Speckle-Tracking Echocardiography - Ready for Use in Acute Coronary Syndrome?
| Autor: | Brivaldo Markman Filho |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Acute coronary syndrome lcsh:Diseases of the circulatory (Cardiovascular) system Speckle tracking echocardiography Doppler echocardiography Strain Síndrome Coronariana Aguda Ventricular Dysfunction Left Speckle Tracking Internal medicine Medicine Humans Acute Coronary Syndrome Echocardiography / methods medicine.diagnostic_test business.industry Doppler Reproducibility of Results Stroke Volume Original Articles medicine.disease Angina unstable / physiopathology Myocardial Ischemia / physiopathology lcsh:RC666-701 Echocardiography Fatores de Risco/prevalência Cardiology Cardiology and Cardiovascular Medicine business Ecocardiografia |
| Zdroj: | Arquivos Brasileiros de Cardiologia Arquivos Brasileiros de Cardiologia, Vol 110, Iss 4, Pp 362-363 |
| ISSN: | 1678-4170 |
| Popis: | Background Unstable angina (UA) is a common cause of hospital admission; risk stratification helps determine strategies for treatment. Objective To determine the applicability of two-dimensional longitudinal strain (SL2D) for the identification of myocardial ischemia in patients with UA. Methods Cross-sectional, descriptive, observational study lasting 60 days. The sample consisted of 78 patients, of which fifteen (19.2%) were eligible for longitudinal strain analysis. The value of p < 0.05 was considered significant. Results The group of ineligible patients presented: a lower proportion of women, a higher prevalence of diabetes mellitus (DM), use of ASA, statins and beta-blockers and larger cavity diameters. The main causes of non-applicability were: presence of previous infarction (56.4%), previous CTA (22.1%), previous MRI (11.5%) or both (16.7%) and the presence of specific electrocardiographic abnormalities (12.8%). SL2D assessment revealed a lower global strain value in those with stenosis greater than 70% in some epicardial coronary arteries (17.1 [3.1] versus 20.2 [6.7], with p = 0.014). Segmental strain assessment showed an association between severe CX and RD lesions with longitudinal strain reduction of lateral and inferior walls basal segments; (14 [5] versus 21 [10], with p = 0.04) and (12.5 [6] versus 19 [8], respectively). Conclusion There was very low SL2D applicability to assess ischemia in the studied population. However, the global strain showed a correlation with the presence of significant coronary lesion, which could be included in the UA diagnostic arsenal in the future. |
| Databáze: | OpenAIRE |
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