ISSN: 1859 - 2872
Relationship of left ventricular global longitudinal strain by 2D speckle tracking echocardiography with clinical, echocardiographic characteristics in patients undergoing aortic valve replacement over six-month follow-up
Main Article Content
Keywords
Abstract
Objective: To determine relationship of left ventricular global longitudinal strain by 2D speckle tracking echocardiography with clinical, echocardiographic characteristics in patients undergoing aortic valve replacement over six-month follow-up. Subject and method: 96 patients with severe aortic stenosis (AS) and 74 patients with severe aortic regurgitation (AR) undergoing aortic valve replacement (mean age: 60.9 ± 10.6 years; 59.4% were male). Study variables included NYHA, ejection fraction (EF), left ventricular global longitudinal strain (GLS) on speckle tracking echocardiography (STE-2D). Result: (1) Patients with impaired GLS had a higher NYHA classification; p<0.001; (2) GLS cut-off values of -15.65% in the AS and a cut-off value of -14 % in the AR were able to predict the normalization NYHA classification after 6 months of aortic valve replacement; (3) There was a correlation between GLS and EF in both groups of patients: AS group (R = 0.776; p<0.001), AR group (R = 0.883; p<0.001). Conclusion: (1) Impaired GLS is associated with higher NYHA classification; (2) GLS has an incremental prognostic value over EF for the identification of the NYHA classification six months after aortic valve replacement in both AS and AR; (3) GLS was significantly correlated with EF in both groups of AS and AR.
Article Details
References
2. Carasso S, Cohen O, Mutlak D, Adler Z, Lessick J, Aronson D, Reisner SA, Rakowski H, Bolotin G, Agmon Y (2011) Relation of myocardial mechanics in severe aortic stenosis to left ventricular ejection fraction and response to aortic valve replacement. Am J Cardiol 107(7): 1052-1057.
3. Dahl JS, Videbæk L, Poulsen MK, Rudbæk TR, Pellikka PA, Møller JE (2012) Global strain in severe aortic valve stenosis: relation to clinical outcome after aortic valve replacement. Circ Cardiovasc Imaging. 5(5): 613-620.
4. Iung B, Baron G, Butchart EG, Delahaye F, Gohlke-Bärwolf C, Levang OW, Tornos P, Vanoverschelde JL, Vermeer F, Boersma E, Ravaud P, Vahanian A (2003) A prospective survey of patients with valvular heart disease in Europe: The Euro Heart Survey on Valvular Heart Disease. Eur Heart J 24(13): 1231-1243.
5. Lang RM, Badano LP, Mor-Avi V, Afilalo J, Armstrong A, Ernande L, Flachskampf FA, Foster E, Goldstein SA, Kuznetsova T, Lancellotti P, Muraru D, Picard MH, Rietzschel ER, Rudski L, Spencer KT, Tsang W, Voigt JU (2015) Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr 28(1): 1-39.
6. Ternacle J, Berry M, Alonso E, Kloeckner M, Couetil JP, Randé JL, Gueret P, Monin JL, Lim P (2013) Incremental value of global longitudinal strain for predicting early outcome after cardiac surgery. Eur Heart J Cardiovasc Imaging. 14(1): 77-84.
7. Zhu D, Ito S, Miranda WR, Nkomo VT, Pislaru SV, Villarraga HR, Pellikka PA, Crusan DJ, Oh JK (2020) Left ventricular global longitudinal strain is associated with long-term outcomes in moderate aortic stenosis. Circ Cardiovasc Imaging 13(4).
8. Heidenreich PA, Bozkurt B, Aguilar D et al (2022) 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure. Journal of the American College of Cardiology 79(17): 263-421.
9. Nguyễn Lân Việt và Phạm Việt Tuân (2010) Tìm hiểu đặc điểm mô hình bệnh tật ở bệnh nhân điều trị nội trú tại Viện Tim mạch Việt Nam trong thời gian 5 năm (2003-2007). Tạp chí Tim mạch học Việt Nam 52.
Article Sidebar
