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MITRAL ANNULUS MOTION AS DETERMINED BY M‐MODE ECHOCARDIOGRAPHY IN NORMAL DOGS AND DOGS WITH CARDIAC DISEASE
Author(s) -
Schober Karsten E.,
Fuentes Virginia Luis
Publication year - 2001
Publication title -
veterinary radiology and ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.541
H-Index - 60
eISSN - 1740-8261
pISSN - 1058-8183
DOI - 10.1111/j.1740-8261.2001.tb00904.x
Subject(s) - medicine , dilated cardiomyopathy , cardiology , ejection fraction , stenosis , cardiomyopathy , mitral valve , cardiac function curve , body weight , fractional shortening , heart failure
M‐mode echocardiography was used to assess apical mitral annulus motion (MAM) in 103 normal dogs and 101 dogs with cardiac disease, to obtain information on systolic left ventricular long axis function. In normal dogs, a close relationship was found between MAM and body weight (r = 0.80, P < 0.001). There was a weak correlation between MAM and heart rate (r =−0.25, P < 0.05), but no correlation between MAM and age or left ventricular shortening fraction (P > 0.05). Mean MAM (95% confidence intervals) were established for normal dogs of differing body weight, and were 0.70 cm (0.65 to 0.75) in dogs < 15 kg, 1.08 cm (1.03 to 1.13) in dogs weighing 15 to 40 kg, and 1.51 cm (1.21 to 1.81) in dogs > 40 kg. “Cut‐off” values to define decreased MAM for normal dogs of differing body weight were 0.45 cm (dogs < 15 kg), 0.80 cm (dogs 15–40 kg), and 1.20 cm (dogs > 40 kg). In dogs with cardiac disease, median MAM was normal in mitral valve endocardiosis or aortic stenosis, but significantly decreased (P < 0.05) in dilated cardiomyopathy. All dogs with mitral valve endocardiosis (n = 54) or aortic stenosis (n = 26) had MAM above the above‐mentioned “cut‐off” values, suggesting normal or increased left ventricular longitudinal systolic shortening, whereas 81 % (17/21) of dogs with dilated cardiomyopathy had MAM below the “cut‐off value”, indicating decreased long axis systolic function. It is concluded that MAM may be used to evaluate systolic left ventricular long axis performance in dogs and may add useful information on global left ventricular contraction dynamics.