Abstract:
BACKGROUND:The functional status of heart failure (HF) is conventionally evaluated by peak exercise oxygen consumption (VO2 max). Dobutamine echocardiography can be used to evaluate myocardial reserve. The aim of this study was to estimate the functional status of chronic HF in patients with dilated cardiomyopathy, by investigating the changes in echo-variables, as assessed by echo-dobutamine, in relation with VO2 max. METHODS AND RESULTS:A low infusion rate echo-dobutamine test (10 micrograms/kg/min) was performed in 30 patients with dilated cardiomyopathy and 1 h later VO2 max was measured. VO2 max (ranging from 7.6 to 23 ml/kg/min, mean 14.06 +/- 0.64 ml/kg/min) was correlated with the changes (values obtained after inotropic stimulation minus those obtained at baseline) in left ventricular end-systolic diameter (r:0.80, p:0.001), in left ventricular end-systolic posterior wall thickness (r:0.73, p:0.001) and in left ventricular heart-rate corrected mean velocity of circumferential fiber shortening (Vcfc)/end-systolic meridional wall stress ratio (r:0.64, p:0.0001). A negative correlation was found between VO2 max and the changes in end-systolic meridional wall stress (r: -0.76, p:0.001). After dobutamine infusion Vcfc/systolic meridional wall stress ratio increased in patients with VO2 max > 14 ml/kg/min but decreased in patients with VO2 max < 14 ml/kg/min (0.0001 +/- 0.0001 vs -0.0002 +/- 0.0003 circ x cm2/g x s, p:0.0001). End-systolic meridional wall stress was decreased in patients with VO2 max > 14 ml/kg/min but increased in patients with VO2 max < 14 ml/kg/min (-126.97 +/- 34.24 vs 205.77 +/- 56.71 g/cm2, p:0.0001). CONCLUSION:The changes in echo-variables assessed by echo-dobutamine are well correlated with VO2 max and seem to be accurate for evaluating the functional status of chronic HF in patients with dilated cardiomyopathy.
journal_name
Cardiovasc Resjournal_title
Cardiovascular researchauthors
Paraskevaidis IA,Tsiapras DP,Adamopoulos S,Kremastinos DTdoi
10.1016/s0008-6363(98)00345-9subject
Has Abstractpub_date
1999-07-01 00:00:00pages
58-66issue
1eissn
0008-6363issn
1755-3245pii
S0008-6363(98)00345-9journal_volume
43pub_type
杂志文章abstract::The static mechanical properties of major branches of the human arteries (common carotid artery, abdominal aorta, femoral artery, and brachial artery) were studied in 39 subjects, aged 6-81 years, using an ultrasonic phase locked echo tracking system that allows continuous transcutaneous measurement of the diameter of...
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journal_title:Cardiovascular research
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更新日期:2014-05-01 00:00:00
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journal_title:Cardiovascular research
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更新日期:1995-12-01 00:00:00
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doi:10.1093/cvr/16.9.530
更新日期:1982-09-01 00:00:00
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更新日期:2005-06-01 00:00:00
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更新日期:2020-10-01 00:00:00
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更新日期:1996-02-01 00:00:00
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doi:10.1016/s0008-6363(03)00353-5
更新日期:2003-07-01 00:00:00
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doi:10.1016/s0008-6363(01)00476-x
更新日期:2002-01-01 00:00:00
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journal_title:Cardiovascular research
pub_type: 杂志文章
doi:10.1093/cvr/cvr037
更新日期:2011-07-15 00:00:00
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doi:10.1093/cvr/20.10.721
更新日期:1986-10-01 00:00:00
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journal_title:Cardiovascular research
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doi:
更新日期:1996-02-01 00:00:00
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journal_title:Cardiovascular research
pub_type: 杂志文章,评审
doi:
更新日期:1996-10-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2009-05-01 00:00:00
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更新日期:2002-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s0008-6363(99)00156-x
更新日期:1999-10-01 00:00:00
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doi:10.1093/cvr/cvaa070
更新日期:2021-01-01 00:00:00
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doi:10.1016/j.cardiores.2005.11.008
更新日期:2006-04-01 00:00:00
abstract::Changes in left ventricular internal diameter resulting from increasing intrapericardial pressure induced by increasing the pericardial fluid volume were studied in closed chest, anaesthetized dogs. Left ventricular internal diameters were measured by placing an ultrasonic dimension catheter in the left ventricle at t...
journal_title:Cardiovascular research
pub_type: 杂志文章
doi:10.1093/cvr/9.6.707
更新日期:1975-11-01 00:00:00
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journal_title:Cardiovascular research
pub_type: 杂志文章
doi:10.1093/cvr/25.3.184
更新日期:1991-03-01 00:00:00
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journal_title:Cardiovascular research
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更新日期:2013-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s0008-6363(98)00054-6
更新日期:1998-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s0008-6363(98)00164-3
更新日期:1998-12-01 00:00:00