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Reproducibility of Doppler measures of ventricular function during maximal upright cycling

Published online by Cambridge University Press:  23 August 2010

Thomas W. Rowland*
Affiliation:
Department of Pediatrics, Baystate Medical Center, Springfield, Massachusetts, United States of America
Michael E. Willers
Affiliation:
Department of Pediatrics, Baystate Medical Center, Springfield, Massachusetts, United States of America
*
Correspondence to: T. Rowland, MD, Department of Pediatrics, Baystate Medical Center, Springfield, Massachusetts 01199, United States of America. Tel: 413 794-7349; Fax: 413 794 7140; E-mail: Thomas.rowland@bhs.org

Abstract

Echocardiographic measures of ventricular function during exercise may prove useful in assessing myocardial health. This study examined test–retest reproducibility of measurements of Doppler mitral flow velocity (E-wave) and myocardial tissue Doppler imaging (E′-, S-waves) during a progressive maximal upright cycle test in 12 healthy lean adolescent males. Measurements were taken as subjects pedalled to exhaustion with 35 watt work increments in two separate trials. We observed no significant differences in mean values at rest, submaximal (70 watts) exercise, or maximal exercise for all three variables. Coefficients of variation at maximal exercise were 5.3%, 7.4%, and 8.1% for mitral E, tissue Doppler-S, and tissue Doppler-E′, respectively. These findings indicated acceptable levels of reproducibility of Doppler ultrasound techniques for assessing ventricular systolic and diastolic functional response to maximal exercise in young lean male subjects.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2010

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References

1. Rowland, T. Circulatory responses to exercise. Are we misreading Fick? Chest 2005; 127: 10231030.CrossRefGoogle ScholarPubMed
2. Bach, DS. Quantitiative Doppler tissue imaging as a correlate of left ventricular contractility. Int J Card Imaging 1996; 12: 191195.CrossRefGoogle Scholar
3. Dokainish, H. Tissue Doppler imaging in the evaluation of left ventricular diastolic function. Curr Opin Cardiol 2004; 19: 437441.CrossRefGoogle ScholarPubMed
4. Nitkin, NP, Witte, KKA. Application of tissue Doppler imaging in cardiology. Cardiology 2004; 101: 170184.Google Scholar
5. Rowland, TW, Garrard, M, Marwood, S, Guerra, ME, Roche, D, Unnithan, VB. Myocardial performance during progressive exercise in athletic adolescent males. Med Sci Sports Exerc 2009; 41: 17211728.CrossRefGoogle ScholarPubMed
6. Rowland, T, Heffernan, K, Jae, SY, Echols, G, Fernhall, B. Tissue Doppler assessment of ventricular function during cycling in 7- to 12-yr old boys. Med Sci Sports Exerc 2006; 34: 637642.Google Scholar
7. Bougault, V, Nottin, S, Doucende, G, Obert, P. Tissue Doppler imaging reproducibility during exercise. Int J Sports Med 2008; 29: 395400.CrossRefGoogle ScholarPubMed
8. Bland, JM, Altman, DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986; 1: 307310.CrossRefGoogle ScholarPubMed
9. Rowland, TW, Melanson, EL, Popowski, BE, Ferrone, LC. Test-retest reproducibility of maximum cardiac output by Doppler echocardiography. Am J Cardiol 1998; 81: 12281230.CrossRefGoogle ScholarPubMed
10. Warburton, DER, Nettlefold, L, McGuire, KA, Bredin, SSD. Cardiovascular function. In: Armstrong N, van Michelen W (eds.). Paediatric Exercise Science and Medicine. Oxford University Press, Oxford, 2008; 7796.CrossRefGoogle Scholar
11. Rowland, T, Obert, P. Doppler echocardiography for estimation of cardiac output with exercise. Sports Med 2002; 32: 983986.CrossRefGoogle ScholarPubMed