2D-Speckle tracking echocardiography contributes to early identification of impaired left ventricular myocardial function in children with chronic kidney disease

Demetgül, Hasan; Giray, Dilek; Delibaş, Ali; Hallioglu, Olgu

doi:10.1017/s1047951118001397

Cited by 10 publications

(8 citation statements)

References 23 publications

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“…Actually, long‐term reduced perfusion can lead to progressive fibrosis and decreased myocardial deformability. 2D‐STE enables the sensitive detection of subtle changes in myocardial deformation 18–20 . It can track the hyperechoic spots of myocardial tissue from a ROI within the 2D grayscale image.…”

Section: Discussionmentioning

confidence: 99%

“…2D-STE enables the sensitive detection of subtle changes in myocardial deformation. [18][19][20] It can track the hyperechoic spots of myocardial tissue from a ROI within the 2D grayscale image. Migrino et al 21 have confirmed that 2D-STE is superior to the conventional B-mode and M-mode ultrasonography in the detection of myocardial ischemia by establishing a rat ischemia-reperfusion model.…”

Section: Discussionmentioning

confidence: 99%

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Real‐time three‐dimensional echocardiography and two‐dimensional speckle tracking imaging in the evaluation of left atrial function in patients with triple‐vessel coronary artery disease without myocardial infarction

Cui

Chang

et al. 2022

J of Clinical Ultrasound

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Objective To evaluate left atrial function in patients with triple‐vessel disease (TVD) without myocardial infarction by real‐time three‐dimensional echocardiography (RT‐3DE) and two‐dimensional speckle tracking imaging (2D‐STE). Methods Sixty patients with coronary artery disease (CAD) without myocardial infarction were classified into two groups in accordance with the coronary angiography results: group B (all triple‐vessel stenosis ≥ 50% and < 75%) and group C (all triple‐vessel stenosis ≥ 75%). Thirty healthy individuals were selected as group A. LA volume related parameters including left atrial maximum volume index (LAVImax), LA passive and active ejection fraction (LAPEF, LAAEF) and LA total ejection fraction (LATEF) were measured by RT‐3DE. The global peak atrial longitudinal systolic strain (LASRs), early and late diastolic LA strain (LASRe and LASRa) rates were measured by 2D‐STE. Results We found statistically significant differences between 2D‐STE and RT‐3DE related parameters of these three groups. Furthermore, in groups B and C, N‐terminal fragment brain natriuretic peptides (NT‐pro‐BNP) and left ventricular end‐diastolic pressure (LVEDP) were found to be significantly correlated with LASRs and LASRa. And NT‐pro‐BNP had a moderate correlation with LVEDP. Conclusions 2D‐STE and RT‐3DE can assess the LA function in patients with TVD without myocardial infarction. And LA strain values may provide additional information for predicting increased LVEDP and NT‐pro‐BNP.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Real‐time three‐dimensional echocardiography and two‐dimensional speckle tracking imaging in the evaluation of left atrial function in patients with triple‐vessel coronary artery disease without myocardial infarction

Cui

Chang

et al. 2022

J of Clinical Ultrasound

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“…Further, 25% of the deaths among patients younger than 30 years of age and 40% of all deaths occur due to cardiovascular disease. 1,2 The demonstration of subclinical cardiac dysfunction is therefore important in terms of increasing life expectancy by taking early preventive measures. The American Society of Echocardiography and the European Society of CKD therefore recommend the use of TDI in routine cardiac evaluation.…”

Section: Discussionmentioning

confidence: 99%

“…However, the use of these techniques is limited due to dependence on software, need for experience, lack of cost-effectiveness, and sedation. 2,30 The MPI is calculated by dividing the sum of the IVCT affected by systole and the IVRT affected by diastole by the ET affected by systole. The MPI is therefore used as an indicator of both systole and diastolic dysfunctions.…”

Section: Discussionmentioning

confidence: 99%

Assessments of left ventricular systolic and diastolic functions with tissue Doppler imaging and myocardial performance index in children with chronic kidney disease

Kızılca

Özmen

Öncü

et al. 2021

Pediatrics International

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Background: This study aimed to document early left ventricular (LV) dysfunction in chronic kidney disease (CKD) using methods such as tissue Doppler imaging and the myocardial performance index (MPI). Methods: A total of 40 patients diagnosed with CKD (mean age, 10.1 AE 4.1 years) and 40 sex-and age-matched healthy controls (mean age, 9.6 AE 4.3 years) were examined. In the patient group, 20 patients had early stage (Stage 2-3) CKD and 20 patients had late-stage (stage 4-5) CKD, and 18 patients had hypertension. Results: The pulmonary artery systolic pressure (PAPs) and LV mass index (LVMI) were significantly higher in the patient group (P < 0.05). The LV septal and lateral margins of the mitral annulus E'/A' ratio, E/E' ratio and MPI results were significantly different between the groups (P < 0.05). The MPI scores were higher in late-stage CKD than in early stage CKD (P < 0.05). The E'/A' ratio was lower and the MPI was higher in the hypertensive CKD group compared with the normotensive CKD group (P < 0.05). The E/E' ratio was correlated positively with the LVMI, and the PAPs, and negatively with glomerular filtration rate, S' value, E'/A' ratio. The MPI was correlated positively with blood pressure, LVMI, PAPs, and the S value, and negatively with the E'/A' ratio. Conclusions: The E'/A' ratio, the E/E' ratio, and the isovolumetric relaxation time measured by tissue Doppler imaging is highly accurate and easily applicable for detecting diastolic LV function, and the MPI is suitable for detecting both systolic and diastolic LV dysfunction. Their routine use may be useful in evaluating LV functions in children with CKD.

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“…Cardiovascular complications are considered the most important causes of death in CKD patients. Whether these complications are related to endothelial dysfunction, pericardial disease, infective endocarditis from catheter related infections and last but not least myocardial dysfunction [10,11].…”

Section: Discussionmentioning

confidence: 99%

Left ventricular mass index and subendocardial myocardial function in children with chronic kidney disease, a transmural strain and three-dimensional echocardiographic study

Tantawy¹,

Fadel

Abdelrahman

et al. 2019

Cardiovascular Endocrinology &Amp; Metabolism

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Introduction Left ventricular hypertrophy (LVH) is the commonest myocardial response to chronic kidney disease (CKD); this response has been regarded detrimental as it impairs the blood flow to the deepest layers of the myocardium causing progressive myocardial dysfunction. The aim of these series is to assess the determinants of LVH in CKD patients and its impact on subendocardial function in such patients. MethodsThis study has been conducted on 40 CKD patients (Group 1) and 40 age-matched controls, both groups were assessed by transmural echocardiography to determine the subepicardial and subendocardial global longitudinal strain (GLS) as an expression of the systolic function of each of those layers. LVH was assessed by calculation of left ventricle mass index (LVMI). Both groups underwent ambulatory blood pressure monitoring. Group 1 was assessed as regards lipid profile and insulin resistance by homeostasis model assessment of insulin resistance (HOMA-IR).Results HOMA-IR proved to be a more important determinant of LV hypertrophy than SBP and DBP with a P of 0.01. Moreover subendocardial GLS was negatively correlated with LVMI with r = 0.69 and P < 0.01 denoting the negative effect. LVH plays on subendocardial function probably by impairing myocardial perfusion. ConclusionThis study points toward the importance of insulin resistance in aggravation of myocardial remodeling in CKD patients; more studies are warranted to examine the role of insulin Sensitizers in reversing such remodeling and restoring subendocardial function in such important systemic disorder.

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2D-Speckle tracking echocardiography contributes to early identification of impaired left ventricular myocardial function in children with chronic kidney disease

Abstract: The study concluded that 2D-speckle tracking echocardiography method can determine cardiac involvement earlier than conventional echocardiography in children with chronic kidney disease having preserved ejection fraction.

Cited by 10 publications

References 23 publications

Real‐time three‐dimensional echocardiography and two‐dimensional speckle tracking imaging in the evaluation of left atrial function in patients with triple‐vessel coronary artery disease without myocardial infarction

Real‐time three‐dimensional echocardiography and two‐dimensional speckle tracking imaging in the evaluation of left atrial function in patients with triple‐vessel coronary artery disease without myocardial infarction

Assessments of left ventricular systolic and diastolic functions with tissue Doppler imaging and myocardial performance index in children with chronic kidney disease

Left ventricular mass index and subendocardial myocardial function in children with chronic kidney disease, a transmural strain and three-dimensional echocardiographic study

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