What can three-dimensional speckle-tracking echocardiography contribute to evaluate global left ventricular systolic performance in patients with heart failure?
| Autor: | Jing Wang, Shuang Li, Xiu-Xia Luo, Cheuk-Man Yu, Joey S.W. Kwong, Jing-Ping Sun, John E. Sanderson, Alex Pui-Wai Lee, Qing Zhang, Zhi-Hua Zhang, Fang Fang |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male endocrine system medicine.medical_specialty Systole Heart Ventricles Area strain Echocardiography Three-Dimensional Speckle tracking echocardiography Systolic function Ventricular Dysfunction Left Internal medicine medicine Humans Circumferential strain In patient Aged Aged 80 and over Observer Variation Ejection fraction business.industry Reproducibility of Results Stroke Volume Middle Aged medicine.disease Echocardiography Heart failure Cardiology Feasibility Studies Female Cardiology and Cardiovascular Medicine business Radial stress |
| Zdroj: | International Journal of Cardiology. 172:132-137 |
| ISSN: | 0167-5273 |
| Popis: | Three-dimensional speckle-tracking echocardiography (3D-STE) is a newly developed technique to evaluate left ventricular (LV) deformation by measuring the area strain (AS) of endocardial surface that combines information from both longitudinal (LS) and circumferential strain (CS). We performed a study to examine myocardial deformation in patients with heart failure (HF) using 3D-STE.A total of 149 subjects including 58 patients with HF and preserved ejection fraction (HFPEF), 45 patients with HF and reduced ejection fraction (HFREF), and 46 normal subjects were prospectively studied by 3D-STE.After adjusting for age, gender and BSA, global CS, LS, radial strain (RS) and AS derived from 3D-STE in patients with HFPEF were significantly higher than their counterparts in patients with HFREF (all p0.001), but lower than that in normal subjects (all p0.05). In addition, among all the strain parameters, global AS exhibited the highest correlation with LV ejection fraction (y=1.243x+6.332, r=0.982, p0.001) and the best intra- (ICCs: 0.986, p0.001) and inter-observer variability (ICCs: 0.978, p0.001) than other parameters of 3D strain (CS: 0.981 and 0.974; LS: 0.908 and 0.841; RS: 0.946 and 0.915; all p0.001).Measurement of endocardial surface AS based on 3D-STE technique is reproducible and proves to be accurate and comprehensive in assessing the global LV performance and multidirectional deformation of the LV myocardium in HF patients. |
| Databáze: | OpenAIRE |
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