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Doppler Tissue Energy and Stress Echocardiography in the Diagnosis of Myocardial Contusion in Canines

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Abstract

We sought to evaluate the significance of Doppler tissue energy (DTE) and stressed echocardiography for diagnosing myocardial contusion (MC) in canines. Ten adult healthy dogs were anesthetized (3% pentobarbital sodium/i.v.) and impacted by BIM-II biological impact machine to induce MC. Conventional and stressed echocardiographies were used for segmental abnormal ventricular wall motions; DTE was also used to detect the abnormal ventricular wall motions and areas of injured myocardial fibers after MC, and the results were compared with those of triphenyl tetrazolium chloride (TTC) staining. The data show that both conventional and stressed echocardiographies identified ventricular wall segmental abnormal motions or even aneurysms. These segments were mainly distributed over the front and middle interventricular walls and anterolateral ventricular wall. The ventricular wall motion scoring and wall motion segment index (WMSI) increased remarkably after MC induction. Compared with TTC staining, the conventional echocardiography showed 100% sensitivity and 66.67% specificity, whereas the stressed echocardiography displayed 100% sensitivity and 88.89% specificity. DTE showed both the sensitivity and specificity of 100% for MC diagnosis. Thus, DTE has higher specificity than conventional and stressed echocardiographies. In conclusion, both DTE and stress echocardiography have higher clinical value for MC diagnosis in canines.

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References

  1. Aksnes, J., Foose, E., PilgrimL, J., & Field, N. (1993). Injury of the heart. Injury, 24, 545–548.

    Article  PubMed  CAS  Google Scholar 

  2. Olsovsky, M. R., Wechsler, A. S., & Topaz, O. (1997). Cardiac trauma: Diagnosis, management and current therapy. Angiology, 48, 423–432.

    Article  PubMed  CAS  Google Scholar 

  3. Liu, Y. (1998). Modern imaging diagnosis of coronary heart diseases (1st ed., pp. 67–74). Beijing, China: People’s Military Medicine Press.

    Google Scholar 

  4. Hou, X., Yi, D., Zhang, J., Duan, W., Jin, F., & Liu, W. (2002). The early changes and their significance of plasma cardiac troponin I content in chest impact trauma in rabbit. Chinese Critical Care Medicine, 22, 314–316.

    Google Scholar 

  5. Diebel, L. N., Tagett, M. G., & Wilson, R. F. (1993). Right ventricular response after myocardial contusion and hemorrhagic shock. Surgery, 114, 788–792.

    PubMed  CAS  Google Scholar 

  6. Shears, L. L., Hill, R. C., Timberlake, G. A., et al. (1993). Myocardial performance after contusion with concurrent hypovolemia. Annals of Thoracic Surgery, 55, 834–837.

    Article  PubMed  CAS  Google Scholar 

  7. Garcia-Fernandez, M. A., Lopez-Perez, J. M., Perez-Castellano, N., et al. (1998). Role of transesophageal echocardiography in the assessment of patients with blunt chest trauma: correlation of echocardiographic findings with the electrocardiogram and creatine kinase monoclonal antibody measurements. American Heart Journal, 135, 476–481.

    Article  PubMed  CAS  Google Scholar 

  8. Smith, M. D., Cassidy, J. M., Souther, S., et al. (1995). Transesophageal echocardiography in the diagnosis of traumatic rupture of aorta. The New England Journal of Medicine, 10, 142–148.

    Google Scholar 

  9. Brooks, S. W., Yong, J. C., Cmolick, B., et al. (1992). The use of transesophageal echocardiography in the evaluation of chest trauma. Journal of Trauma, 32, 761–765.

    Article  PubMed  CAS  Google Scholar 

  10. Vignon, P., Gueret, P., Vedrinne, J. M., et al. (1995). Role of transesophageal echocardiography in the diagnosis and management of traumatic aortic disruption. Circulation, 92, 2959–2968.

    PubMed  CAS  Google Scholar 

  11. Yang, Q., Liu, W., Kang, C., Li, T., Wang, J., & Yang, X. (2003). The study of correlation between regional wall motion abnormality detected by stress echocardiography and vascular distribution. Journal of Ultrasound in Clinical Medicine, 5, 121–133.

    Google Scholar 

  12. Weiss, R. L., Brier, J. A., O’connor, W., Ross, S., & Brathwaite, C. M. (1996). The usefulness of transesophageal echocardiography in diagnosing cardiac contusions. Chest, 109, 73–77.

    Article  PubMed  CAS  Google Scholar 

  13. Liu, W., Cai, J., & Yi, D. (2000). Biomechanics of impact injury in the heart and classification of myocardial contusion. Journal of the Fourth Military Medical University, 21, 540–542.

    Google Scholar 

  14. Miyatake, K., Yamagishi, M., Tanaka, N., et al. (1995). New method for evaluating left ventricular wall motion by color-coded tissue Doppler imaging: In vitro and in vivo studies. Journal of the American College of Cardiology, 25, 717–724.

    Article  PubMed  CAS  Google Scholar 

  15. Tuchnitz, A., Bibra, H.-V., Sutherland, G. R., Erhardt, W., Henke, J., & Shomig, A. (1997). Doppler energy: A new acquisition technique for the tansthoracic detection of myocardial perfusion defects with the use of a venous contrast agent. Journal of the American Society of Echocardiography, 10, 881–890.

    Article  PubMed  CAS  Google Scholar 

  16. Moran, C., McDicken, N., Groundstroem, K., & Sutherland, G. (1993). Potential application of color Doppler imaging of myocardium in assessing contractility and perfusion. In N. Nanda & R. Schlief (Eds.), Advances in echo imaging using contrast enhancement (pp. 309–323). Boston: Kluwer.

    Google Scholar 

  17. Derumeaux, G., Ovize, M., Loufoua, J., Pontier, G., André-Fouet, X., & Cribier, A. (2000). Assessment of non-uniformity of transmural myocardial velocities by color-coded tissue Doppler imaging: Characterization of normal, ischemic, and stunned myocardium. Circulation, 101, 1390–1395.

    PubMed  CAS  Google Scholar 

  18. Sutherland, G. R., Steward, M. J., Grounstroem, K. W., et al. (1994). Color Doppler myocardial imaging: A new technique for the assessment of myocardial function. Journal of the American Society of Echocardiography, 7, 441–458.

    PubMed  CAS  Google Scholar 

  19. Trambaiolo, P., Tonti, G., Salustri, A., Fedele, F., & Sutherland, G. (2001). New insights into regional systolic and diastolic left ventricular function with tissue Doppler echocardiography: From qualitative analysis to a quantitative approach. Journal of the American Society of Echocardiography, 14, 85–96.

    Article  PubMed  CAS  Google Scholar 

  20. Sutherland, G. R., Lange, A., & Palka, P. (1995). Does Doppler myocardial imaging give new insights or simply old information revisited? Heart, 76, 197–199.

    Article  Google Scholar 

  21. Van de Veire, N. R., Sutter, J. D., Bax, J. J., & Roelandt, J. R. T. C. (2008). Technological advances in tissue Doppler imaging echocardiography. Heart, 94, 1065–1074.

    Article  PubMed  Google Scholar 

  22. Thibault, H., & Derumeaux, G. (2008). Assessment of myocardial ischemia and viability using tissue Doppler and deformation imaging: the lessons from the experimental studies. Archives of Cardiovascular Diseases, 101, 61–68.

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

We thank the Open Fund of State Laboratory of Trauma, Burn and Combined Injury of the Third Military Medical University, China, for financial support. We are also grateful to professors Jiang JX and Yin ZY from the Research Institute of Surgery for their technical and clinical guidance throughout the course of this study.

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Correspondence to Zhang Weimin.

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Wenhua, D., Xiuqin, X. & Weimin, Z. Doppler Tissue Energy and Stress Echocardiography in the Diagnosis of Myocardial Contusion in Canines. Cell Biochem Biophys 62, 383–389 (2012). https://doi.org/10.1007/s12013-011-9311-4

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