Changes in Longitudinal Myocardial Deformation during Acute Cardiac Rejection: The Clinical Role of Two-Dimensional Speckle-Tracking Echocardiography

Objectives Hypertrophic cardiomyopathy, a primary disorder of the myocardium, is the most common cardiac disease in cats. However, determination of myocardial deformation with two-dimensional speckle-tracking echocardiography in cats with various stages of hypertrophic cardiomyopathy has not yet been reported. This study was designed to measure quantitatively multidirectional myocardial deformations of cats with hypertrophic cardiomyopathy. Methods Thirty-two client-owned cats with hypertrophic cardiomyopathy and 14 healthy cats serving as controls were enrolled and underwent assessment of myocardial deformation (peak systolic strain and strain rate) in the longitudinal, radial and circumferential directions. Results Longitudinal and radial deformations were reduced in cats with hypertrophic cardiomyopathy, despite normal systolic function determined by conventional echocardiography. Cats with severely symptomatic hypertrophic cardiomyopathy also had lower peak systolic circumferential strain, in addition to longitudinal and radial strain. Conclusions and relevance Longitudinal and radial deformation may be helpful in the diagnosis of hypertrophic cardiomyopathy. Additionally, the lower circumferential deformation in cats with severe hypertrophic cardiomyopathy may contribute to clinical findings of decompensation, and seems to be related to severe cardiac clinical signs. Indices of multidirectional myocardial deformations by two-dimensional speckle-tracking echocardiography may be useful markers and help to distinguish between cats with hypertrophic cardiomyopathy and healthy cats. Additionally, they may provide more detailed assessment of contractile function in cats with hypertrophic cardiomyopathy.

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The role of two dimensional speckle -tracking echocardiography in a patient with Behçet's disease

Anadolu Kardiyoloji Dergisi/The Anatolian Journal of Cardiology ◽

10.5152/akd.2013.012 ◽

2012 ◽

Cited By ~ 1

Author(s):

Regayip Zehir ◽

Can Yucel Karabay ◽

Ahmet Cagri Aykan ◽

Mehmet Ozkan

Keyword(s):

Behçet’S Disease ◽

Speckle Tracking ◽

Behcet’S Disease ◽

Speckle Tracking Echocardiography ◽

Behçet's Disease ◽

Two Dimensional ◽

Behcet's Disease

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Myocardial deformation in pediatric patients with mucopolysaccharidoses: A two-dimensional speckle tracking echocardiography study

Echocardiography ◽

10.1111/echo.13444 ◽

2017 ◽

Vol 34 (2) ◽

pp. 240-249 ◽

Cited By ~ 10

Author(s):

Francesco Borgia ◽

Enrica Pezzullo ◽

Vincenzo Schiano Lomoriello ◽

Regina Sorrentino ◽

Francesco Lo Iudice ◽

...

Keyword(s):

Speckle Tracking ◽

Pediatric Patients ◽

Speckle Tracking Echocardiography ◽

Myocardial Deformation ◽

Two Dimensional

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The Role of Left-Atrial Mechanics Assessed by Two-Dimensional Speckle-Tracking Echocardiography to Differentiate Hypertrophic Cardiomyopathy from Hypertensive Left-Ventricular Hypertrophy

Diagnostics ◽

10.3390/diagnostics11050814 ◽

2021 ◽

Vol 11 (5) ◽

pp. 814

Author(s):

Nicoleta-Monica Popa-Fotea ◽

Miruna Mihaela Micheu ◽

Nicoleta Oprescu ◽

Adriana Alexandrescu ◽

Maria Greavu ◽

...

Keyword(s):

Hypertrophic Cardiomyopathy ◽

Left Atrial ◽

Speckle Tracking ◽

Ventricular Hypertrophy ◽

Speckle Tracking Echocardiography ◽

Left Ventricular ◽

Two Dimensional ◽

Booster Pump ◽

Conduit Function

Hypertrophic cardiomyopathy (HCM) and arterial hypertension (HTN) are conditions with different pathophysiology, but both can result in left-ventricular hypertrophy (LVH). The role of left-atrial (LA) functional changes detected by two-dimensional speckle-tracking echocardiography (STE) in indicating LVH etiology is unknown. Methods: We aimed to characterize LA mechanics using STE in LVH patients with HCM and HTN. LA 2D volumetric and STE parameters were analyzed in 86 LVH patients (43 HCM and 43 isolated HTN subjects) and 33 age- and sex-matched controls. Results: The volumetric study showed that LA reservoir and conduit function were impaired in the HCM group compared to controls, while, in the HTN group, only LA conduit function was deteriorated. The HCM group had all three STE-derived LA functions impaired compared to controls. The HTN group, consistently with volumetric analysis, had solely LA conduit function reduced compared to controls. Ratios of LA booster-pump strain (S) and strain rate (SR) to interventricular septum (IVS) thickness were the most accurate parameters to discriminate between HCM and HTN. The subgroup harboring sarcomeric pathogenic (P)/likely pathogenic (LP) variants had reduced LA booster-pump S and SR compared with the genotype-negative subgroup. Conclusions: LA reservoir, conduit, and pump functions are decreased in HCM compared to HTN patients with similar LVH. We report the ratios between LA contraction S/SR and IVS thickness as novel parameters with high accuracy in discriminating LVH due to HCM. The presence of P/LP variants in sarcomeric or sarcomeric-associated genes could be associated with more severe LA dysfunction.

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Myocardial deformation analysis in late-onset small-for-gestational-age and growth-restricted fetuses using two-dimensional speckle tracking echocardiography: a prospective cohort study

Journal of Perinatal Medicine ◽

10.1515/jpm-2021-0162 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Oliver Graupner ◽

Christina Ried ◽

Nadia K. Wildner ◽

Javier U. Ortiz ◽

Bettina Kuschel ◽

...

Keyword(s):

Cohort Study ◽

Gestational Age ◽

Subgroup Analysis ◽

Speckle Tracking ◽

Speckle Tracking Echocardiography ◽

Late Onset ◽

Myocardial Deformation ◽

Two Dimensional ◽

Significant Difference ◽

And Control

Abstract Objectives An association between fetal growth restriction (FGR) and increased predisposition to cardiovascular disease (CVD) is suggested. The aim of this study was to evaluate subclinical signs of fetal cardiac remodeling in late-onset small-for-gestational-age (SGA) and growth-restricted fetuses using two-dimensional speckle tracking echocardiography (2D-STE). Methods This is a prospective cohort study, including 117 late-onset (≥32 weeks) SGA (birthweight≤10th centile) fetuses and 102 gestational age matched controls. A subgroup analysis was performed: FGR was defined based on either BW (<third centile) or the presence of feto-maternal Doppler abnormalities, the remaining cases were called SGA centile 3–10. 2D-STE based myocardial deformation analyses included longitudinal peak systolic strain (LPSS) and strain rate (LSR) of the global left (LV) or right (RV) ventricle and its individual segments. Results Global and segmental LPSS and LSR values showed no significant difference between late-onset SGA and control fetuses for both ventricles (p>0.05). Regarding global and segmental LPSS and LSR values of LV/RV, subgroup analysis revealed no significant difference between the FGR (n=81), SGA centile 3–10 (n=36) and control group. Conclusions A mild degree of placental dysfunction seems not to influence myocardial deformation properties measured by 2D-STE.

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