Predictive value of left ventricular myocardial strain by four‐dimensional speckle tracking echocardiography combined with red cell distribution width in heart failure with preserved ejection fraction

Sihua, Fang; Zhang, Zhihua; Wang, Ying; Jiang, Fan; Yang, Kai; He, Fei; Zhang, Chaoxue

doi:10.1111/echo.14373

Cited by 21 publications

(18 citation statements)

References 42 publications

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“…GAS reflects a change in the endocardial surface from its original dimensions at the end of diastole. Previous studies have shown that GAS is a reproducible index for detecting early systolic dysfunction, with high sensitivity and better feasibility than other myocardial deformation measurements 15,26 . GAS was higher in BD patients with than without fQRS+.…”

Section: Discussionmentioning

confidence: 84%

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Fragmented QRS complexes are associated with subclinical left ventricular dysfunction in patients with Behcet's disease: Four‐dimensional speckle tracking echocardiography

Hidayet

Yağmur

Bayramoğlu

et al. 2020

J of Clinical Ultrasound

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Background Behcet's disease (BD) is a chronic systemic inflammatory disease in which early detection of cardiac involvement is essential. The aim of this study was to assess the left ventricular (LV) functions in BD patients using four‐dimensional (4D) speckle tracking echocardiography (STE) and to test the correlation between LV dysfunction and the presence of QRS fragmentation. Methods This cross‐sectional study included 64 Behcet's patients and 48 healthy volunteers. The BD group was divided into two subgroups depending on the presence (fQRS+) or absence (fQRS−) of fragmented QRS (fQRS). In both groups, left ventricular global area strain (LV‐GAS), global radial strain (GRS), global longitudinal strain (GLS), and global circumferential strain (GCS) were obtained with 4D echocardiography. Results GAS, GRS, GLS, and GCS values were significantly different in Behcet's patients and in healthy volunteers. GLS and GAS values were lower in the fQRS+ than in the fQRS− group (−15.8 ± 1.8 and −17.9 ± 1.6, P = .001 vs −25.0 ± 3.1 and −29.2 ± 4.2, P < .001, respectively). The duration of disease was longer in fQRS+ than in fQRS− patients (120.8 ± 67.4 vs 71.0 ± 40.5, P < .001). Multiple linear regression analysis showed that fQRS and disease duration were independent predictors of LV‐GAS. Conclusions Four‐dimensional STE may be helpful for the prediction of early cardiac dysfunction in patients with BD. The presence of fQRS may be an indicator of subclinical LV dysfunction.

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Section: Discussionmentioning

confidence: 84%

“…Compared with 2D echocardiography, 4D STE has many advantages. Multidirectional heart movements may result in missing traces when using 2D STE, 13 whereas 4D STE offers a 3D view of the heart enabling to follow stress changes in each part of the LV using real‐time color mapping 14,15 …”

Section: Discussionmentioning

confidence: 99%

Fragmented QRS complexes are associated with subclinical left ventricular dysfunction in patients with Behcet's disease: Four‐dimensional speckle tracking echocardiography

Hidayet

Yağmur

Bayramoğlu

et al. 2020

J of Clinical Ultrasound

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“…[14][15][16][17][18] Diastolic dysfunction was exclusively studied by Mitter et al who came up with their publication "A Test in Context E/A and E/e/ to Assess Diastolic Dysfunction and LV Filling Pressure." 19 [20][21][22][23] In our study Echocardiography and Doppler was performed on every patient, and Diastolic dysfunction studied using E/A ratio as a marker of LV function. LVEF left ventricular ejection fraction was derived by LVEF: (SV/EDV)×100.…”

Section: Resultsmentioning

confidence: 99%

Early diagnosis HFpEF, heart failure with preserved ejection fraction in cardiomyopathy, a chance to treat and reduce morbidity and mortality

et al. 2021

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Background: Cardiomyopathy as a diagnosis almost signifies a kind of end stage disease of the myocardium. With conditions like hypertension, diabetes and ischemic heart disease on the rise, we are seeing a large number of cases diagnosed as cardiomyopathy, most common presenting feature being Heart failure. Echocardiography (ECG), is non-invasive and easily available and can pick up early signs of failure in the form of diastolic and systolic dysfunction. To study patients with cardiac symptoms, by clinical, ECG, and Echocardiography parameters.Methods: A cross-sectional, observational study of 50 patients aged 18-80 years with cardiac symptoms (dyspnoea, palpitations, pedal odema) was carried out over a period of 3 years in a semi-urban Medical College Hospital in Western Maharashtra. Patients of Acute coronary disease, valvular and congenital heart disease and chronic obstructive pulmonary disease (COPD) were excluded from the study. Data collected, tabulated and subjected to statistical analysis.Results: Our study of 50 patients had 50% Diabetic and 42% Hypertensive patients. 2D echo findings were clinically significant in the form of diastolic dysfunction (36%), systolic dysfunction (12%). Ejection fraction (EF) was significantly reduced, in most patients, but 4% patients had HFpEF, i.e. EF=55% and 24% had EF between 30-55%Conclusions: Our study of 50 patients of Cardiomyopathy had more hypertensives and diabetics, and most of them less than 60 years of age and mostly male. HFpEF was detected in 4% and 76% had EF30-60% and 24% had EF<30%. Diastolic dysfunction was diagnosed in more than half and systolic dysfunction in few on ECG.

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“…Strain is defined as a percentage change of myocardial length or thickness from the original value. STE is a reliable method for evaluating systolic function in patients with various diseases 8,9,11 . In previous studies, subclinical LV systolic dysfunction in SS patients was demonstrated by conventional echo parameters 10,19 .…”

Section: Discussionmentioning

confidence: 99%

“…In previous studies, LV function in SS patients was evaluated with standard 2D Doppler echocardiographic parameters 10 . In recent years, 4DSTE was introduced as a more reliable and sensitive test to evaluate subclinical LV function in patients with various clinical disorders 9,11 …”

Section: Introductionmentioning

confidence: 99%

Subclinical left ventricular dysfunction in Sjögren’s syndrome assessed by four‐dimensional speckle tracking echocardiography

et al. 2020

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Objective The aim of this study was to evaluate the left ventricular (LV) systolic strain by four‐dimensional speckle tracking echocardiography (4D‐STE) in order to provide the early detection of myocardial dysfunction in patients with Sjögren's syndrome (SS). Methods Forty consecutive patients with primary SS diagnosed at the rheumatology outpatient clinic and 35 age‐ and sex‐matched healthy volunteers were included in the study. 4DSTE was performed, and global longitudinal strain (GLS), global circumferential strain (GCS), global radial strain (GRS), and global area strain (GAS) were measured. 4DSTE results were compared with the healthy volunteers. Results No significant differences were observed between the GRS and GCS values of the two groups. A significant difference was observed in the GLS and GAS measurements between the two groups (P = .005 for GLS, P < .001 for GAS). Positive correlation was detected between disease duration and LV‐GLS and LV‐GAS. Conclusion We demonstrated subclinical systolic dysfunction in SS patients by 4DSTE, which is a sensitive marker of ventricular dysfunction. Deterioration of the LV became more evident as duration of the disease increased. Therefore, we believe that a cardiac evaluation will be of benefit to patients with long‐term SS.

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Predictive value of left ventricular myocardial strain by four‐dimensional speckle tracking echocardiography combined with red cell distribution width in heart failure with preserved ejection fraction

Cited by 21 publications

References 42 publications

Fragmented QRS complexes are associated with subclinical left ventricular dysfunction in patients with Behcet's disease: Four‐dimensional speckle tracking echocardiography

Fragmented QRS complexes are associated with subclinical left ventricular dysfunction in patients with Behcet's disease: Four‐dimensional speckle tracking echocardiography

Early diagnosis HFpEF, heart failure with preserved ejection fraction in cardiomyopathy, a chance to treat and reduce morbidity and mortality

Subclinical left ventricular dysfunction in Sjögren’s syndrome assessed by four‐dimensional speckle tracking echocardiography

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