Echocardiographic Assessment of Ventricular Function in Young Patients with Asthma

Arq Bras Cardiol. 2018 Mar;110(3):231-239. doi: 10.5935/abc.20180052.
[Article in Portuguese, English]

Abstract

Background: Despite significant advances in understanding the pathophysiology and management of asthma, some of systemic effects of asthma are still not well defined.

Objectives: To compare heart function, baseline physical activity level, and functional exercise capacity in young patients with mild-to-moderate asthma and healthy controls.

Methods: Eighteen healthy (12.67 ± 0.39 years) and 20 asthmatics (12.0 ± 0.38 years) patients were enrolled in the study. Echocardiography parameters were evaluated using conventional and tissue Doppler imaging (TDI).

Results: Although pulmonary acceleration time (PAT) and pulmonary artery systolic pressure (PASP) were within normal limits, these parameters differed significantly between the control and asthmatic groups. PAT was lower (p < 0.0001) and PASP (p < 0.0002) was higher in the asthma group (114.3 ± 3.70 ms and 25.40 ± 0.54 mmHg) than the control group (135.30 ± 2.28 ms and 22.22 ± 0.40 mmHg). The asthmatic group had significantly lower early diastolic myocardial velocity (E', p = 0.0047) and lower E' to late (E'/A', p = 0.0017) (13.75 ± 0.53 cm/s and 1.70 ± 0.09, respectively) compared with control group (15.71 ± 0.34 cm/s and 2.12 ± 0.08, respectively) at tricuspid valve. In the lateral mitral valve tissue Doppler, the asthmatic group had lower E' compared with control group (p = 0.0466; 13.27 ± 0.43 cm/s and 14.32 ± 0.25 cm/s, respectively), but there was no statistic difference in the E'/A' ratio (p = 0.1161). Right isovolumetric relaxation time was higher (p = 0.0007) in asthmatic (57.15 ± 0.97 ms) than the control group (52.28 ± 0.87 ms), reflecting global myocardial dysfunction. The right and left myocardial performance indexes were significantly higher in the asthmatic (0.43 ± 0.01 and 0.37 ± 0.01, respectively) compared with control group (0.40 ± 0.01 and 0.34 ± 0.01, respectively) (p = 0.0383 and p = 0.0059, respectively). Physical activity level, and distance travelled on the six-minute walk test were similar in both groups.

Conclusion: Changes in echocardiographic parameters, evaluated by conventional and TDI, were observed in mild-to-moderate asthma patients even with normal functional exercise capacity and baseline physical activity level. Our results suggest that the echocardiogram may be useful for the early detection and evoluation of asthma-induced cardiac changes.

MeSH terms

  • Adolescent
  • Asthma / physiopathology*
  • Case-Control Studies
  • Child
  • Diastole / physiology
  • Echocardiography, Doppler, Pulsed / methods
  • Exercise / physiology*
  • Exercise Test / methods
  • Exercise Tolerance / physiology*
  • Female
  • Humans
  • Male
  • Quality of Life
  • Reference Values
  • Respiratory Function Tests / methods
  • Severity of Illness Index
  • Statistics, Nonparametric
  • Surveys and Questionnaires
  • Systole / physiology
  • Time Factors
  • Ventricular Dysfunction / diagnostic imaging
  • Ventricular Dysfunction / physiopathology
  • Ventricular Function / physiology*

Grants and funding

This study was approved by the Ethics Committee of the Faculdade Ciências Médicas-Minas Gerais under protocol number 14710413.0.0000.5134. All procedures involved in this study are in accordance with the Helsinki Declaration of 1975, updated in 2013. Informed consent was obtained from all participants included in the study.