{"title":"在高血压心肌病大鼠模型的早期阶段，跨瓣膜血流模式和心率对心室内压力梯度和 E/E' 的影响。","authors":"Miki Hirose, Danfu Ma, Kazumi Shimada, Tomohiko Yoshida, Katsuhiro Matsuura, Pitipat Kitpipatkun, Akari Hatanaka, Yanbing Zhao, Ken Takahashi, Ryou Tanaka, Lina Hamabe","doi":"10.3389/fvets.2025.1507817","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The mitral inflow spectral is expressed as two separate waves: early diastolic trans-mitral flow velocity (E) and late diastolic trans-mitral flow velocity (A) waves. When the heart rate (HR) increases and the diastolic time diminishes, the mitral flow pattern changes from EA-separation to EA-fusion. The E wave provides information about preload and diastolic function. Tissue Doppler imaging (TDI) and non-invasive intraventricular pressure gradient (IVPG) based on color-M-mode echocardiography are two techniques established in recent years with good repeatability in cardiac function evaluation, especially diastolic.</p><p><strong>Hypothesis/objective: </strong>We hypothesize that IVPG and E/E' are differentially influenced by mitral inflow patterns.</p><p><strong>Animals: </strong>A total of 66 hypertensive cardiomyopathy (HTN-CM) induced by abdominal aorta coarctation and 33 sham-operated rats were divided into 6 groups according to trans-mitral flow patterns.</p><p><strong>Methods: </strong>Conventional echocardiography, TDI, and IVPG sampling were performed on rats under general anesthesia with 2.5% isoflurane at 3 weeks after the operation. After code EA-separation = 1, EA-half-separation = 2, and EA-fusion = 3, Pearson's correlation tests were performed.</p><p><strong>Results: </strong>Both E and E' in EA-fusion (1.04 ± 0.13 and 7.65 ± 0.84) are higher than the EA-separation pattern in all rats (0.91 ± 0.10 and 5.51 ± 0.78, <i>p</i> < 0.001). The preload change has more impact on E' than E (0.443 vs. 0.218, p < 0.001, respectively), which leads to decreased E/E' in EA-fusion. Total IVPG and basal IVPG positively correlated with the mitral inflow pattern (0.265 and 0.270, <i>p</i> < 0.001), while mid-to-apical IVPG was not (0.070, <i>p</i> = 0.281).</p><p><strong>Conclusion: </strong>The mitral inflow pattern positively correlates with basal IVPG, E, and E'. Mid-to-apical IVPG was independent of mitral inflow patterns, while E/E' tended to be lower when the mitral inflow pattern changed from EA-separation to EA-fusion.</p>","PeriodicalId":12772,"journal":{"name":"Frontiers in Veterinary Science","volume":"12 ","pages":"1507817"},"PeriodicalIF":2.9000,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11879942/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effects of trans-mitral flow patterns and heart rate on intraventricular pressure gradients and E/E' in the early stage of a rat model of hypertensive cardiomyopathy.\",\"authors\":\"Miki Hirose, Danfu Ma, Kazumi Shimada, Tomohiko Yoshida, Katsuhiro Matsuura, Pitipat Kitpipatkun, Akari Hatanaka, Yanbing Zhao, Ken Takahashi, Ryou Tanaka, Lina Hamabe\",\"doi\":\"10.3389/fvets.2025.1507817\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The mitral inflow spectral is expressed as two separate waves: early diastolic trans-mitral flow velocity (E) and late diastolic trans-mitral flow velocity (A) waves. When the heart rate (HR) increases and the diastolic time diminishes, the mitral flow pattern changes from EA-separation to EA-fusion. The E wave provides information about preload and diastolic function. Tissue Doppler imaging (TDI) and non-invasive intraventricular pressure gradient (IVPG) based on color-M-mode echocardiography are two techniques established in recent years with good repeatability in cardiac function evaluation, especially diastolic.</p><p><strong>Hypothesis/objective: </strong>We hypothesize that IVPG and E/E' are differentially influenced by mitral inflow patterns.</p><p><strong>Animals: </strong>A total of 66 hypertensive cardiomyopathy (HTN-CM) induced by abdominal aorta coarctation and 33 sham-operated rats were divided into 6 groups according to trans-mitral flow patterns.</p><p><strong>Methods: </strong>Conventional echocardiography, TDI, and IVPG sampling were performed on rats under general anesthesia with 2.5% isoflurane at 3 weeks after the operation. After code EA-separation = 1, EA-half-separation = 2, and EA-fusion = 3, Pearson's correlation tests were performed.</p><p><strong>Results: </strong>Both E and E' in EA-fusion (1.04 ± 0.13 and 7.65 ± 0.84) are higher than the EA-separation pattern in all rats (0.91 ± 0.10 and 5.51 ± 0.78, <i>p</i> < 0.001). The preload change has more impact on E' than E (0.443 vs. 0.218, p < 0.001, respectively), which leads to decreased E/E' in EA-fusion. Total IVPG and basal IVPG positively correlated with the mitral inflow pattern (0.265 and 0.270, <i>p</i> < 0.001), while mid-to-apical IVPG was not (0.070, <i>p</i> = 0.281).</p><p><strong>Conclusion: </strong>The mitral inflow pattern positively correlates with basal IVPG, E, and E'. Mid-to-apical IVPG was independent of mitral inflow patterns, while E/E' tended to be lower when the mitral inflow pattern changed from EA-separation to EA-fusion.</p>\",\"PeriodicalId\":12772,\"journal\":{\"name\":\"Frontiers in Veterinary Science\",\"volume\":\"12 \",\"pages\":\"1507817\"},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2025-02-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11879942/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers in Veterinary Science\",\"FirstCategoryId\":\"97\",\"ListUrlMain\":\"https://doi.org/10.3389/fvets.2025.1507817\",\"RegionNum\":2,\"RegionCategory\":\"农林科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"VETERINARY SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Veterinary Science","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.3389/fvets.2025.1507817","RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"VETERINARY SCIENCES","Score":null,"Total":0}
Effects of trans-mitral flow patterns and heart rate on intraventricular pressure gradients and E/E' in the early stage of a rat model of hypertensive cardiomyopathy.
Background: The mitral inflow spectral is expressed as two separate waves: early diastolic trans-mitral flow velocity (E) and late diastolic trans-mitral flow velocity (A) waves. When the heart rate (HR) increases and the diastolic time diminishes, the mitral flow pattern changes from EA-separation to EA-fusion. The E wave provides information about preload and diastolic function. Tissue Doppler imaging (TDI) and non-invasive intraventricular pressure gradient (IVPG) based on color-M-mode echocardiography are two techniques established in recent years with good repeatability in cardiac function evaluation, especially diastolic.
Hypothesis/objective: We hypothesize that IVPG and E/E' are differentially influenced by mitral inflow patterns.
Animals: A total of 66 hypertensive cardiomyopathy (HTN-CM) induced by abdominal aorta coarctation and 33 sham-operated rats were divided into 6 groups according to trans-mitral flow patterns.
Methods: Conventional echocardiography, TDI, and IVPG sampling were performed on rats under general anesthesia with 2.5% isoflurane at 3 weeks after the operation. After code EA-separation = 1, EA-half-separation = 2, and EA-fusion = 3, Pearson's correlation tests were performed.
Results: Both E and E' in EA-fusion (1.04 ± 0.13 and 7.65 ± 0.84) are higher than the EA-separation pattern in all rats (0.91 ± 0.10 and 5.51 ± 0.78, p < 0.001). The preload change has more impact on E' than E (0.443 vs. 0.218, p < 0.001, respectively), which leads to decreased E/E' in EA-fusion. Total IVPG and basal IVPG positively correlated with the mitral inflow pattern (0.265 and 0.270, p < 0.001), while mid-to-apical IVPG was not (0.070, p = 0.281).
Conclusion: The mitral inflow pattern positively correlates with basal IVPG, E, and E'. Mid-to-apical IVPG was independent of mitral inflow patterns, while E/E' tended to be lower when the mitral inflow pattern changed from EA-separation to EA-fusion.
期刊介绍：
Frontiers in Veterinary Science is a global, peer-reviewed, Open Access journal that bridges animal and human health, brings a comparative approach to medical and surgical challenges, and advances innovative biotechnology and therapy.
Veterinary research today is interdisciplinary, collaborative, and socially relevant, transforming how we understand and investigate animal health and disease. Fundamental research in emerging infectious diseases, predictive genomics, stem cell therapy, and translational modelling is grounded within the integrative social context of public and environmental health, wildlife conservation, novel biomarkers, societal well-being, and cutting-edge clinical practice and specialization. Frontiers in Veterinary Science brings a 21st-century approach—networked, collaborative, and Open Access—to communicate this progress and innovation to both the specialist and to the wider audience of readers in the field.
Frontiers in Veterinary Science publishes articles on outstanding discoveries across a wide spectrum of translational, foundational, and clinical research. The journal''s mission is to bring all relevant veterinary sciences together on a single platform with the goal of improving animal and human health.
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