Prognostic value of two-dimensional strain in early ischemic heart disease: A 5-year follow-up study.
Global Circumferential Strain
Global Longitudinal Strain
dipyridamole stress echocardiography
stress echocardiography
two-dimensional strain echocardiography
Journal
Echocardiography (Mount Kisco, N.Y.)
ISSN: 1540-8175
Titre abrégé: Echocardiography
Pays: United States
ID NLM: 8511187
Informations de publication
Date de publication:
06 2022
06 2022
Historique:
revised:
12
04
2022
received:
24
12
2021
accepted:
23
04
2022
pubmed:
8
5
2022
medline:
30
6
2022
entrez:
7
5
2022
Statut:
ppublish
Résumé
Two-dimensional strain echocardiography (2D-SE) is a reliable method for measuring deformation of the left ventricle. Aim of the study was to determine changes in 2D-SE parameters over time collected during dipyridamole stress echo-cardiography (dipy-stress) and prognosis of patients with non-diagnostic dipy-stress results. In the first phase of the study, assessment of a prospective enrolled population with a non-diagnostic dipy-stress test result was conducted, checking through coronary CT angiography (CCTA) the presence of coronary artery disease (CAD). In the follow-up phase, an echocardiographic re-evaluation and outcome analysis during a mean follow-up of 78 months was carried out. In the first phase, Global Circumferential Strain (GCS) values were similar in the CCTA positive and CCTA negative groups at rest and after stress. For Global Longitudinal Strain (GLS), there was a significant reduction (p < .0001) in the CCTA positive group compared to the CCTA negative group. After 78 ± 9 months none of the enrolled patients experimented cardiac events. Values of GCS, both at rest and after stress, did not differ statistically comparing follow-up values with baseline ones. No statistically significant changes were seen in the same analysis for GLS rest and stress values, between baseline and follow-up in the two groups. Performing 2D-SE during dipy-stress can detect mild CAD that conventional stress-tests miss. Patients with mild coronary stenosis may have a favorable mid-term prognosis, but efforts should be made to investigate the decrease trend in GLS, at rest and after stress, reported in this patient group.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
768-775Informations de copyright
© 2022 Wiley Periodicals LLC.
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