The Use of Speckle-Tracking Echocardiography to Evaluate Cardiac Function in Adult Patients With Fontan Physiology

Kaka, Yaquta; Saraf, Anita; Pernetz, Maria A.; Haouzi, Alice; Rodriguez, Fred H.; Book, Wendy

doi:10.1016/s0735-1097(19)31232-x

Cited by 1 publication

(2 citation statements)

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“…Similarly, a study by Kaka et al demonstrated an increased GLS in the majority of patients even in the presence of preserved TTE-derived EF and normal E/e’ ratio, suggesting that abnormal GLS can serve as a precursor to decreased systolic and diastolic cardiac function. 18 …”

Section: Discussionmentioning

confidence: 99%

“…Similarly, a study by Kaka et al demonstrated an increased GLS in the majority of patients even in the presence of preserved TTE-derived EF and normal E/e' ratio, suggesting that abnormal GLS can serve as a precursor to decreased systolic and diastolic cardiac function. 18 Singh et al studied the accuracy and reproducibility of global strains measured by ST compared to CMR-measured values in 12 pediatric patients with tricuspid atresia. The authors concluded that both imaging techniques demonstrated close agreements for all myocardial segments, for both longitudinal and circumferential strain (P < 0.001 for both).…”

Section: Discussionmentioning

confidence: 99%

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Assessment of ventricular function after total cavo-pulmonary derivation in adult patients: Interest of global longitudinal strain

Hakim,

Mekki,

BenOthmen

et al. 2023

J Cardiovasc Thorac Res

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Ventricular dysfunction is the most frequent complication in adult patients post-Fontan completion. Through this work, we aim to evaluate ventricular systolic function by conventional echographic parameters and by global longitudinal strain (GLS) to determine the prediction of early ventricular systolic dysfunction. This is a prospective monocentric study enrolling 15 clinically stable adult Fontan patients with preserved ejection fraction (EF). Myocardial deformation study by GLS with speckle tracking technique in addition to a standard Doppler transthoracic echocardiography (TTE) was performed. Cardiac magnetic resonance imaging (CMR) was also performed. A comparison of echocardiographic and CMR parameters was made. In comparison to CMR-derived EF, we found a significant correlation with GLS and TTE-derived EF (P=0.003 and 0.014). We divided our population into two groups based on the cut-off value of 50% of CMR derived EF. Comparison of GLS in both groups showed a significant correlation (P=0.003). A cut-off value of -13.3% showed sensitivity of 67% and specificity of 100%. GLS has a moderate diagnostic value for systolic myocardial dysfunction in the population of adult patients with Fontan circulation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%