Quantitative analysis of wall motion abnormalities

  • Antonio F. Amico
  • Sabino Iliceto
  • Vito Marangelli
  • Giovanni Piccinni
  • Francesco Tota
  • Lucia Sublimi Saponetti
  • Gaetano D’ambrosio
  • Paolo Rizzon
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 113)

Abstract

Two-dimensional echocardiography has emerged as being an ideal noninvasive technique for studying the mechanical consequences of acute and chronic ischemia: because of its high spatial resolution, its sampling frequency and its safety, wall motion abnormalities can be identified within seconds of the onset of the ischemia and be monitored sequentially [1]. The clinical significance of the capability of the technique is demonstrated by the close relationship between the extent of the mechanical impairment as evaluated by echocardiography and the prognosis for the patients in whom spontaneous or induced ischemia is present [2–4].

Keywords

Wall Motion Left Ventricular Wall Motion Heart Movement Left Ventricle Short Axis Echocardiographic Section 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Pandian NG, Kerber RE (1982) Two dimensional echocardiography in experimental coronary stenosis. I. Sensitivity and specificity in detecting transient myocardial dyskinesis: Comparison with sonomicrometers. Circulation 66: 597–602.PubMedCrossRefGoogle Scholar
  2. 2.
    Gibson RS, Bishop HL, Stamm RB, Crampton RS, Beller GA, Martin RP (1982) Value of early two-dimensional echocardiography in patients with acute myocardial infarction. Am J Cardiol 49: 1110–1119.PubMedCrossRefGoogle Scholar
  3. 3.
    Kan G, Visser CA, Koolen JJ, Dunning AJ (1986) Short and long term predictive value of admission wall motion score in acute myocardial infarction: A cross sectional echocardiography study of 345 patients. Br. Heart J 56: 422–7.PubMedCrossRefGoogle Scholar
  4. 4.
    Iliceto S, Gaiati C, Ricci A, Amico A, Biasco G, Rizzon P (1988) Prognostic stratification of patients with recent uncomplicated myocardial infarction by transesophageal atrial pacing 2D Echo. Circulation 78, 4 (II): 1094.Google Scholar
  5. 5.
    Garcia E, Gueret P, Bennett M, Corday E, Zwehl W, Meerbaum S, Corday S, Swan HJC, Berman D (1981) Real time computerization of two dimensional echocardiography. Am Heart J 101: 783–792.PubMedCrossRefGoogle Scholar
  6. 6.
    Robinson EP, Pryor TA, Wellard SJ, Jones DS, Ridges JD (1976) Recognition of left ventricular borders using two dimensional echocardiograms: Identification of the endocardium. Comput Biomed Res 9: 247.CrossRefGoogle Scholar
  7. 7.
    Skorton DJ, McNary CA, Child JS, Newton FC, Shah PM (1981) Digital image processing of two-dimensional echocardiograms: Identification of the endocardium. Am J Cardiol 48: 479.PubMedCrossRefGoogle Scholar
  8. 8.
    Zhang L, Geiser EA (1984) An effective algorithm for extracting serial endocardial borders from two-dimensional echocardiograms. IEEE TRans Bio Eng BME 31: 441.CrossRefGoogle Scholar
  9. 9.
    Collins SM, Skorton DJ, Geiser EA, Nichols JA, Conetta DA, Pandian NG, Kerber RE (1984) Computer-assisted edge detection in two-dimensional echocardiography: Comparison to anatomical data. Am J Cardiol 53: 1380.PubMedCrossRefGoogle Scholar
  10. 10.
    Moynihan PF, Parisi AF, Feldman CL (1981) Quantitative detection of regional left ventricular contraction abnormalities by two-dimensional echocardiography. I. Analysis of methods. Circulation 63: 752–60.PubMedCrossRefGoogle Scholar
  11. 11.
    Garrison JB, Weiss JL, Maughan WL, Tuck OM, Guier WH, Fortuin NJ (1977) Quantifying regional wall motion and thickening in two-dimensional echocardiography with a computer-aided contouring system. Computers in Cardiology, pp 25–35. Los Angeles, CA, IEEE Computer Society.Google Scholar
  12. 12.
    Pandian NG, Skorton DJ, Collins SM, Falsetti HL, Burke ER, Kerber RE (1985) Heterogeneity of left ventricular segmental wall thickening and excursion in 2-dimensional echocardiograms of normal human subjects. Am J Cardiol 51: 1667–73.CrossRefGoogle Scholar
  13. 13.
    Parisi AF, Moyniham P, Folland ED, Feldman CL (1981) Quantitative detection of regional left ventricular contraction abnormalities by two-dimensional echocardiography. II. Accuracy in coronary artery disease. Circulation 63: 761–7.PubMedCrossRefGoogle Scholar
  14. 14.
    Force T, Bloomfield P, O’Boyle JE, Pietro DA, Dunlap RW, Khuri SF, Parisi AF (1983) Quantitative two-dimensional echocardiographic analysis of motion and thickening of the interventricular septum after cardiac surgery. Circulation 68: 1013–20.PubMedCrossRefGoogle Scholar
  15. 15.
    Force T, Bloomfield P, O’Boyle JE, Khuri SF, Josa M, Parisi AF (1984) Quantitative two- dimensional echocardiographic analysis of regional wall motion in patients with perioperative myocardial infarction. Circulation 70: 233–31.PubMedCrossRefGoogle Scholar
  16. 16.
    Schnittger I, Fitzgerald PJ, Gordon EP, Alderman EL, Popp RL (1984) Computerized quantitative analysis of left ventricular wall motion by two-dimensional echocardiography. Circulation 70: 242–254.PubMedCrossRefGoogle Scholar
  17. 17.
    Force TL, Parisi AF (1988) Quantitative Methods for Analyzing Regional Systolic Function with Two-Dimentional Echocardiography, in: Kerber RE (ed), Echocardiography in Coronary Artery Disease. Mount Kisco, New York: Futura Publishing Company.Google Scholar
  18. 18.
    Mann DL, Foale RA, Ascah KJ, Newell JB, Gillam LD, Weyman AE (1985) Persistence of abnormal wall motion in the canine ventricle after subacute infarction: Implications for reperfusion therapy. J Am Coll Cardiol 5: 425.Google Scholar
  19. 19.
    Zoghbi WA, Charlat ML, Bolli R, Zhu WX, Hartley CJ, Quinones MA (1980) Quantitative assessment of left ventricular wall motion by two-dimensional echocardiography: Validation during reversible ischemia in the conscious dog. J Am Coll Cardiol 11: 851–60.CrossRefGoogle Scholar
  20. 20.
    Force T, Kemper A, Perkins L, Gilfoil M, Cohen C, Parisi AF (1980) Overestimation of infarct size by quantitative two-dimensional echocardiography: The role of tethering and of nalytic procedures. Circulation 73: 1360–68.CrossRefGoogle Scholar
  21. 21.
    Franklin TD, Wiske PS, Clendenon JL et al. (1980) Variation in cross sectional echocardiography radial target motion relative to a calculated mean centroid of the left ventricle. Circulation 62: 132.Google Scholar
  22. 22.
    Weyman AE, Franklin, TD, Hogan RD, Gillam LD, Wiske PS, Newell J, Gibbons EF, Foale RA (1984) Importance of temporal heterogenity in assessing the contraction abnormalities associated with acute myocardial ischemia. Circulation 70: 102–112.PubMedCrossRefGoogle Scholar
  23. 23.
    Kaul S, Pandian NG, Gillam LD, Newell BA, Okada RD, Weyman AE (1986) Contrast echocardiography in acute myocardial ischemia. III. An in-vivo comparison of the extent of abnormal wall motion with the area at risk for necrosis. J Am Coll Cardiol 7: 383–92.PubMedCrossRefGoogle Scholar
  24. 24.
    Mc Gillem MJ, Mancini GBJ, DeBoe SF, Buda AJ (1988) Modification of the centerline method for assessment of echocardiography wall thickening and motion: A comparison with areas of risk. J Am Coll Cardiol 11: 861–6.PubMedCrossRefGoogle Scholar
  25. 25.
    Gillam LD, Hogan RD, Foale RA, Franklin TD, Newell JB, Guyer DE, Weyman AE (1984) A comparison of quantitative echocardiographic methods for delineating infarct- induced abnormal wall motion. Circulation 70: 112–122.CrossRefGoogle Scholar
  26. 26.
    Nicolosi AC, Spotnitz HM (1988) Quantitative analysis of regional systolic function with left ventricular aneurysm. Circulation 78: 856–62.PubMedCrossRefGoogle Scholar

Copyright information

© Kluwer Academic Publishers 1991

Authors and Affiliations

  • Antonio F. Amico
  • Sabino Iliceto
  • Vito Marangelli
  • Giovanni Piccinni
  • Francesco Tota
  • Lucia Sublimi Saponetti
  • Gaetano D’ambrosio
  • Paolo Rizzon

There are no affiliations available

Personalised recommendations