Vol. 24 No. 1 (2020)
CONGENITAL HEART DISEASES

Ultrasonographic evaluation of segmental function of the aorta and carotid arteries in healthy infants

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  • Yu. Sinelnikov,
  • E. Orekhova,
  • T. Matanovskaya
Yu. Sinelnikov
Sukhanov Federal Center of Cardiovascular Surgery, Perm
E. Orekhova
Sukhanov Federal Center of Cardiovascular Surgery, Perm
T. Matanovskaya
Sukhanov Federal Center of Cardiovascular Surgery, Perm
Bio
DOI: https://doi.org/10.21688/1681-3472-2020-1-37-44

Published 2020-04-07

Keywords

  • aorta,
  • circumferential strain,
  • common carotid artery,
  • strain rate

How to Cite

Sinelnikov, Y., Orekhova, E., & Matanovskaya, T. (2020). Ultrasonographic evaluation of segmental function of the aorta and carotid arteries in healthy infants. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 24(1), 37–44. https://doi.org/10.21688/1681-3472-2020-1-37-44

Copyright (c) 2020 Sinelnikov Yu.S., Orekhova E.N., Matanovskaya T.V.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Aim. To study the ultrasonographic parameters of segmental function and mechanics of the aorta and carotid arteries in healthy infants.
Methods. We observed 114 healthy infants (age range, 1–12 months; boys 52.6%; mean body surface area (BSA): 0.35 ± 0.8 m2). Echocardiography was performed with an Acuson S 2000 (Siemens Medical Systems, Mountain View, CA, USA) using vector velocity imaging (VVI). The following parameters were estimated at the level of the ascending and abdominal aorta and in the common carotid arteries (CCA): maximum and minimum diameters (mm); circumferential strain (CS, %) and circumferential strain rate (CSR, s-1); fraction area change (FAC, %); arterial stiffness (β2).
Results. The maximum and minimum diameters of the examined segments of the aorta and CCA, FAC of the aorta and CCA, CS and CSR of the aorta and CCA showed a correlation with BSA, age, LV stroke index, and LV myocardial mass index. None of the estimated parameters showed a correlation with sex, arterial blood pressure, or left ventricular ejection fraction. The highest CS values were found in CCA 7.85 ± 2.8% [compared with 5.4 ± 0.98% (p = 0.0001) in the ascending aorta and 6.7 ± 1.8 % (p = 0.03) in the abdominal aorta). CSR in the CCA (0.84 ± 0.22 s-1) was significantly higher than that at the abdominal aorta level (0.67 ± 0.24 s-1, p = 0.001), but lower than that in the ascending aorta (1.3 ± 0.3 s-1, p = 0.00001).
Conclusion. The parameters of segmental function of the aorta and common carotid artery obtained in our research can serve as normative reference for children in the first year of life. The functional parameters of the aorta and common carotid artery depend on the age and BSA.

Received 15 December 2019. Revised 26 February 2020. Accepted 27 February 2020.

Funding: The study did not have sponsorship.

Conflict of interest: Authors declare no conflict of interest.

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References

  1. Saito M., Okayama H., Inoue K., Yoshii T., Hiasa G., Sumimoto T., Nishimura K., Ogimoto A., Higaki J. Carotid arterial circumferential strain by two-dimensional speckle tracking: a novel parameter of arterial elasticity. Hypertens Res. 2012;35(9):897-902. PMID: 22495610. https://doi.org/10.1038/hr.2012.39
  2. Rosenberg A.J., Lane-Cordova A.D., Wee S.O., White D.W., Hilgenkamp T.I.M., Fernhall B., Baynard T. Healthy aging and carotid performance: strain measures and β-stiffness index. Hypertens Res. 2018;41(9):748-55. PMID: 29968848. https://doi.org/10.1038/s41440-018-0065-x
  3. Oishi Y., Mizuguchi Y., Miyoshi H., Iuchi A., Nagase N., Oki T. A novel approach to assess aortic stiffness related to changes in aging using a two-dimensional strain imaging. Echocardiography. 2008;25(9):941-5. PMID: 18771548. https://doi.org/10.1111/j.1540-8175.2008.00725.x
  4. Kim S.A., Lee K.H., Won H.Y., Park S., Chung J.H., Jang Y., Ha J.W. Quantitative assessment of aortic elasticity with aging using velocity-vector imaging and its histologic correlation. Arterioscler Thromb Vasc Biol. 2013;33(6):1306-12. PMID: 23580144. https://doi.org/10.1161/ATVBAHA.113.301312
  5. Teixeira R., Viera M.J., Goncalves A. Ultrasonographic vascular mechanics to assess arterial stiffness: a review. Eur Heart J Cardiovasc Imaging. 2016;17(3):233-46. PMID: 26546802. https://doi.org/10.1093/ehjci/jev287
  6. Larsson M., Verbrugghe P., Smoljkic M., Verhoeven J., Heyde B., Famaey N., Herijgers P., D'hooge J. Strain assessment in the carotid artery wall using ultrasound speckle tracking: validation in a sheep model. Phys Med Biol. 2015;60(3):1107-23. PMID: 25586239. https://doi.org/10.1088/0031-9155/60/3/1107
  7. Bu Z., Ma J., Fan Y., Qiao Z., Kang Y., Zheng Y., Wang W., Du Y., Zheng Z., Shen X., He B., Pu J. Ascending aortic strain analysis using 2-dimensional speckle tracking echocardiography improves the diagnostics for coronary artery stenosis in patients with suspected stable angina pectoris. J Am Heart Assoc. 2018;7(14). pii: e008802. PMID: 29982229, PMCID: PMC6064841. http://dx.doi.org/10.1161/JAHA.118.008802
  8. Cantinotti M., Scalese M., Murzi B., Assanta N., Spadoni I., De Lucia V., Crocetti M., Cresti A., Gallotta M., Marotta M., Tyack K., Molinaro S., Iervasi G. Echocardiographic nomograms for chamber diameters and areas in Caucasian children. J Am Soc Echocardiogr. 2014;27(12):1279-92. PMID: 25240494. http://dx.doi.org/10.1016/j.echo.2014.08.005
  9. Cantinotti M., Giordano R., Scalese M., Murzi B., Assanta N., Spadoni I., Maura C., Marco M., Molinaro S., Kutty S., Iervasi G. Nomograms for two-dimensional echocardiography derived valvular and arterial dimensions in Caucasian children. J Cardiol. 2017:69(1):208-15. PMID: 27118699. http://dx.doi.org/10.1016/j.jjcc.2016.03.010
  10. Jashari Н., Rydberg А., Ibrahimi Р. Normal ranges of left ventricular strain in children: a meta-analysis. Cardiovasc Ultrasound. 2015;13:37. PMID: 26250696, PMCID: PMC4528396. http://dx.doi.org/10.1186/s12947-015-0029-0
  11. Yuda S., Kaneko R., Muranaka A., Hashimoto A., Tsuchihashi K., Miura T., Watanabe N., Shimamoto K. Quantitative measurement of circumferential carotid arterial strain by two-dimensional speckle tracking imaging in healthy subjects. Echocardiography. 2011;28(8):899-906. PMID: 21827536. https://doi.org/10.1111/j.1540-8175.2011.01443.x
  12. Cursio S., Garsia-Espinosa V., Arana M., Farro I., Chiesa P., Giachetto G., Zócalo Y., Bia D. Growing-related changes in arterial properties of healthy children, adolescents, and young adults nonexposed to cardiovascular risk factors: analysis of gender-related differences. Int J Hypertens. 2016;2016:4982676. PMID:26989504. PMCID: PMC4775809. http://dx.doi.org/10.1155/2016/4982676
  13. Reusz G. S., Cseprekal O., Temmar M., Kis E., Cherif A.B., Thaleb A., Fekete A., Szabó A.J., Benetos A., Salvi P. Reference values of pulse wave velocity in healthy children and teenagers. Hypertension. 2010;56(2);217-24. PMID: 20566959. https://doi.org/10.1161/HYPERTENSIONAHA.110.152686
  14. Kim K.H., Park J.C., Yoon H.J., Yoon N.S., Hong Y.J., Park H.W., Kim J.H., Ahn Y., Jeong M.H., Cho J.G., Kang J.C. Usefulness of aortic strain analysis by velocity vector imaging as a new echocardiographic measure of arterial stiffness. J Am Soc Echocardiogr. 2009:22(12):1382-8. PMID: 19944958. https://doi.org/10.1016/j.echo.2009.08.00