Correlation Between T Peak to End Interval and Left Ventricular Time to Peak Longitudinal Strain in Ischemic Cardiomyopathy Patients.

Autor: Achmad C; Department of Cardiology and Vascular Medicine, Hasan Sadikin General Hospital, Universitas Padjajaran, Bandung, Indonesia.; Hasna Medika Cardiac Hospital, Cirebon, West Java, Indonesia., Prianda AF; Department of Cardiology and Vascular Medicine, Hasan Sadikin General Hospital, Universitas Padjajaran, Bandung, Indonesia., Tiksnadi BB; Department of Cardiology and Vascular Medicine, Hasan Sadikin General Hospital, Universitas Padjajaran, Bandung, Indonesia., Iqbal M; Department of Cardiology and Vascular Medicine, Hasan Sadikin General Hospital, Universitas Padjajaran, Bandung, Indonesia., Karwiky G; Department of Cardiology and Vascular Medicine, Hasan Sadikin General Hospital, Universitas Padjajaran, Bandung, Indonesia., Febrianora M; Department of Cardiology and Vascular Medicine, Hasan Sadikin General Hospital, Universitas Padjajaran, Bandung, Indonesia.
Jazyk: angličtina
Zdroj: Cardiology research [Cardiol Res] 2020 Oct; Vol. 11 (5), pp. 337-341. Date of Electronic Publication: 2020 Aug 01.
DOI: 10.14740/cr1126
Abstrakt: Background: Ischemic cardiomyopathy is the most frequent etiology of heart failure with reduced ejection fraction (HFrEF) and a result of ventricular structural, functional and electrical remodeling. T peak to end (Tpe) interval is an electrocardiographic parameter that represents repolarization heterogeneity and had prognostic value for ventricular arrhythmia. Patients with ischemic cardiomyopathy face a significant burden of arrhythmias. Mechanical dispersion is a functional remodeling parameter that can be measured by time to peak longitudinal strain using speckle tracking echocardiography. This study aimed to assess the relationship between Tpe interval with time to peak longitudinal strain in ischemic cardiomyopathy patients.
Methods: This study was conducted with an observational analytical cross-sectional design. Ischemic cardiomyopathy subjects were included at Dr. Hasan Sadikin General Hospital, Bandung, from August to October 2019. Tpe interval was measured manually with the tangential method. Time to peak longitudinal strain was measured using speckle tracking echocardiography. The correlation between Tpe interval and time to peak longitudinal strain was analyzed using Pearson correlation.
Results: A total of 30 subjects were included in this study. The average age was 58 ± 8 years old, and the average left ventricular ejection fraction was 27±5.5%. The average of Tpe interval was 83.4 ± 7.62 ms, and the average time to peak longitudinal strain was 93.13 ± 34.51 ms. The Pearson correlation test showed a significant weak positive correlation (r = 0.386, 95% confidence interval: 0.029 - 0.743, P = 0.018) between Tpe interval and time to peak longitudinal strain in ischemic cardiomyopathy patients.
Conlucions: There was a significant weak positive correlation between Tpe interval and time to peak longitudinal strain in ischemic cardiomyopathy patients.
Competing Interests: None to declare.
(Copyright 2020, Achmad et al.)
Databáze: MEDLINE