Sammendrag
Objective: In the present study the feasibility was assessed of a new
strain rate imaging method with a very high frame rate of around 300
frames per second. Methods: Digital radio-frequency (RF) data were
obtained in nine healthy subjects using a sector of 20-30° in an apical
four chamber view. The RF data were analysed using a dedicated software
package that displays strain rate images and profiles and calculates
strain rate values. With the new method, it is possible to study events
and spatial-temporal differences in the heart cycle with duration down
to 3.5-3 ms, including the pre-ejection period and the isovolumic
relaxation period. Since the interventricular septum (IVS) is of
crucial importance for the left and right ventricular function, we
assessed changes through the heart cycle of the strain rate in the IVS.
Results: Mean peak systolic strain rate in the healthy subjects was
-1.65±0.13 s^-1. Mean peak diastolic strain rate during early filling
was 3.14±0.50 s^-1 and during atrial systole 0.99±0.09 s^-1. We found
individual differences in the strain rate patterns, but in all
subjects, the ventricular contraction started simultaneously in all
parts of the septum. After the ejection period, the elongation started
before aortic valve closure, in the midinferior septum and propagated
towards the apex. Conclusion: High frame rate strain rate imaging makes
it possible to study rapid deformation patterns in the heart walls.
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