Doppler Assessment of Diastolic Function Reflect the Severity of Injury in Rats With Chronic Heart Failure

Pablo Sanchez, Jordan J. Lancaster, Kyle Weigand, Saffie Alrahman Ezz Eldin Mohran, Steven Goldman, Elizabeth Juneman

Research output: Contribution to journalArticle

Abstract

Objective For chronic heart failure (CHF), more emphasis has been placed on evaluation of systolic as opposed to diastolic function. Within the study of diastology, measurements of left ventricular (LV) longitudinal myocardial relaxation have the most validation. Anterior wall radial myocardial tissue relaxation velocities along with mitral valve inflow (MVI) patterns are applicable diastolic parameters in the differentiation between moderate and severe disease in the ischemic rat model of CHF. Myocardial tissue relaxation velocities correlate with traditional measurements of diastolic function (ie, hemodynamics, Tau, and diastolic pressure-volume relationships). Methods and Results Male Sprague-Dawley rats underwent left coronary artery ligation or sham operation. Echocardiography was performed at 3 and 6 weeks after coronary ligation to evaluate LV ejection fraction (EF) and LV diastolic function through MVI patterns (E, A, and E/A) and Doppler imaging of the anterior wall (e′ and a′). The rats were categorized into moderate or severe CHF according to their LV EF at 3 weeks postligation. Invasive hemodynamic measurements with solid-state pressure catheters were obtained at the 6-week endpoint. Moderate (N = 20) and severe CHF (N = 22) rats had significantly (P <.05) different EFs, hemodynamics, and diastolic pressure-volume relationships. Early diastolic anterior wall radial relaxation velocities as well as E/e′ ratios separated moderate from severe CHF and both diastolic parameters had strong correlations with invasive hemodynamic measurements of diastolic function. Conclusion Radial anterior wall e′ and E/e′ can be used for serial assessment of diastolic function in rats with moderate and severe CHF.

Original languageEnglish (US)
Pages (from-to)753-761
Number of pages9
JournalJournal of cardiac failure
Volume23
Issue number10
DOIs
StatePublished - Oct 2017

Keywords

  • Echocardiography
  • diastolic function
  • heart failure
  • mitral velocity
  • rats

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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