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293432

Z Scores and Reference Values for Tissue Doppler Imaging Velocities and Timings of Healthy Egyptian Children

Article

Last updated: 03 Jan 2025

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Abstract

Background: Tissue Doppler Imaging (TDI) modality is frequently utilized to evaluate cardiac function. TDI velocities and timings vary with age and growth. Data about normal TDI values in the first two years of life is limited. Also, reference values of TDI differ according to racial and environmental factors. Objective: This research aimed to identify the normal values and introduce Z scores for left ventricular pulsed TDI timings and velocities in Egyptian children as well as investigate the impact of age, heart rate (HR), body surface area (BSA), and gender on TDI timings and velocities. Methods: For 208 healthy children with an age range between two months and two years, a pulsed TDI examination was applied using the apical four chamber view at the septal and lateral mitral annuli during ventricular systole and early and late diastole. We measured systolic, early and late diastolic velocities, isovolumic contraction, isovolumic relaxation and ejection times (ETs).  Also, mitral closure to opening time (MCOT) and Tie index were obtained. The association between TDI velocities and timings and different demographic variables were analyzed using linear regression model. Results: Normal values and Z score graphs for most of left ventricular TDI velocities and time intervals were demonstrated. TDI velocities and timings were positively correlated with age and BSA while negatively correlated with HR and not affected by sex. Conclusion: We present reference values of left ventricular TDI parameters in pediatric Egyptian children from two months to two years of age and demonstrate the effect of growth on TDI velocities.  

DOI

10.21608/ejhm.2023.293432

Keywords

Tissue Doppler imaging, Pediatrics, left ventricle, Myocardial velocity

Authors

First Name

Rania

Last Name

Elzayat

MiddleName

Salah

Affiliation

Pediatric department, Faculty of Medicine, Menoufia University. Shebin El-Kom, Egypt.

Email

rania.elzayat@med.menofia.edu.eg

City

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Orcid

0000-0003-1145-1141

First Name

Wael A.

Last Name

Bahbah

MiddleName

-

Affiliation

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Email

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City

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Orcid

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First Name

Shaimaa S.

Last Name

Soliman

MiddleName

-

Affiliation

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Email

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City

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Orcid

-

First Name

Basim A.E.

Last Name

El-Gazzar

MiddleName

-

Affiliation

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Email

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City

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Orcid

-

Volume

90

Article Issue

2

Related Issue

39562

Issue Date

2023-01-01

Receive Date

2023-04-02

Publish Date

2023-01-01

Page Start

3,735

Page End

3,743

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_293432.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=293432

Order

336

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Z Scores and Reference Values for Tissue Doppler Imaging Velocities and Timings of Healthy Egyptian Children

Details

Type

Article

Created At

24 Dec 2024