Discordant Impairment of Multidirectional Myocardial Deformation in Rats with Doxorubicin Induced Cardiomyopathy.

Background: In doxorubicin-induced cardiomyopathy (DIC), the sequence of decrease in multidirectional myocardial deformation has not been clearly elucidated. Objectives: We investigated the sequence of myocardial deformations in rat DIC, using two-dimensional speckle tracking echocardiography (2DSTE...

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Publicado en:Echocardiography Vol. 29; no. 6; pp. 720 - 729
Autores principales: Kim, Yong-Hyun, Kim, Mina, Park, Seong-Mi, Kim, Seong Hwan, Lim, Sang Yup, Ahn, Jeong-Cheon, Song, Woo-Hyuk, Shim, Wan-Joo
Formato: diagnostic images research tables/charts Journal Article
Publicado: Wiley-Blackwell Jul2012
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Discordant Impairment of Multidirectional Myocardial Deformation in Rats with Doxorubicin Induced Cardiomyopathy.
      aug:
        au:
          Kim, Yong-Hyun
          Kim, Mina
          Park, Seong-Mi
          Kim, Seong Hwan
          Lim, Sang Yup
          Ahn, Jeong-Cheon
          Song, Woo-Hyuk
          Shim, Wan-Joo
        affil: Division of Cardiology, Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea
      sug:
        subj:
          Cardiomyopathy, Hypertrophic Chemically Induced
          Doxorubicin Administration and Dosage
          Myocardium Physiopathology
          Echocardiography Methods
          Animal Studies
          Rats
          Control Group
          Correlational Studies
          Pearson's Correlation Coefficient
          Spearman's Rank Correlation Coefficient
          Mann-Whitney U Test
          Kruskal-Wallis Test
          Wilcoxon Signed Rank Test
          Descriptive Statistics
          Data Analysis Software
      ab: Background: In doxorubicin-induced cardiomyopathy (DIC), the sequence of decrease in multidirectional myocardial deformation has not been clearly elucidated. Objectives: We investigated the sequence of myocardial deformations in rat DIC, using two-dimensional speckle tracking echocardiography (2DSTE). Methods: Twenty rats were treated with doxorubicin (1.25 mg/kg × 16 times, intraperitoneal) for 4 weeks and compared with nine control rats. Myocardial strain analysis with 2DSTE, as well as conventional echocardiography, was obtained. Results: Compared with baseline, longitudinal strain/strain rate (LS/LSr) decreased at week 2 (−15.7 ± 1.5 to −14.1 ± 1.4%, P = 0.01 for LS; −4.4 ± 0.7 to −3.9 ± 0.5 per second, P = 0.009 for LSr). Left ventricular ejection fraction (LVEF) and circumferential strain (CS) decreased at week 4 (80.3 ± 3.2 to 78.1 ± 3.3%, P = 0.031 for LVEF; −18.6 ± 1.9 to −15.0 ± 3.4%, P = 0.019 for CS). Circumferential strain rate (CSr) decreased at week 6 (−5.5 ± 0.8 to −4.6 ± 1.0 per second, P = 0.008). Radial strain/strain rate (RS/RSr) decreased at week 8 (54.8 ± 9.4 to 43.7 ± 10.6%, P = 0.005 for RS; 8.0 ± 1.1 to 7.0 ± 1.1 per second, P = 0.005 for RSr), while there was no significant change in LS/LSr, LVEF, CS/CSr, or RS/RSr in the control group. LVEF had the highest correlation with LS (r =−0.607, P = 0.000) and the lowest correlation with RSr (r = 0.357, P = 0.000). Conclusions: In DIC of rat hearts, LS/LSr decreased first, and then LVEF, CS, CSr, RS/RSr subsequently decreased. LS/LSr is considered to be a more sensitive predictor than LVEF in progressive rat DIC, and RS/RSr was preserved until the last stage. (Echocardiography 2012;29:720-728)
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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