Literature DB >> 16198634

Disagreement between tissue Doppler imaging and conventional pulsed wave Doppler in the measurement of myocardial performance index.

Eduardo Casas Rojo1, José Luis Rodrigo, Leopoldo Pérez de Isla, Carlos Almería, Nieves Gonzalo, Adalía Aubele, Rafael Cinza, José Zamorano, Carlos Macaya.   

Abstract

AIM: Myocardial performance index (MPI) is usually measured with pulsed wave Doppler (PWD). Our aim was to assess the degree of agreement between PWD and a method based on tissue Doppler imaging (TDI). METHODS AND
RESULTS: Seventy-five patients with prior myocardial infarction and 20 healthy subjects underwent measurement of time intervals and MPI with PWD and pulsed TDI at septal and lateral sides of mitral annulus. MPI and TDI-MPI at septal side showed the best intraclass correlation coefficient (ICC=0.54; p<0.0005). Ninety-five percent interval of agreement ranged from -0.27 to 0.22. These differences were attributed to discrepancies in isovolumic contraction and relaxation times. In the healthy group the results were similar (ICC=0.44), although the 95% interval of agreement was lower (from -0.13 to 0.12).
CONCLUSIONS: The agreement between PWD and TDI in the measurement of MPI is only moderate. This should be taken into account in the interpretation of studies in which TDI is used for this measurement.

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Year:  2005        PMID: 16198634     DOI: 10.1016/j.euje.2005.08.004

Source DB:  PubMed          Journal:  Eur J Echocardiogr        ISSN: 1532-2114


  19 in total

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