Global longitudinal strain is superior to ejection fraction for detecting myocardial dysfunction in end-stage renal disease with hyperparathyroidism.

Autor:	Carrasco-Ruiz MF; Department of Physiology, Escuela Superior de Medicina, Instituto Politécnico Nacional, Ciudad de México 11340, Mexico., Ruiz-Rivera A; Department of Cardiology, Instituto Mexicano del Seguro Social, Ciudad de México 06720, Mexico., Soriano-Ursúa MA; Department of Physiology, Escuela Superior de Medicina, Instituto Politécnico Nacional, Ciudad de México 11340, Mexico., Martinez-Hernandez C; Department of Cardiology, Instituto Mexicano del Seguro Social, Ciudad de México 06720, Mexico., Manuel-Apolinar L; Endocrine Research Unit, Instituto Mexicano del Seguro Social, Ciudad de México 06720, Mexico., Castillo-Hernandez C; Department of Cardiovascular Pharmacology, Instituto Politécnico Nacional, Ciudad de México 11340, Mexico., Guevara-Balcazar G; Department of Cardiovascular Pharmacology, Instituto Politécnico Nacional, Ciudad de México 11340, Mexico., Farfán-García ED; Department of Biochemistry, Escuela Superior de Medicina, Instituto Politécnico Nacional, Ciudad de México 11340, Mexico., Mejia-Ruiz A; Education Research, Comisión Nacional Para la Mejora Continua de la Educación, Ciudad de México 03900, Mexico., Rubio-Gayosso I; Postgraduate Studies and Research Section,Escuela Superior de Medicina, Instituto Politécnico Nacional, Ciudad de México 11340, Mexico., Perez-Capistran T; Department of Physiology, Escuela Superior de Medicina, Instituto Politécnico Nacional, Ciudad de México 11340, Mexico.
Jazyk:	angličtina
Zdroj:	World journal of cardiology [World J Cardiol] 2022 Apr 26; Vol. 14 (4), pp. 239-249.
DOI:	10.4330/wjc.v14.i4.239
Abstrakt:	Background: The estimation of left ventricular ejection fraction (LVEF) by 2D echocardiography (2D-ECHO) is the most used tool to assess LV systolic function (LVSF). Global longitudinal strain (GLS) has recently been suggested as a superior method for several evaluations. This study explored the association and prevalence of LV systolic dysfunction (LVSD) by using these methods in patients with end-stage renal disease (ESRD) and severe hyperparathyroidism (SHPTH); both associated with cardiovascular events (CEs). Aim: To evaluate the myocardial function in patients with ESRD and SHPTH by using the GLS and LVEF measured through conventional 2D-ECHO. Methods: In 62 patients with ESRD and SHPTH, asymptomatic, and without a history of CEs, LVSF was evaluated by 2D-ECHO, obtaining the EF, by the Simpson biplane method, and GLS by speckle tracking. Results: The total patients with ESRD had a preserved LVEF (> 50%) but abnormal GLS (< 13.55%). Additionally, multivariate analysis showed an independent association of GLS and serum parathyroid hormone (PTH), LV mass index, and hemoglobin. Also, PTH was independently associated with lateral e' wave and tricuspid regurgitation velocity. Conclusion: In patients with SHPTH linked to ESRD, the use of GLS by 2D-ECHO is a more sensitive tool than LVEF for detecting LVSD. Competing Interests: Conflict-of-interest statement: The authors here declare no conflicts of interests or relationships regarding the industry at the date of this submission. (©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.)
Databáze:	MEDLINE
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