Quantitative Assessment of Left Ventricular Function by 3‐Dimensional Speckle‐Tracking Echocardiography in Patients With Chronic Heart Failure

Ma, Chao; Jiang, Chen; Jun, Yang; Tang, Li; Chen, Xin; Li, Nan; Liu, Shuang; Zhang, Yan

doi:10.7863/ultra.33.2.287

Cited by 19 publications

(22 citation statements)

References 32 publications

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“…Furthermore, Tang and colleagues reported that plasma hs‐CRP levels progressively increase with worsening LV diastolic dysfunction. More advanced indices of LV diastolic dysfunction such as strain analysis assessment by two‐dimensional speckle tracking may identify patients with diastolic dysfunction before the development of LVH …”

Section: Discussionmentioning

confidence: 99%

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The Relationship Between High‐Sensitivity C‐Reactive Protein Levels and Left Ventricular Hypertrophy in Patients With Newly Diagnosed Hypertension

Seyfelì

Şarlı

Sağlam

et al. 2015

J of Clinical Hypertension

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The authors aimed to evaluate the relationship between high-sensitivity C-reactive protein (hs-CRP) and presence of left ventricular hypertrophy and diastolic dysfunction in patients with hypertension. A total of 95 newly diagnosed hypertensive patients (mean age, 54AE10 years) and 20 controls were included in this study. Patients were divided into four groups according to relative wall thickness as normal, concentric remodeling, concentric, and eccentric hypertrophy. hs-CRP was measured in all patients and serum hs-CRP level was shown to be increased in patients with hypertension compared with controls (0.57 mg/dL vs 0.25 mg/dL, respectively; P<.001). The hs-CRP level was highest in patients with concentric hypertrophy. When compared with controls, serum hs-CRP level was significantly higher in patients with concentric remodeling (0.61AE0.3 mg/dL vs 0.43AE0.5 mg/dL, P<.030) and concentric hypertrophy (0.69AE0.3 mg/dL vs 0.43AE0.5 mg/dL, P<.032). The present study shows that serum hs-CRP is significantly associated with left ventricular diastolic function and concentric hypertrophy in patients with hypertension. J Clin Hypertens (Greenwich). 2016;18:679-684. ª 2015 Wiley Periodicals, Inc.Systemic hypertension is an independent risk factor for cardiovascular mortality and morbidity and is associated with injury or dysfunction of different systems known as hypertensive target organ damage. Left ventricular (LV) hypertrophy (LVH) is a hypertensive target organ damage and is strongly predictive of future cardiovascular morbidity and mortality.1 Thus, assessment of LV mass (LVM) by echocardiography is a well-established procedure to estimate the risk of cardiovascular diseases in hypertensive patients. However, the pathophysiologic mechanisms underlying the progression from LVH to cardiovascular event development are still unclear, but they may include accelerated atherosclerosis caused by systemic inflammation and endothelial dysfunction. 2,3High-sensitivity C-reactive protein (hs-CRP), a marker of systemic inflammation, is associated with increased risk of coronary heart disease. 4 Previously, several studies have shown that CRP levels were noted to be higher in patients with hypertension and increased baseline CRP levels were associated with future development of hypertension in healthy women and men. [5][6][7] Although various studies have examined the association between CRP and LVM, the results obtained were controversial. 8,9 In addition, in patients with newly diagnosed essential hypertension, the relation between CRP levels and LVH and LV diastolic function has not yet been investigated.The aim of this study was to evaluate the relationship between serum hs-CRP levels and LVH, and LV diastolic function in patients with never-treated essential hypertension. MATERIAL AND METHODS Study PopulationThe study population consisted of 95 newly diagnosed essential hypertensive patients without known hypertension and a history of antihypertensive drug treatment according to national healthcare records. Twenty healthy n...

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Section: Discussionmentioning

confidence: 99%

“…More advanced indices of LV diastolic dysfunction such as strain analysis assessment by twodimensional speckle tracking may identify patients with diastolic dysfunction before the development of LVH. 33…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between High‐Sensitivity C‐Reactive Protein Levels and Left Ventricular Hypertrophy in Patients With Newly Diagnosed Hypertension

Seyfelì

Şarlı

Sağlam

et al. 2015

J of Clinical Hypertension

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“…Assessment of global Lv deformation, 56,57 prediction of LV filling pressure degree, 58 diagnosis and monitoring of posttransplant acute rejection, 59,60 and prediction of cardiovascular events 61 Dyssynchrony improvement in CRT candidate selection 81 and prediction of response to CRT 79,80 controlled hypertension, but were comparable among the normal group and well-controlled hypertensive patients. Accordingly, LV torsion and twist rate had analogous trends.…”

Section: Heart Failurementioning

confidence: 99%

Real-time three-dimensional speckle tracking echocardiography: technical aspects and clinical applications

Sorrentino¹,

Esposito²,

Pezzullo³

et al. 2016

RRCC

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Three-dimensional speckle tracking echocardiography (3D STE) is a novel technique for the quantification of cardiac deformation based on tracking of ultrasonic speckles in gray scale full-volume 3D images. Developments in ultrasound technologies have made 3D speckle tracking widely available. Two-dimensional echocardiography has intrinsic limitations regarding estimation of left ventricular (LV) volumes, ejection fraction, and LV mechanics, due to its inherent foreshortening errors and dependency on geometric models. The development of 3D echocardiography has improved reproducibility and accuracy. Data regarding the feasibility, accuracy, and clinical applications of 3D STE are rapidly assembling. From the tracking results, 3D STE derives several parameters, including longitudinal, circumferential and radial strain, as well as a combined assessment of longitudinal and circumferential strain, termed area strain. 3D STE can also quantify LV rotational movements such as rotation, twist, and torsion. 3D STE provides a better insight on global and regional myocardial deformation. Main applications include detection of subclinical myocardial involvement in heart failure, arterial hypertension, dyssynchrony, and ischemic heart disease. Emerging areas of application include a large spectrum of heart-involving systemic conditions, such as prediction of rejection in heart transplant patients, early detection of cardiotoxicity in patients receiving chemotherapy for cancer, and deeper physiological understanding of LV contraction mechanics in different types of athletes. Aim of this review is to discuss background, technical acquisition and processing aspects as well as recognized and developing clinical applications of this emerging ultrasound technology.

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“…Numerous studies have shown that 3D‐STE has superior accuracy and reproducible over 2D‐STE when applied to regional myocardial strain measurements . Recent studies have demonstrated that strain assessed by 3D‐STE can predict the prognosis of patients who have suffered acute myocardial infarction and heart failure . However, different vendors’ ultrasound systems need its own analysis packages to obtain the strain values from 3D‐STE …”

Section: Introductionmentioning

confidence: 99%

“…longitudinal strain values, three-dimensional speckle-tracking echocardiography of patients who have suffered acute myocardial infarction and heart failure. 6,7 However, different vendors' ultrasound systems need its own analysis packages to obtain the strain values from 3D-STE. 1,8,9 It is inconvenient for physicians to compare strain values derived from different ultrasound systems in the same patient at different stages of a disease.…”

Section: Introductionmentioning

confidence: 99%

Three‐Dimensional Echocardiography‐derived strain values acquired by a novel analysis program

et al. 2018

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Objective This in vitro study calculated longitudinal strain (LS) from different ultrasound systems (GE Vivid E9 and Philips IE 33) before and after myocardial infarct (MI) using a vendor‐independent analysis software package (TomTec's 4D LV Analysis) to validate the variation of two ultrasound systems. Methods Ten freshly harvested porcine hearts were passively driven by a pulsatile pump apparatus at stroke volumes (SV) 30–70 mL. Full‐volume three‐dimensional echocardiography (3DE) data were acquired before and after MI using two different ultrasound systems. LS was derived from TomTec and validated against sonomicrometry data. Results Linear regression analyses showed excellent correlations between TomTec‐calculated LS values and sonomicrometry data for both normal and simulated MI groups (GE: R2 = 0.72/0.68, Philip: R2 = 0.71/0.66). Bland‐Altman analyses demonstrated overestimation of echo‐derived strain values for all groups. Both ultrasound system‐derived strain values demonstrated decreased LS after MI, and the average change in strain after infarct was roughly 30% in GE images and 25% in Philips images. Conclusions Both GE and Philips echocardiographic systems can be analyzed with TomTec's program, and these images correlated well with sonomicrometry with acceptable variations.

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Quantitative Assessment of Left Ventricular Function by 3‐Dimensional Speckle‐Tracking Echocardiography in Patients With Chronic Heart Failure

Abstract: This meta-analysis suggests that LV function in patients with CHF can be noninvasively and objectively measured by 3D speckle-tracking echocardiography.

Cited by 19 publications

References 32 publications

The Relationship Between High‐Sensitivity C‐Reactive Protein Levels and Left Ventricular Hypertrophy in Patients With Newly Diagnosed Hypertension

The Relationship Between High‐Sensitivity C‐Reactive Protein Levels and Left Ventricular Hypertrophy in Patients With Newly Diagnosed Hypertension

Real-time three-dimensional speckle tracking echocardiography: technical aspects and clinical applications

Three‐Dimensional Echocardiography‐derived strain values acquired by a novel analysis program

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