Echocardiographic Normal Reference Ranges for Non-invasive Myocardial Work Parameters in Pediatric Age: Results From an International Multi-Center Study.

advanced echocardiography congenital heart disease myocardial work indices speckle tracking analysis systolic function

Journal

Frontiers in cardiovascular medicine
ISSN: 2297-055X
Titre abrégé: Front Cardiovasc Med
Pays: Switzerland
ID NLM: 101653388

Informations de publication

Date de publication:
2022
Historique:
received: 10 11 2021
accepted: 17 03 2022
entrez: 13 5 2022
pubmed: 14 5 2022
medline: 14 5 2022
Statut: epublish

Résumé

This international multi-center study aimed to demonstrate the feasibility and reliability of non-invasive myocardial work (MW) parameters in the pediatric population, and to provide normal reference ranges for this useful echocardiographic tool in this specific subset of patients. In this retrospective multi-center study involving three pediatric laboratories, 150 healthy children and adolescents (mean age of 10.6 ± 4.5, 91 males) were enrolled. A complete echocardiographic examination has been performed, including global longitudinal strain (GLS) assessment. The following parameters of non-invasive MW have been obtained through a dedicated software: global work index (GWI), global constructive work (GCW), global work waste (GWW), and global work efficiency (GWE), using left ventricular (LV) strain loops and non-invasive brachial artery cuff pressure values. The lowest expected values were for GWI 1,723 mmHg% in males and 1,682 mmHg% in females, for GCW 2,089 and 2,106 mmHg%, for GWE 95.9 and 95.5% whereas the highest expected value for GWW was 78 mmHg% in men and 90 mmHg% in women. The univariable and multivariable analysis showed significant associations between either GWI or GCW with SBP (β coefficient = 0.446, Non-invasive MW parameters were feasible and reliable in the pediatric population. This study provided normal reference ranges of these useful echocardiographic indices.

Identifiants

pubmed: 35548421
doi: 10.3389/fcvm.2022.792622
pmc: PMC9081714
doi:

Types de publication

Journal Article

Langues

eng

Pagination

792622

Informations de copyright

Copyright © 2022 Sabatino, Leo, Strangio, Bella, Borrelli, Avesani, Josen, Paredes, Piccinelli, Sirico, Pergola, Fraisse, De Rosa, Indolfi and Di Salvo.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Références

Lancet. 1986 Feb 8;1(8476):307-10
pubmed: 2868172
Int J Cardiovasc Imaging. 2021 Aug;37(8):2429-2438
pubmed: 33723732
Am J Cardiol. 1977 Nov;40(5):748-53
pubmed: 920611
J Am Coll Cardiol. 2013 Jun 11;61(23):2365-73
pubmed: 23563128
Eur Heart J Cardiovasc Imaging. 2018 Sep 1;19(9):1010-1018
pubmed: 28954293
Circ Cardiovasc Imaging. 2019 Apr;12(4):e007805
pubmed: 31002265
Am J Physiol. 1979 Mar;236(3):H498-505
pubmed: 426086
Eur Heart J Cardiovasc Imaging. 2019 Jan 1;20(1):31-39
pubmed: 30247622
Circ Cardiovasc Imaging. 2009 Sep;2(5):356-64
pubmed: 19808623
Hypertension. 1982 Sep-Oct;4(5 Pt 2):III128-34
pubmed: 7049927
Pediatr Cardiol. 2020 Jun;41(5):892-898
pubmed: 32095851
Eur Heart J Cardiovasc Imaging. 2015 Nov;16(11):1247-55
pubmed: 25851329
Eur Heart J Cardiovasc Imaging. 2019 May 1;20(5):582-590
pubmed: 30590562
Circulation. 2017 Feb 21;135(8):717-719
pubmed: 28223323
Quant Imaging Med Surg. 2020 Jan;10(1):15-25
pubmed: 31956525
Am J Physiol. 1993 Jan;264(1 Pt 2):H110-6
pubmed: 8430838
Am J Cardiol. 1990 Feb 15;65(7):505-10
pubmed: 2137667
J Am Soc Echocardiogr. 2004 Jul;17(7):788-802
pubmed: 15220909
PLoS One. 2020 Dec 28;15(12):e0244397
pubmed: 33370359
Sci Rep. 2021 Apr 12;11(1):7974
pubmed: 33846402
Eur Heart J. 2012 Mar;33(6):724-33
pubmed: 22315346
Heart Vessels. 2017 May;32(5):574-583
pubmed: 27734145

Auteurs

Jolanda Sabatino (J)

Division of Paediatric Cardiology, Department of Women's and Children's Health, University Hospital Padua, Padua, Italy.
Pediatric Research Institute (IRP) "Città della Speranza", Padua, Italy.
Division of Cardiology, Department of Medical and Surgical Science, Magna Graecia University, Catanzaro, Italy.
Cardiovascular Research Center, Magna Graecia University, Catanzaro, Italy.
Department of Paediatric Cardiology, Royal Brompton Hospital, London, United Kingdom.
National Heart and Lung Institute, Imperial College, London, United Kingdom.

Isabella Leo (I)

Division of Cardiology, Department of Medical and Surgical Science, Magna Graecia University, Catanzaro, Italy.

Antonio Strangio (A)

Division of Cardiology, Department of Medical and Surgical Science, Magna Graecia University, Catanzaro, Italy.

Sabrina La Bella (S)

Division of Cardiology, Department of Medical and Surgical Science, Magna Graecia University, Catanzaro, Italy.

Nunzia Borrelli (N)

Department of Paediatric Cardiology, Royal Brompton Hospital, London, United Kingdom.
National Heart and Lung Institute, Imperial College, London, United Kingdom.

Martina Avesani (M)

Division of Paediatric Cardiology, Department of Women's and Children's Health, University Hospital Padua, Padua, Italy.
Department of Paediatric Cardiology, Royal Brompton Hospital, London, United Kingdom.
National Heart and Lung Institute, Imperial College, London, United Kingdom.

Manjit Josen (M)

Department of Paediatric Cardiology, Royal Brompton Hospital, London, United Kingdom.
National Heart and Lung Institute, Imperial College, London, United Kingdom.

Josefa Paredes (J)

Department of Paediatric Cardiology, Royal Brompton Hospital, London, United Kingdom.
National Heart and Lung Institute, Imperial College, London, United Kingdom.

Enrico Piccinelli (E)

Department of Paediatric Cardiology, Royal Brompton Hospital, London, United Kingdom.
National Heart and Lung Institute, Imperial College, London, United Kingdom.

Domenico Sirico (D)

Division of Paediatric Cardiology, Department of Women's and Children's Health, University Hospital Padua, Padua, Italy.
Department of Paediatric Cardiology, Royal Brompton Hospital, London, United Kingdom.
National Heart and Lung Institute, Imperial College, London, United Kingdom.

Valeria Pergola (V)

Department of Cardiac Thoracic Vascular Sciences and Public Health, University of Padua, Padua, Italy.

Alain Fraisse (A)

Department of Paediatric Cardiology, Royal Brompton Hospital, London, United Kingdom.
National Heart and Lung Institute, Imperial College, London, United Kingdom.

Salvatore De Rosa (S)

Division of Cardiology, Department of Medical and Surgical Science, Magna Graecia University, Catanzaro, Italy.
Cardiovascular Research Center, Magna Graecia University, Catanzaro, Italy.

Ciro Indolfi (C)

Division of Cardiology, Department of Medical and Surgical Science, Magna Graecia University, Catanzaro, Italy.
Cardiovascular Research Center, Magna Graecia University, Catanzaro, Italy.

Giovanni Di Salvo (G)

Division of Paediatric Cardiology, Department of Women's and Children's Health, University Hospital Padua, Padua, Italy.
Pediatric Research Institute (IRP) "Città della Speranza", Padua, Italy.
Department of Paediatric Cardiology, Royal Brompton Hospital, London, United Kingdom.
National Heart and Lung Institute, Imperial College, London, United Kingdom.

Classifications MeSH