Three-Dimensional Speckle-Tracking Analysis of Left Ventricular Function after Transcatheter Aortic Valve Implantation

Recovery of Left Ventricular Mechanics after Transcatheter Aortic Valve Implantation: Effects of Baseline Ventricular Function and Postprocedural Aortic Regurgitation

“…Our findings that lower LVEF and lower GLS are associated with myocardial recovery demonstrate the potential benefit of TAVI in patients with more advanced myocardial disease and support previous work. 32,35,41,47 Finally, our study results complement the observations of other investigators who have demonstrated an amelioration in LV mass, 48 some diastolic filling parameters, 48,49 and left atrial function in patients after TAVI. 49 …”

“…1 Candidates for TAVI are distinguished by their older age and more extensive comorbidities compared with patients who undergo conventional surgical AVR, raising the possibility of end-stage myocardial dysfunction. 30 The favorable impact of TAVI on the regression of LV mass, [31][32][33][34] and the improvement in systolic 32,35 and diastolic 31 function have already been documented.…”

“…[35][36][37][38][39][40][41][42][43][44] A greater magnitude of change in GLS after TAVI was associated with greater symptomatic improvement 40 and a lower mortality rate. 41 Our findings confirm the results of recent studies showing similar 44 and even greater 35,41 recovery of post-TAVI LV longitudinal systolic function in patients with pre-TAVI depressed LVEFs.…”

Three-Dimensional Speckle Tracking Echocardiography

“…56 Schuele et al demonstrated a significant correlation between functional LV improvement determined with 3D-STE and the clinical course in patients after transcatheter aortic valve implantation. 57 Left atrial function analysis may provide additional information over that of left atrial volume calculations to identify patients at high risk of atrial fibrillation (Figure 7D). Mochizuki et al revealed the ability of 3D-STE in the left atrium for identifying patients with paroxysmal atrial fibrillation compared with using 2D-STE parameters.…”

Assessment of Biventricular Function by Three-Dimensional Speckle-Tracking Echocardiography in Secondary Mitral Regurgitation after Repair with the MitraClip System

“…11,12 The capability of 2D STE is limited by the changes in heart morphology during the cardiac cycle and the difficulty in tracking speckles in different frames because of outof-plane motion. The newly developed 3D STE provides quick and comprehensive quantitative assessment of ventricular myocardial dynamics and has been applied in various pathologic conditions [13][14][15][16] but never in MR after clip implantation. Accordingly, the goal of this analysis was to determine the changes in LV and RV function with 3D STE after percutaneous MV repair with the MitraClip system in high-risk surgical patients with functional MR.…”