, the idiopathic LBBB group at rest showed decreases in LV global longitudinal deformity (-15.6±4.7 and –18.4±3.1%, respectively; p=0.037), apical rotation (4.59±4.2° and 8.99±3.68°; p=0.0067) and twist (9.08±4.59° and 13.96±4.61°; p=0.0156), whereas there were no differences in LV ejection fraction and end-systolic and end-diastolic volumes. After exercise testing there were no augmentations in basal and apical rotation and resulting ΔTwist in the idiopathic LBBB group compared with the control (–2.05±8.35 and 4.66±8.49%; p=0.0463). The described changes in LV rotation and twist during exercise testing occurred in the presence of elevated pulmonary artery systolic pressure (PASP) in the LBBB group compared with the control (41.6±3.81 and 32.4±3.81 mm Hg, respectively; p=0.0201). Conclusion. Decreases in LV basal, apical and resulting twist may lead to elevated PASP in patients with idiopathic LBBB during exercise.

Keywords:

echocardiography
myocardial deformity
left ventricular rotation
twist
complete left bundle branch block

Authors:

Pavlyukova E.N.

Research Institute of Cardiology, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia

Kuzhel D.A.

Research Institute of Cardiology, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia;
Krasnoyarsk Territory Hospital Two, Krasnoyarsk, Russia

Matyushin G.V.

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russia

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References:

  1. Neilan T, Ton-Nu T, Jassal D, Popovic Z., Douglas P, Halpern E, Marshall J, Thomas J, Picard M, Yoerger D. Myocardial adaptation to shortterm high-intensity exercise in highly trained athletes. Journal of the American Society of Echocardiography. 2006;19:1280-1285. https://doi.org/10.1016/j.echo.2006.05.001
  2. Sengupta PP, Tajik AJ, Chandrasekaran K, Khandheria BK. Twist Mechanics of the Left Ventricle. JACC: Cardiovascular Imaging. 2008;1:366-76. https://doi.org/10.1016/j.jcmg.2008.02.006
  3. Soullier C, Obert P, Doucende G, Nottin S, Cade S, Perez-Martin A, Messner-Pellenc P, Schuster I. Exercise Response in Hypertrophic Cardiomyopathy: Blunted Left Ventricular Deformational and Twisting Reserve With Altered Systolic-Diastolic Coupling. Cardiovasc Imaging. 2012;5:324-332. https://doi.org/10.1161/circimaging.111.968859
  4. Karaahmet T, Gürel E, Tigen K, Güler A, Dündar C, Fotbolcu H, Basaran Y. The effect of myocardial fibrosis on left ventricular torsion and twist in patients with non-ischemic dilated cardiomyopathy. Cardiol J. 2013;20(3):276-286. https://doi.org/10.5603/cj.2013.0073
  5. Pavlukova EN, Kuzhel DA, Matyushin GV, Lytkina VS. Left His bundle branch block associated with left ventricular torsion and reduced ejection fraction. Klin Med. 2015;93(11):15-21. (In Russ.).
  6. Bertini M, Sengupta P, Nucifora G, Delgado V, Ng A, Marsan N, Shanks M, van Bommel R, Schalij M, Narula J, Bax J. Role of Left Ventricular Twist Mechanics in the Assessment of Cardiac Dyssynchrony in Heart Failure. JACC: Cardiovascular Imaging. 2009;2(12):1425-1435. https://doi.org/10.1016/j.jcmg.2009.09.013
  7. Matsumoto K, Tanaka H, Tatsumi K, Miyoshi T, Hiraishi M, Kaneko A, Tsuji T, Ryo K, Fukuda Y, Yoshida A, Kawai H, Hirata K. Left Ventricular Dyssynchrony Using Three-Dimensional Speckle-Tracking Imaging as a Determinant of Torsional Mechanics in Patients With Idiopathic Dilated Cardiomyopathy. The American Journal of Cardiology. 2012;109:1197-1205. https://doi.org/10.1016/j.amjcard.2011.11.059
  8. Helle-Valle T. New noninvasive method for assessment of left ventricular rotation: speckle tracking echocardiography. Circulation. 2005;112:3149-3156. https://doi.org/10.1161/circulationaha.104.531558
  9. Lang R, Badano L, Mor-Avi V, Afilalo J, Armstrong A, Ernande L, Flachskampf F, Foster E, Goldstein S, Kuznetsova T, Lancellotti P, Muraru D, Picard M, Rietzschel E, Rudski L, Spencer K, Tsang W, Voigt J. Recommendations for Cardiac Chamber uantification by Echocardiography in Adults: An Update from the American Society hocardiography and the European Association of Cardiovascular Imaging. Journal of the American Society of Echocardiography. 2015;28:1-39. https://doi.org/10.1016/j.echo.2014.10.003
  10. Nagueh S, Smiseth O, Appleton C, Byrd B, Dokainish H, Edvardsen T, Flachskampf F, Gillebert T, Klein A, Lancellotti P, Marino P, Oh J, Popescu B, Waggoner A. Recommendations for the Evaluation of Left ntricular Diastolic Function by Echocardiography: An Update from the American Society of chocardiography and the European Association of Cardiovascular Imaging. Journal of the American Society of Echocardiography. 2016;29:277-314. https://doi.org/10.1016/j.echo.2016.01.011
  11. Fletcher G, Balady G, Amsterdam E, Chaitman B, Eckel R, Fleg J, Froelicher V, Leon A, Pina I, Rodney R, Simons-Morton D, Williams M, Bazzarre T. Exercise Standards for Testing and Training: A Statement for Healthcare Professionals From the American Heart Association. Circulation 2001;104:1694. https://doi.org/10.1161/hc3901.095960
  12. Sicari R, Nihoyannopoulos P, Evangelista A, Kasprzak J, Lancellotti P, Poldermans D, Voigt J, Zamorano J. Stress Echocardiography Expert Consensus Statement — Executive Summary: European Association of Echocardiography (EAE) (a registered branch of the ESC). European Heart Journal. 2009;30(3):278-289. https://doi.org/10.1093/eurheartj/ehn492
  13. Notomi Y. Enhanced ventricular untwisting during exercise: a mechanistic manifestation of elastic recoil described by Doppler tissue imaging. Circulation. 2006;113:2524-2533. https://doi.org/10.1161/circulationaha.105.596502
  14. Zocalo Y, Bia D, Armentano R.L. Assessment of training-dependent changes in the left ventricle torsion dynamics of professional soccer players using speckle-tracking echocardiography. Conf Proc IEEE Eng Med Biol Soc. 2007;1:2709-2712.
  15. Kim W, Lee B, Kim Y, Kang J, Jung Y, Song J, Kang D, Song J. Apical Rotation Assessed by Speckle-Tracking Echocardiography as an Index of Global Left Ventricular Contractility.Circulation: Cardiovascular Imaging. 2009;2:123-131. https://doi.org/10.1161/circimaging.108.794719
  16. Meluzin J, Spinarova L, Hude P, Krejci J, Poloczkova H, Podrouzkova H, Pesl M, Orban M, Dusek L, Korinek J. Left Ventricular Mechanics in Idiopathic Dilated Cardiomyopathy: Systolic-Diastolic Coupling and Torsion. Journal of the American Society of Echocardiography. 2009;22(5):486-493. https://doi.org/10.1016/j.echo.2009.02.022
  17. Iwasaki M, Masuda K, Asanuma T, Nakatani S. Effects of mechanical limitation of apical rotation on left ventricular relaxation and end-diastolic pressure. AJP: Heart and Circulatory Physiology. 2011;301:H1456-H1460. https://doi.org/10.1152/ajpheart.00316.2011
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