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The evaluation of diastolic function using the diastolic wall strain (DWS) before and after radical surgery for congenital diaphragmatic hernia

Objective The measurement of diastolic wall strain (DWS), a new method of evaluating cardiac diastolic function, was employed to evaluate ventricular diastolic function in patients with congenital diaphragmatic hernia (CDH). Materials and methods Eighteen neonates with a CDH who were born and treate...

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Published in:Pediatric surgery international 2015-10, Vol.31 (10), p.905-910
Main Authors: Tanaka, Tomohiko, Inamura, Noboru, Ishii, Ryo, Kayatani, Futoshi, Yoneda, Akihiro, Tazuke, Yuko, Kubota, Akio
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container_title Pediatric surgery international
container_volume 31
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Inamura, Noboru
Ishii, Ryo
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Tazuke, Yuko
Kubota, Akio
description Objective The measurement of diastolic wall strain (DWS), a new method of evaluating cardiac diastolic function, was employed to evaluate ventricular diastolic function in patients with congenital diaphragmatic hernia (CDH). Materials and methods Eighteen neonates with a CDH who were born and treated in our hospital between September 2009 and January 2013 were studied. The left ventricular posterior wall thickness during the systolic phase (PWs) and diastolic (PWd) phase was measured using M-mode imaging, and the DWS was calculated as (PWs–PWd)/PWs. The Tei index, the isovolumic relaxation time (IRT), and the fraction shortening (FS) were measured as indices of cardiac function in 14, 15, and 18 cases, respectively. Cardiac function was measured before and after surgery. Statistical analyses were performed using the paired t test. Results The pre- and postoperative DWS, Tei index, IRT and FS values were 0.19 ± 0.06 and 0.26 ± 0.11 ( P  
doi_str_mv 10.1007/s00383-015-3766-0
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Materials and methods Eighteen neonates with a CDH who were born and treated in our hospital between September 2009 and January 2013 were studied. The left ventricular posterior wall thickness during the systolic phase (PWs) and diastolic (PWd) phase was measured using M-mode imaging, and the DWS was calculated as (PWs–PWd)/PWs. The Tei index, the isovolumic relaxation time (IRT), and the fraction shortening (FS) were measured as indices of cardiac function in 14, 15, and 18 cases, respectively. Cardiac function was measured before and after surgery. Statistical analyses were performed using the paired t test. Results The pre- and postoperative DWS, Tei index, IRT and FS values were 0.19 ± 0.06 and 0.26 ± 0.11 ( P  &lt; 0.01), 0.40 ± 0.12 and 0.31 ± 0.11 ( P  &lt; 0.05), 48 ± 14 and 39 ± 5.0 ms ( P  &lt; 0.05), 30 ± 7.7 and 34 ± 7.4 % ( P  &lt; 0.05), respectively. Conclusion The diastolic and systolic functions were not only measured by the Tei index, IRT and FS values, but also by the DWS value, which improved after surgery. The measurement of DWS is an easy and useful method for evaluating the diastolic function of CDH patients.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-015-3766-0</identifier><identifier>PMID: 26302713</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Diastole - physiology ; Echocardiography, Doppler ; Female ; Hernias, Diaphragmatic, Congenital - diagnostic imaging ; Hernias, Diaphragmatic, Congenital - physiopathology ; Hernias, Diaphragmatic, Congenital - surgery ; Humans ; Infant, Newborn ; Male ; Medicine ; Medicine &amp; Public Health ; Monitoring, Physiologic - methods ; Original Article ; Pediatric Surgery ; Pediatrics ; Surgery ; Ventricular Dysfunction - diagnostic imaging ; Ventricular Dysfunction - physiopathology ; Ventricular Function - physiology</subject><ispartof>Pediatric surgery international, 2015-10, Vol.31 (10), p.905-910</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-f3d7dd3cdf66d91c9b0042b164c3e36f8319f629e7e1ebb83e4948c061d27e453</citedby><cites>FETCH-LOGICAL-c442t-f3d7dd3cdf66d91c9b0042b164c3e36f8319f629e7e1ebb83e4948c061d27e453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26302713$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tanaka, Tomohiko</creatorcontrib><creatorcontrib>Inamura, Noboru</creatorcontrib><creatorcontrib>Ishii, Ryo</creatorcontrib><creatorcontrib>Kayatani, Futoshi</creatorcontrib><creatorcontrib>Yoneda, Akihiro</creatorcontrib><creatorcontrib>Tazuke, Yuko</creatorcontrib><creatorcontrib>Kubota, Akio</creatorcontrib><title>The evaluation of diastolic function using the diastolic wall strain (DWS) before and after radical surgery for congenital diaphragmatic hernia</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>Objective The measurement of diastolic wall strain (DWS), a new method of evaluating cardiac diastolic function, was employed to evaluate ventricular diastolic function in patients with congenital diaphragmatic hernia (CDH). Materials and methods Eighteen neonates with a CDH who were born and treated in our hospital between September 2009 and January 2013 were studied. The left ventricular posterior wall thickness during the systolic phase (PWs) and diastolic (PWd) phase was measured using M-mode imaging, and the DWS was calculated as (PWs–PWd)/PWs. The Tei index, the isovolumic relaxation time (IRT), and the fraction shortening (FS) were measured as indices of cardiac function in 14, 15, and 18 cases, respectively. Cardiac function was measured before and after surgery. Statistical analyses were performed using the paired t test. Results The pre- and postoperative DWS, Tei index, IRT and FS values were 0.19 ± 0.06 and 0.26 ± 0.11 ( P  &lt; 0.01), 0.40 ± 0.12 and 0.31 ± 0.11 ( P  &lt; 0.05), 48 ± 14 and 39 ± 5.0 ms ( P  &lt; 0.05), 30 ± 7.7 and 34 ± 7.4 % ( P  &lt; 0.05), respectively. Conclusion The diastolic and systolic functions were not only measured by the Tei index, IRT and FS values, but also by the DWS value, which improved after surgery. 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Materials and methods Eighteen neonates with a CDH who were born and treated in our hospital between September 2009 and January 2013 were studied. The left ventricular posterior wall thickness during the systolic phase (PWs) and diastolic (PWd) phase was measured using M-mode imaging, and the DWS was calculated as (PWs–PWd)/PWs. The Tei index, the isovolumic relaxation time (IRT), and the fraction shortening (FS) were measured as indices of cardiac function in 14, 15, and 18 cases, respectively. Cardiac function was measured before and after surgery. Statistical analyses were performed using the paired t test. Results The pre- and postoperative DWS, Tei index, IRT and FS values were 0.19 ± 0.06 and 0.26 ± 0.11 ( P  &lt; 0.01), 0.40 ± 0.12 and 0.31 ± 0.11 ( P  &lt; 0.05), 48 ± 14 and 39 ± 5.0 ms ( P  &lt; 0.05), 30 ± 7.7 and 34 ± 7.4 % ( P  &lt; 0.05), respectively. Conclusion The diastolic and systolic functions were not only measured by the Tei index, IRT and FS values, but also by the DWS value, which improved after surgery. The measurement of DWS is an easy and useful method for evaluating the diastolic function of CDH patients.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26302713</pmid><doi>10.1007/s00383-015-3766-0</doi><tpages>6</tpages></addata></record>
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source Springer Nature
subjects Diastole - physiology
Echocardiography, Doppler
Female
Hernias, Diaphragmatic, Congenital - diagnostic imaging
Hernias, Diaphragmatic, Congenital - physiopathology
Hernias, Diaphragmatic, Congenital - surgery
Humans
Infant, Newborn
Male
Medicine
Medicine & Public Health
Monitoring, Physiologic - methods
Original Article
Pediatric Surgery
Pediatrics
Surgery
Ventricular Dysfunction - diagnostic imaging
Ventricular Dysfunction - physiopathology
Ventricular Function - physiology
title The evaluation of diastolic function using the diastolic wall strain (DWS) before and after radical surgery for congenital diaphragmatic hernia
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