🇳🇴Asbjørn Støylen🇩🇰
@strain-rate.bsky.social
760 followers 210 following 100 posts
Professor emeritus of cardiovascular physiology at NTNU, Trondheim. Academic tweets now on bluesky. Myocardial imaging / mechanics. #EchoSky #CardioSky #MedSky
https://folk.ntnu.no/stoylen/strainrate/ 

Other interests: #Birds Nature, environment, history
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strain-rate.bsky.social
Not sure I would accept the validity of physiology derived partly from a circular reference
strain-rate.bsky.social
#Cardiosky Attempt to estimate LA pressure from echo. The formula uses among other measures tau, non invasive estimated from among other IVRT. But IVRT depends both on tau and LAP. How is that for circular reasoning?
doi.org/10.1093/ehjc...
Imaging-based method to quantify left ventricular diastolic pressures
AbstractAims. To establish an imaging-based method to quantify left ventricular (LV) diastolic pressures.Methods and results. In 115 patients suspected of
doi.org
strain-rate.bsky.social
#Cardiosky Regional strain pressure loops. Do they add information to regional strain? (Spoiler alert: they don't)
strain-rate.bsky.social
#Cardiosky Fractional longitudinal LV shortening.
An alternative to LV GLS
strain-rate.bsky.social
#EchoSky Nine uncomfortable facts about Global longitudinal left ventricular strain.
strain-rate.bsky.social
#Cardiosky Contractility cannot be measured by cardial imaging; all imaging measures shortening (=volume reduction), which is load dependent.
Myocardial contraction is not shortening, during systole there is both contraction without shortening, and shortening without contraction.
strain-rate.bsky.social
Since BSA don't change, I'd suppose it will follow MAPSE very closely, thus reflecting SV, but I can't see any advantage over MAPSE.
strain-rate.bsky.social
#Cardiosky. Being both pre-and afterload dependent, myocardial stroke work is not a contractility measure. As GLS do not correlate with SV, Strain pressure loops do not measure stroke work.
strain-rate.bsky.social
#Cardiosky When has normal EF been equivalent to normal LV function?!??
ase360.bsky.social
Heart failure with preserved ejection fraction is a heterogeneous entity including different phenotypes of near normal, normal, and supernormal left ventricular function.

The aim of this study was to assess the value of resting LV elastance using TTE to identify HFpEF phenotypes. bit.ly/4kLUJc4
strain-rate.bsky.social
#Cardiosky Atrial contraction strain. Numerator is AV-plane motion during atrial systole, expressing volume injected into the ventricle (i.e. the A wave). Denominator is atrial length, but as volume is partly a function of ventricular EDP, ventricular compliance is a confounder.
strain-rate.bsky.social
#Cardiosky Atria fills during ventricular ejection and early ventricular diastole. In ventr. ejection, atria expand by apical AV-plane motion driven by ventricular shortening. In early diastole, atria fill by ventricular transverse recoil/expansion, as the atria are compressed longitudinally.
strain-rate.bsky.social
#Cardiosky #Echosky The north wind is just as cold blowing from the front or the back. AV-plane motion does not change interpretation when seen from the atrium or the ventricle. And what is the physiological meaning of MAPSE relative to atrial size??? On LA strain during ventricular systole.
strain-rate.bsky.social
The Aurora exploded over Trondheim tonight
strain-rate.bsky.social
#Cardiosky #Echosky Atrial filling and emptying is related to ventricular systolic and diastolic ventricular function, as volume changes are mainly a function of AV-plane motion within a relatively unchanged outer heart contour
strain-rate.bsky.social
#Cardiosky #Echosky LV ejection is a complex interaction between LV contraction - relaxation, flow acceleration - deceleration and artery - ventricular coupling.
strain-rate.bsky.social
#Cardiosky #Echosky
Pre ejection velocity
-occurs before MVC, and is not isovolumic.
-is true ventricular contraction, not atrial recoil
-is the true LV electromechanical activation timepoint.
-peak pre ejection velocity or acceleration is not an LV contractility measure
strain-rate.bsky.social
#Cardiosky #Echosky Late filling is the atrial systole, driven by the atrial pressure increase, propagated into the LV as pulse propagation, seen as a deformation wave from base to apex.
Reposted by 🇳🇴Asbjørn Støylen🇩🇰
ourhaus.bsky.social
ourhaus.bsky.social
For those affected - these are good resources to know about. Apologies if you've already been sent this by me.
europepmc.org covers all PubMed records and more. ebi.ac.uk for big biological data sets especially genomic data. These are not housed in USA.
Europe PMCHome - Europe PMC
Europe PMC is an archive of life sciences journal literature.
europepmc.org