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Estudio de la función ventricular y su correlación con la morfometría en pacientes con estenosis aórtica grave sintomática;
Relationship of Ventricular Function and Morphometry in Patients with Symptomatic Severe Aortic Stenosis

Creators:Hita, Alejandro; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia), Donato, Martín; Instituto de Fisiopatología Cardiovascular (Universidad de Buenos Aires), Baratta, Sergio; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiolog, Chejtman, Demián; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia), Costantini, Ricardo A.; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia), Telayna, Juan M.; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia), Matoso, Mirian; Instituto de Fisiopatología Cardiovascular (Universidad de Buenos Aires), Morales, Celina; Instituto de Fisiopatología Cardiovascular (Universidad de Buenos Aires), Gelpi, Ricardo J.; Instituto de Fisiopatología Cardiovascular (Universidad de Buenos Aires), Navia, José; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia)

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Descripción

ObjetivosEvaluar la función ventricular sistólica y diastólica en pacientes con estenosis aórtica gravesintomática con fracción de eyección conservada y correlacionarla con el volumen de colágenoy el área miocitaria.Material y métodosSe estudiaron 12 pacientes, edad 65 ± 13 años, sexo masculino 58%, con estenosis aórticagrave sintomática y 6 pacientes sin patología valvular. En todos se realizaron Doppler tisulary cateterismo cardíaco; asimismo, se efectuaron biopsias intraoperatorias para determinar elvolumen de colágeno y el área miocitaria (mm2).ResultadosLa media ± error estándar del volumen de colágeno fue del 6,1% ± 0,7%, la del área miocitariafue de 388,4 ± 15,8 mm2 y la mediana del strain tisular del septum basal fue del 14% (IIC 6,9-19). Se observó una correlación significativa entre el strain tisular del septum y el volumende colágeno (coeficiente de correlación de -0,79; p = 0,03). No se observó correlación entre elstrain tisular del septum y el área miocitaria (R2 = 0,15; p = 0,8). La +dP/dtmáx normalizadapor presión de fin de diástole del ventrículo izquierdo obtenida en estudio hemodinámico secorrelacionó en forma negativa con el área miocitaria (R –0,94; p = 0,005). La constante decaída de la presión (tau) se incrementó el 55% ± 3,5% (p &lt; 0,05) y se correlacionó positivamentecon el área miocitaria (R = 0,81; p = 0,04).

ObjectivesTo evaluate systolic and diastolic ventricular function in patientswith symptomatic severe aortic stenosis with preservedejection fraction and its correlation with collagen volumefraction and myocyte cross-sectional area.Material and MethodsA total of 12 patients with symptomatic severe aortic stenosiswere evaluated and compared with 6 patients withoutvalvular heart disease; mean age was 65±13 years and 58%were men. All patients underwent tissue Doppler imagingand cardiac catheterization. Endomyocardial biopsies wereobtained to determine collagen volume fraction and myocytecross-sectional area (mm2).ResultsMean collagen volume was 6.1±0.7%; mean myocyte crosssectionalarea was 388.4±15.8mm2 and median strain in thebasal septum was 14% (IIC 6.9-19). There was a significantcorrelation between septal strain measured by tissue Dopplerimaging and collagen volume fraction (correlation coefficient–0.79; p = 0.03). We found no correlation between septalstrain and myocyte cross-sectional area (R2 = 0.15; p = 0.8).The max positive dP/dt normalized for left ventricular enddiastolicpressure obtained during cardiac catheterizationhad a negative correlation with the myocyte cross-sectionalarea (R –0.94; p = 0.005).The time constant of pressure decay(tau) increased by 55%±3,5% (p &lt;0,05) and had a positivecorrelation with the myocyte cross-sectional area (R = 0.81;p = 0.04).ConclusionThis study demonstrates the presence of anomalies in diastolicand systolic function in patients with symptomatic severeaortic stenosis and preserved ejection fraction that correlatewith structural changes in the left ventricle, represented byincreased interstitial collagen volume fraction and myocytecross-sectional area.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 79, No 4 (2011); 329-336, Argentine Journal of Cardiology; Vol 79, No 4 (2011); 329-336

Citación

Hita, Alejandro; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia) et al., “Estudio de la función ventricular y su correlación con la morfometría en pacientes con estenosis aórtica grave sintomática,” Archivo PPCT, consulta 2 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/7860.

Dublin Core

Autor

Hita, Alejandro; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia)
Donato, Martín; Instituto de Fisiopatología Cardiovascular (Universidad de Buenos Aires)
Baratta, Sergio; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiolog
Chejtman, Demián; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia)
Costantini, Ricardo A.; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia)
Telayna, Juan M.; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia)
Matoso, Mirian; Instituto de Fisiopatología Cardiovascular (Universidad de Buenos Aires)
Morales, Celina; Instituto de Fisiopatología Cardiovascular (Universidad de Buenos Aires)
Gelpi, Ricardo J.; Instituto de Fisiopatología Cardiovascular (Universidad de Buenos Aires)
Navia, José; Hospital Universitario Austral (Servicio de Cirugía Cardiovascular y Servicio de Cardiología - Sección Ecocardiografía y Hemodinamia)

Fuente

Revista Argentina de Cardiología; Vol 79, No 4 (2011); 329-336
Argentine Journal of Cardiology; Vol 79, No 4 (2011); 329-336

Editor

Sociedad Argentina de Cardiología

Fecha

2011-09-26

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

Idioma

spa
eng

Tipo

info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion