Valvular & structural heart diseaseCross-sectional study

Mechanical Wave Velocities in Left Ventricular Walls in Healthy Subjects and Patients With Aortic Stenosis

JACC Cardiovasc ImagingPublished

  • Cross-sectional study

Authors' conclusion

MWV estimation during atrial kick is feasible and demonstrates higher velocities in the lateral walls, compared with septal walls.

Study context

Population
Healthy subjects and patients with severe aortic stenosis (AS) undergoing high frame rate echocardiographyCMR in 42
Participants
63 vs 13
Exposure
Healthy subjects vs patients with severe AS
  • Healthyn = 63reference
  • Severe ASn = 13
Outcome
Mechanical wave velocities (MWVs) in different LV walls at atrial kick and aortic valve closure; feasibility and reproducibility

Main finding

As reported in the abstract

MWV at atrial kick, healthy subjects

Feasibility for atrial kick wave, all 4 examined LV walls

>93%

Mechanical wave velocity (MWV), inferolateral and anterolateral walls

2.2 and 2.6 m/s

MWV, inferoseptal and anteroseptal walls

1.3 and 1.6 m/s

Lateral vs septal walls, higher MWVs

P < 0.05

Observational data: associations, not effects.

Further findings

Septal MWV at aortic valve closure

Significantly higher in severe AS than in healthy subjects

Original publication

Mechanical Wave Velocities in Left Ventricular Walls in Healthy Subjects and Patients With Aortic Stenosis. JACC Cardiovasc Imaging. Published 6 September 2023. doi:10.1016/j.jcmg.2023.07.009

Summarised from the published abstract; every number is checked against it