Two‐Dimensional Speckle Tracking Echocardiography in Heart Transplant Patients: Two‐Year Follow‐Up of Right and Left Ventricular Function

Palomero, V. Moñivas; Mingo, Susana; Artaza, Josebe Goirigolzarri; González, Elena; Córdoba, María Alejandra; Sanchez, D Jimenez; Arribas, B. Rivero; Lunar, I. García; Mitroi, Cristina; Silva, Inés Sayago; Gibanel, M. A. Cavero; Gómez‐Bueno, Manuel; Pulpón, L. Alonso; Cubero, Javier Segovia

doi:10.1111/echo.13169

Cited by 30 publications

(19 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…According to the left heart, the biplane LVEF was preserved after HTx, but the LS was significantly reduced at the follow‐ups. Similar research outcomes were evaluated by other studies 5,6,8,12–15 . In addition, we found the values including the global and segmental strain after 5 years were slightly higher than after 1 year, but 1‐, 5‐year follow‐ups were significantly increased than 1‐, 3‐month follow‐ups.…”

Section: Discussionsupporting

confidence: 88%

“…In addition, we found the values including the global and segmental strain after 5 years were slightly higher than after 1 year, but 1‐, 5‐year follow‐ups were significantly increased than 1‐, 3‐month follow‐ups. Moñivas et al 8 revealed that the global strain was reduced in the early stage after transplantation, but it was improved progressively until its complete normalization 2 years after HTx. The first study that described follow‐up deformation parameters in HTx patients indicated that patients with a normal EF showed deterioration of LS values at a 3‐year follow‐up after the initial assessment.…”

Section: Discussionmentioning

confidence: 99%

“…A 2D longitudinal deformation analysis was associated with clinical performance in stable HT patients and seemed suitable in noninvasive routine right heart function evaluations 7 . Compared with the evaluation by Moñivas et al, 8 the values were indicated to be significantly reduced in the early stage in both left and right ventricles and improved progressively until their complete normalization 2 and 1 year(s) after HTx, respectively.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Left and right ventricular function detection and myocardial deformation analysis in heart transplant patients with long‐time follow‐ups

Ran

Zhang

et al. 2020

J Card Surg

View full text Add to dashboard Cite

Objective We try to investigate whether the values of longitudinal strain present differences between the left and right ventricles in long‐time follow‐ups after heart transplantation (HTx) with dynamic changes in function. Methods and Results Follow‐up transthoracic echocardiography was performed in 1‐ and 3‐month and 1‐ and 5‐year follow‐ups in 50 “healthy” HTx patients and compared with 26 control subjects. The left ventricle with preserved ejection fraction evaluated by biplane Simpson (control group [CG] vs HT; P > .05) had an obvious reduction in global (CG: −20.49 ± 2.38 vs heart transplant 1 month [HT1m]: −13.06 ± 2.86, heart transplant 3 month [HT3m]: −13.61 ± 2.61, heart transplant 1 year [HT1y]: −13.69 ± 4.56, heart transplant 5 year [HT5y]: −14.41 ± 4.54; P < .001) and horizontal segmental (basal, mid, apical) (P < .001) together with chamber segmental (apical 4‐chamber, apical 3‐chamber, apical 2‐chamber) (P < .001) average strain values. The right ventricle with reduced ventricular function measured by tissue Doppler imaging S’ and tricuspid annular plane systolic excursion had a more distinctive reduction in global (CG: −24.53 ± 4.20 vs HT1m: −12.94 ± 5.03, HT3m: −13.68 ± 4.35, HT1y: −14.95 ± 7.50, HT5y: −15.20 ± 6.15; P < .001) with segmental lateral (P < .001) strain values. There were not any significant changes between 1‐ and 3‐month follow‐ups of all the values (P > .05). But it could be seen that values increased in 1‐ and 5‐year follow‐ups compared with the baseline of 1‐ and 3‐month follow‐ups (P < .05). The global and segmental strain of the right ventricle decreased more than that of the left ventricle in all HTx groups, and the strain values were decreased in the HTx groups compared with the CG, with the global decreased change rates being 11%, 10%, 6%, and 8%, respectively. Conclusions The strain values decreased after HTx and almost remained stable in the long‐time follow‐ups. Compared with the CG in both ventricles, they were with preserved or reduced functions. In addition, the deformation values of the right ventricle decreased more than those of the left.

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Left and right ventricular function detection and myocardial deformation analysis in heart transplant patients with long‐time follow‐ups

Ran

Zhang

et al. 2020

J Card Surg

View full text Add to dashboard Cite

show abstract

“…Furthermore, Moñivas Palomero et al [49] demonstrated that RV strain could be useful for monitoring the evolution of heart transplant recipients. They found that RV strain was significantly reduced early after heart transplant and improved progressively, reaching normal values one year after surgery.…”

Section: Right Ventricular Strain and Strain Rate By 2d Speckle Trackingmentioning

confidence: 99%

Echocardiographic evaluation of right ventricular systolic function: The traditional and innovative approach

Smolarek¹,

Gruchała

Sobiczewski

2017

Cardiol J.

View full text Add to dashboard Cite

Estimation of right ventricular (RV) performance still remains technically challenging due to its anatomical and functional distinctiveness. The current guidelines for the echocardiographic quantification of RV function recommend using multiple indices to describe the RV in a thorough and comprehensive manner, such as RV index of myocardial performance, tricuspid annular plane systolic excursion, fractional area change, Doppler tissue imaging-derived tricuspid lateral annular systolic velocity (S'-wave), three-dimensional RV ejection fraction (3D RVEF), RV longitudinal strain (RVLS)/strain rate by speckle-tracking echocardiography (STE). Among these, the last one mentioned here is an innovative and a particularly promising tool that yields more precise information about complex regional and global RV mechanics. STE was initially designed to evaluate left ventricular function, but recently it has been intro-duced to assess RV performance, which is difficult due to its unique structure and physiology. Many studies have shown that both free wall and 6-segment RVLS present a stronger correlation with the RVEF assessed by cardiac magnetic resonance than conventional parameters and seem to be more sensitive in detecting myocardial dysfunction at an earlier, subclinical stage. (Cardiol J 2017; 24, 5: 563-572)

show abstract

“…Ez a klinikai kép egyéb szívsebészeti beavatkozásoknál is jelen van, és feltehetően multifaktoriális eredetű [42]. A jobb kamrai longitudinális funkció csökkenése megtartott kamrafunkció mellett speckle-tracking analízissel is észlelhető [43]. Mindezek az eredmények felhívják a figyelmet arra a kevéssé feltárt kérdéskörre, hogy a komplex működésű jobb kamra kontrakciós mintázata egyes állapotokban minőségileg és nem mennyiségileg módosulhat, illetve ennélfogva a TAPSE, mint rutin funkcionális paraméter szívsebészeti beavatkozásokat követően, így szívtransz-plantáció esetében sem ideális marker (5. ábra).…”

Section: áBraunclassified

A jobb kamrai anatómia és funkció korszerű echokardiográfiás vizsgálata: patológiás és fiziológiás eltérések

et al. 2016

View full text Add to dashboard Cite

A jobb kamra geometriai és funkcionális változásai számos megbetegedésben nagy jelentőséggel bírnak. Mindazonáltal a rutin echokardiográfiás mérések csak korlátozott diagnosztikus és prognosztikus erővel rendelkeznek. Az olyan modern szívultrahangos technikák, mint a speckle-tracking analízis vagy a 3D echokardiográfia napjainkban már elérhető és könnyen kivitelezhető módszerek, amelyek a jobb kamra komplex felépítésének és működésének költségha-tékony, noninvazív vizsgálatát teszik lehetővé. Diagnosztikus értékük és precizitásuk jóval nehezebben hozzáférhető eljárásokat helyettesíthet. Egyre bővülő irodalmi adatok alapján használatuk a mindennapi klinikumban (jobb kamrai infarktus, pulmonalis hypertensio, arrhythmogen jobb kamrai dysplasia, szívtranszplantáció utáni követés, a sportszív differenciáldiagnosztikája) lényeges segítséget jelenthet. Orv. Hetil., 2016, 157(29), 1139-1146. Kulcsszavak: 3D echokardiográfia, jobb kamra, jobbkamra-funkció Assessment of the right ventricular anatomy and function by advanced echocardiography: pathological and physiological insightsAccurate assessment of right ventricular geometry and function is of high clinical importance. However, several limitations have to be taken into consideration if using conventional echocardiographic parameters. Advanced echocardiographic techniques, such as speckle-tracking analysis or 3D echocardiography are reliable and simple tools providing a cost-effective and non-invasive alternative of current modalities used to characterize the right ventricle. There is a growing interest in the diagnostic and prognostic value of these methods regarding pathological (right ventricular infarction, pulmonary hypertension, arrhythmogenic right ventricular dysplasia, follow-up of heart transplantation) and even physiological (athlete's heart) alterations of the right ventricle. Keywords: 3D echocardiography, right ventricle, right ventricular functionLakatos, B., Kovács, A., Tokodi, M., Doronina, A., Merkely, B. [Assessment of the right ventricular anatomy and function by advanced echocardiography: pathological and physiological insights]. Orv. Hetil., 2016, 157(29), 1139-1146. ÖSSZEFOGLALÓ KÖZLEMÉNYRövidítések ARVD = arrhythmogen jobb kamrai dysplasia; CX = bal koszorúér körbefutó ága; EF = ejekciós frakció; FAC = frakcionális területváltozás; HTX = szívtranszplantáció; LAD = bal koszorúér elülső leszálló ága; MRI = mágneses rezonanciás képalko-tás; PET-CT = pozitronemissziós tomográfia-komputertomográfia fúziós képalkotás; PHT = pulmonalis hypertensio; RCA = jobb koszorúér; TAPSE = tricuspid annular plane systolic excursion A jobbkamra-funkció és annak változásai hosszú időn át mérsékelt figyelmet kaptak tudományos szempontból, annak ellenére, hogy már Sir William Harvey 1628-as "De Motu Cordis" című értekezésében is lényeges szerepet tulajdonít a jobb szívfélnek. Mint a szisztémás keringés motorja, a bal kamra volt a vizsgálatok fő tárgya: a kezdeti eredmények alapján a jobb kamra szabad falának kísérletes roncsolása nem járt érdemleges funkcionális

show abstract

Two‐Dimensional Speckle Tracking Echocardiography in Heart Transplant Patients: Two‐Year Follow‐Up of Right and Left Ventricular Function

Cited by 30 publications

References 39 publications

Left and right ventricular function detection and myocardial deformation analysis in heart transplant patients with long‐time follow‐ups

Left and right ventricular function detection and myocardial deformation analysis in heart transplant patients with long‐time follow‐ups

Echocardiographic evaluation of right ventricular systolic function: The traditional and innovative approach

A jobb kamrai anatómia és funkció korszerű echokardiográfiás vizsgálata: patológiás és fiziológiás eltérések

Contact Info

Product

Resources

About