Left ventricular diastolic function assessed by speckle tracking echocardiography in patients with left ventricular aneurysm.

Autor: Nemchyna O; Department of Cardiothoracic and Vascular Surgery, Deustches Herzzentrum der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charitéplatz 1, 10117, Berlin, Germany.; DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Hessische Straße 3-4, 10115, Berlin, Germany., Solowjowa N; Department of Cardiothoracic and Vascular Surgery, Deustches Herzzentrum der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charitéplatz 1, 10117, Berlin, Germany.; DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Hessische Straße 3-4, 10115, Berlin, Germany., Hrytsyna Y; Department of Cardiothoracic and Vascular Surgery, Deustches Herzzentrum der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charitéplatz 1, 10117, Berlin, Germany., Dandel M; Cardio Centrum Berlin, Unter den Linden 21, 10117, Berlin, Germany., Merke N; Department of Cardiothoracic and Vascular Surgery, Deustches Herzzentrum der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charitéplatz 1, 10117, Berlin, Germany., Knierim J; Department of Cardiothoracic and Vascular Surgery, Deustches Herzzentrum der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charitéplatz 1, 10117, Berlin, Germany.; Sana Paulinenkrankenhaus, Dickensweg 25-39, 14055, Berlin, Germany., Schoenrath F; Department of Cardiothoracic and Vascular Surgery, Deustches Herzzentrum der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charitéplatz 1, 10117, Berlin, Germany.; DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Hessische Straße 3-4, 10115, Berlin, Germany., Just IA; Department of Cardiothoracic and Vascular Surgery, Deustches Herzzentrum der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charitéplatz 1, 10117, Berlin, Germany.; DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Hessische Straße 3-4, 10115, Berlin, Germany., Hennig F; Department of Cardiothoracic and Vascular Surgery, Deustches Herzzentrum der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charitéplatz 1, 10117, Berlin, Germany.; DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Hessische Straße 3-4, 10115, Berlin, Germany., Hohendanner F; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charitéplatz 1, 10117, Berlin, Germany.; DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Hessische Straße 3-4, 10115, Berlin, Germany.; Department of Cardiology, Angiology and Intensive Care MedicineDeutsches Herzzentrum der Charité, Augstenburger Platz 1, 13353, Berlin, Germany., Falk V; Department of Cardiothoracic and Vascular Surgery, Deustches Herzzentrum der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charitéplatz 1, 10117, Berlin, Germany.; DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Hessische Straße 3-4, 10115, Berlin, Germany.; Department of Health Science and Technology, ETH Zurich, Translational Cardiovascular Technology, LFW C 13.2, Universitätstrasse 2, 8092, Zurich, Switzerland., Knosalla C; Department of Cardiothoracic and Vascular Surgery, Deustches Herzzentrum der Charité, Augustenburger Platz 1, 13353, Berlin, Germany. christoph.knosalla@dhzc-charite.de.; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charitéplatz 1, 10117, Berlin, Germany. christoph.knosalla@dhzc-charite.de.; DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Hessische Straße 3-4, 10115, Berlin, Germany. christoph.knosalla@dhzc-charite.de.
Jazyk: angličtina
Zdroj: The international journal of cardiovascular imaging [Int J Cardiovasc Imaging] 2024 Oct; Vol. 40 (10), pp. 2087-2101. Date of Electronic Publication: 2024 Jul 25.
DOI: 10.1007/s10554-024-03201-z
Abstrakt: Speckle-tracking echocardiography (STE) parameters are an integral part of the assessment of left ventricular (LV) function. We aimed to evaluate established and novel STE parameters of LV diastolic function and their prognostic role in patients with LV anteroapical aneurysm undergoing surgical ventricular repair (SVR). We retrospectively examined the data of 137 patients with anteroapical LV aneurysm who underwent SVR. In 27 patients, the correlation of STE parameters with invasive hemodynamic parameters was evaluated. Preoperative echocardiographic parameters were assessed for their association with outcome, defined as all-cause mortality, LV assist device implantation, or heart transplantation. The late diastolic strain rate (GLSRa) showed a stronger correlation with mean pulmonary artery pressure (r =  - 0.75, p < 0.001) than all other parameters. GLSRa was also significantly correlated with mean pulmonary capillary wedge pressure and LV end-diastolic pressure. In the multivariate model, GLSRa and the ratio of early diastolic filling velocity to GLSRa demonstrated incremental prognostic value in addition to clinical and echocardiographic parameters. Patients with GLSRa < 0.59 s -1 had significantly shorter event-free survival than those with GLSRa > 0.59 s -1 (6.7 vs. 10.9 years, p < 0.001). Peak reservoir left atrial strain showed a weaker association with hemodynamic parameters and outcome compared to GLSRa. In patients with LV aneurysm, late diastolic strain rate and left atrial strain can be used for the assessment of LV diastolic function and have a predictive value for the outcome after surgical ventricular restoration.
(© 2024. The Author(s).)
Databáze: MEDLINE
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