Speckle tracking echocardiography in heart failure development and progression in patients with apneas

2021 ◽  
Author(s):  
Giulia Elena Mandoli ◽  
Chiara Borrelli ◽  
Matteo Cameli ◽  
Sergio Mondillo ◽  
Lorenzo Ghiadoni ◽  
...  
Keyword(s):  
Heart Failure ◽  
Speckle Tracking ◽  
Speckle Tracking Echocardiography

Predictors of Left Ventricular Remodeling Post Acute Myocardial Infarction. Protocol for a Clinical Study

2019 ◽  
Vol 4 (3) ◽  
pp. 120-123
Author(s):  
Ioana Cîrneală ◽  
Diana Opincariu ◽  
István Kovács ◽  
Monica Chițu ◽  
Imre Benedek
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Acute Myocardial Infarction ◽  
Speckle Tracking ◽  
Ventricular Remodeling ◽  
Speckle Tracking Echocardiography ◽  
Left Ventricular Remodeling ◽  
Left Ventricular ◽  
Serum Biomarkers ◽  
Remodeling Index

Abstract Heart failure is a clinical syndrome that appears as a consequence of a structural disease, and the most common cause of left ventricular systolic dysfunction results from myocardial ischemia. Cardiac remodeling and neuroendocrine activation are the major compensatory mechanisms in heart failure. The main objective of the study is to identify the association between serum biomarkers illustrating the extent of myocardial necrosis (highly sensitive troponin as-says), left ventricular dysfunction (NT-proBNP), and systemic inflammatory response (illustrated via serum levels of hsCRP and interleukins) during the acute phase of a myocardial infarction, and the left ventricular remodeling process at 6 months following the acute event, quantified via speckle tracking echocardiography. The study will include 400 patients diagnosed with acute myocardial infarction without signs and symptoms of heart failure at the time of enrollment that will undergo a complex clinical examination and speckle tracking echocardiography. Serum samples from the peripheral blood will be collected in order to determine the inflammatory serum biomarkers. After 6 months, patients will be divided into 2 groups according to the development of ventricular remodeling, quantified by speckle tracking echocardiography: group 1 will consist of patients with a remodeling index lower than 15%, and group 2 will consist of patients with a remodeling index higher than 15%. All clinical and imaging data obtained at the baseline will be compared between these two groups in order to determine the features associated with a higher risk of deleterious ventricular remodeling and heart failure.

scholarly journals Understanding the role of echocardiography in patients with obstructive sleep apnea and right ventricular subclinical myocardial dysfunction – comparison with other conditions affecting RV deformation

2020 ◽  
Author(s):  
Ioana Maria Chetan ◽  
Bianca Domokos Gergely ◽  
Adriana Albu ◽  
Raluca Tomoaia ◽  
Doina Adina Todea
Keyword(s):  
Heart Failure ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Early Detection ◽  
Speckle Tracking ◽  
Speckle Tracking Echocardiography ◽  
Myocardial Dysfunction ◽  
Obstructive Sleep ◽  
Echocardiographic Parameters ◽  
The Impact

Despite efforts to treat obstructive sleep apnea syndrome (OSA), the condition remains an important risk factor in the development of cardiovascular disease. Early detection of RV dysfunction with novel echocardiographic techniques (speckle tracking echocardiography) may be useful in preventing progression to pulmonary hypertension, with subsequent heart failure and cardiovascular death. Echocardiography is the method of choice for the evaluation of OSA consequences on the heart. Although standard echocardiographic parameters are routinely used in these patients, there are several limitations in the early detection of RV dysfunction. The main concerns are the complex geometry of RV and the impact of pre- and afterload on RV myocardium, which cannot be assessed through standard measurements. The aim of this review is to highlight the utility of advanced echocardiographic parameters in the identification of OSA patients with subclinical myocardial dysfunction, which are at risk of developing heart failure and later adverse events. Speckle tracking echocardiography might provide higher sensitivity in unmasking alterations in RV function when conventional echocardiographic methods cannot detect them. Therefore, this method has a major role in the detection of early stages of RV dysfunction, along with better risk stratification and better timing in the initiation of therapy.

Pre‐heart failure at 2D‐ and 3D‐speckle tracking echocardiography: A comprehensive review

2022 ◽  
Author(s):  
Ram B. Singh ◽  
Fabiola B. Sozzi ◽  
Jan Fedacko ◽  
Krasimira Hristova ◽  
Ghizal Fatima ◽  
...  
Keyword(s):  
Heart Failure ◽  
Speckle Tracking ◽  
Speckle Tracking Echocardiography ◽  
Comprehensive Review ◽  
2D And 3D

OS 23-06 CAN LEFT VENTRICULAR TORSIONAL MECHANICS USING SPECKLE TRACKING ECHOCARDIOGRAPHY IN PREGNANCY TO PREDICT THE NEW ONSET HEART FAILURE?

2016 ◽  
Vol 34 (Supplement 1) ◽  
pp. e242
Author(s):  
Krasimira Hristova ◽  
Rumen Marinov ◽  
Georgi Stamenov ◽  
Kristina Chacheva ◽  
Marina Michova ◽  
...  
Keyword(s):  
Heart Failure ◽  
Speckle Tracking ◽  
Speckle Tracking Echocardiography ◽  
Left Ventricular ◽  
In Pregnancy ◽  
New Onset

scholarly journals Left Ventricular Torsion in Hypertension and Hypertensive Heart Failure　― 3-Dimensional Speckle Tracking Echocardiography Assessment ―

2019 ◽  
Vol 1 (2) ◽  
pp. 78-86 ◽  
Author(s):  
Shingo Minatoguchi ◽  
Takashi Yoshizane ◽  
Ryuhei Tanaka ◽  
Makoto Iwama ◽  
Takatomo Watanabe ◽  
...  
Keyword(s):  
Heart Failure ◽  
Speckle Tracking ◽  
Speckle Tracking Echocardiography ◽  
Left Ventricular ◽  
3 Dimensional ◽  
Left Ventricular Torsion ◽  
Ventricular Torsion

scholarly journals Diagnostic and Predictive Value of Speckle Tracking Echocardiography in Cardiac Sarcoidosis

2019 ◽  
Author(s):  
Cristina Di Stefano ◽  
Giulia Bruno ◽  
Maria Arciniegas Calle ◽  
Gayatri A. Acharya ◽  
Lynn M. Fussner ◽  
...  
Keyword(s):  
Heart Failure ◽  
Speckle Tracking ◽  
Cardiac Sarcoidosis ◽  
Speckle Tracking Echocardiography ◽  
Early Stage ◽  
Systolic Function ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Ventricular Ejection Fraction ◽  
Strain And Strain Rate

Abstract Background: Sarcoidosis is a systemic granulomatous disease that may affect the myocardium. This study evaluated the diagnostic and prognostic value of 2-dimensional speckle tracking echocardiography in cardiac sarcoidosis (CS). Methods: Eighty-three patients with extracardiac, biopsy-proven sarcoidosis and definite/probable diagnosis of cardiac involvement diagnosed from January 2005 through December 2016 were included. Strain parameters in early stages of CS, in a subgroup of 23 CS patients with left ventricular ejection fraction (LVEF) within normal limits (LVEF>52% for men: >54% for women, mean value: 57.3%±3.8%) and no wall motion abnormalities was compared with 97 controls (1:4) without cardiac disease. LV and right ventricular (RV) global longitudinal (GLS), circumferential (GCS), and radial (GRS) strain and strain rate (SR) analyses were performed with TomTec software and correlated with cardiac outcomes (including heart failure and arrhythmias). This study was approved by the Mayo Clinic Institutional Review Board, and all patients gave informed written consent to participate. Results: Mean age of CS patients was 53.6±10.8 years, and 34.9% were women. Mean LVEF was 43.2%±12.4%; LV GLS, -12.4%±3.7%; LV GCS, -17.1%±6.5%; LV GRS, 29.3%±12.8%; and RV wall GLS, 14.6%±6.3%. In the 23 patients with early stage CS with normal LVEF and RV systolic function, strain parameters were significantly reduced when compared with controls (respectively: LV GLS, -15.9%±2.5% vs -18.2%±2.7% [ P =.001]; RV GLS, -16.9%±4.5% vs -24.1%±4.0% [ P <.001]). A LV GLS value of -16.3% provided 82.2% sensitivity and 81.2% specificity for the diagnosis of CS (AUC 0.91), while a RV value of -19.9% provided 88.1% sensitivity and 86.7% specificity (AUC 0.93). Hospital admission and heart failure significantly correlated to impaired LV GLS (> -14%). Conclusion: Reduced strain values in the LV GLS and RV GLS can be used in the diagnostic algorithm in patients with suspicion of cardiac sarcoidosis. These values also correlate with adverse cardiovascular events.

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