Assessment of mitral annular dynamics during diastole by Doppler tissue imaging: Comparison with mitral Doppler inflow in subjects without heart disease and in patients with left ventricular hypertrophy

Leonardo Rodriguez, Mario Garcia, Miguel Ares, Brian P. Griffin, Satoshi Nakatani, James D. Thomas

Research output: Contribution to journalArticle

262 Scopus citations


The purpose of this study was to determine the normal pattern and magnitude of mitral annular velocities in diastole by Doppler tissue imaging (DTI) end to assess whether this is altered in patients with left ventricular hypertrophy. Mitral annulus velocities were measured by DTI. Peak and time- velocity integral were measured from the DTI tracings end the timing of the velocities in relation to electrocardiogram. DTI was compared with M-mode echo of the annulus and mitral inflow Doppler velocities. Integrated annular velocities by DTI correlated with the annular displacement. Early diastolic velocities decreased with age and in patients with left ventricular hypertrophy. In the hypertrophy group, early diastolic velocities were significantly lower than normal even after correcting for age. Patients with left ventricular hypertrophy also showed n delay in peak early diastolic mitral annular velocity (5.5 ± 21 msec after the E wave). In conclusion, mitral annular velocity in diastole is readily recorded by DTI. The magnitude end the pattern of these velocities are significantly altered by age and by left ventricular hypertrophy. This method provides a new insight into diastolic filling events and may prove useful in detecting abnormal diastolic function.

Original languageEnglish (US)
Pages (from-to)982-987
Number of pages6
JournalAmerican heart journal
Issue number5
Publication statusPublished - Jan 1 1996
Externally publishedYes


ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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