Tissue Doppler echocardiographic identification of ischemic etiology in patients with dilated cardiomyopathy.
OBJECTIVE
To compare the left ventricular function in patients with ischemic and nonischemic cardiomyopathy using tissue Doppler echocardiography (TDE).


METHODS
We studied 30 patients after myocardial infarction (MI group), 30 patients with dilated cardiomyopathy (DCM group) and 60 healthy volunteers in corresponding control groups. TDE velocities, time intervals of cardiac cycle were measured and dispersion index of TDE parameters was calculated.


RESULTS
Early diastolic velocities were lower in MI group than in DCM group, with similar systolic and late diastolic velocities. The dispersion index of systolic velocities was significantly higher in MI than in DCM group and in controls (respectively 33.1+/-6.0% vs 12.6+/-3.7% vs 15.9+/-5.6%; p < 0.001) and differentiated ischemic from idiopathic dilated cardiomyopathy. In MI group, preejection period was shorter and isovolumic relaxation and diastasis time were longer than in DCM group, with no differences in dispersion index of time intervals between the groups.


CONCLUSIONS
TDE parameters: early diastolic velocity, preejection period, isovolumic relaxation time and the dispersion index of systolic velocities differentiate ischemic and nonischemic etiology of dilated cardiomyopathy.
Plewka
Michał
M
II Chair and Department of Cardiology, Medical University of Lodz, Bieganski Hospital, Kniaziewicza 115, 9A-347 Lodz, Poland. plewka@ptkardio.pl
Krzemińska-Pakuła
Maria
M
Drozdz
Jarosław
J
Ciesielczyk
Michał
M
Wierzbowska
Karina
K
Kasprzak
Jarosław D
JD
D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000150:complications / Q000000981:diagnostic imaging*; D016022:Case-Control Studies; D003937:Diagnosis, Differential; D003971:Diastole / Q000502:physiology; D018619:Echocardiography, Doppler, Pulsed; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging* / Q000209:etiology; D013599:Systole / Q000502:physiology; D016277:Ventricular Function, Left / Q000502:physiology