Correlates of global area strain in native hypertensive patients: a three-dimensional speckle-tracking echocardiography study

Galderisi, Maurizio; Esposito, Roberta; Schiano-Lomoriello, Vincenzo; Santoro, Alessandro; Ippolito, R.; Schiattarella, P.; Strazzullo, Pasquale; Simone, Giovanni de

doi:10.1093/ehjci/jes026

Cited by 116 publications

(84 citation statements)

References 32 publications

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“…In a recent study that included native, untreated hypertensive patients, global area 3D strain was precautiously reduced, and longitudinal and radial strain impaired, while circumferential strain was still preserved, supporting a normal LV chamber systolic function. Reduction of global area strain was independently associated with both pressure overload and magnitude of the LV mass [ 15 ]. Interestingly, global area 3D strain has been proven to be the only parameter which was at the same time an independent predictor of LV mass, 2D LV ejection fraction and LV global function.…”

Section: D Speckle Trackingmentioning

confidence: 93%

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Modern Diagnostic Approach for the Assessment of Cardiac Damage in Hypertension: 3D, CT and MRI

Manolis

Chamodraka

Zacharopoulou

2015

Assessment of Preclinical Organ Damage in Hypertension

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Hypertension (HTN) is a leading cause of cardiovascular morbidity and mortality. Asymptomatic organ disease (OD) is crucial in determining the cardiovascular (CV) risk of hypertensive individuals, and the signifi cance of OD in determining calculation of overall risk depends on how carefully the damage is assessed, based on available facilities.Echocardiography represents a signifi cant clinical tool in determining cardiac structural and functional changes. Although it has some technical limitations, it represent the gold standard in the assessment of cardiac function and structure. Hypertension is associated with alterations in cardiac structure and function such as left ventricular hypertrophy as well as alterations in left ventricular fi lling and relaxation [ 1 , 2 ]. Left ventricular hypertrophy (LVH) can predict CV mortality independently of SCORE stratifi cation, and this obviates the need of using echocardiographic assessment of hypertensive patients in daily clinical practice [ 3 -5 ]. Left Ventricular Systolic FunctionA sine qua non in the assessment of left ventricular function is the estimation of left ventricular ejection fraction (LVEF). Traditional measurement of LVEF by two-dimensional (2D) echocardiography using Simpson's biplane technique relies on optimal visualization of the endocardial border. Additional limitations of 2D imaging include:• The 'missing third dimension' that has been considered the main source of the relatively wide interobserver variability of 2D diameters and volumes

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Section: D Speckle Trackingmentioning

confidence: 93%

“…Real-time 3DE has also been proved to be useful in detecting even a mild increase of the LV mass in new-onset arterial hypertension where the patients are too young to produce evidence of clear-cut LVH [ 15 ].…”

Section: Assessment Of Left Ventricular Massmentioning

confidence: 99%

Modern Diagnostic Approach for the Assessment of Cardiac Damage in Hypertension: 3D, CT and MRI

Manolis

Chamodraka

Zacharopoulou

2015

Assessment of Preclinical Organ Damage in Hypertension

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“…In addition to patients with ILD, subclinical cardiac dysfunction has been detected in populations with diabetes, dyslipidemia, and hypertension 4,5,6 , and these traditional CV risk factors are more prevalent in patients with IIM than in the general population 7 , so we cannot deny that reduced myocardial strain in patients with IIM is the interaction between comorbidities and inflammation/fibrosis in the myocardium, due to the disease per se. But speckle echocardiography still remains as the most effective screening method for cardiac dysfunction.…”

Section: To the Editormentioning

confidence: 99%

Does Pulmonary Involvement Play a Role in Right Ventricular Dysfunction of Patients with Idiopathic Inflammatory Myopathies?

Zhong

Bai

2018

J Rheumatol

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“…Для более глубокой оценки может быть полезен анализ global area (в режиме 3DT), что было продемонстрировано нами в параллельном исследова-нии, однако оценка GAS существенно увеличивала время исследования [26,27], что не позволяло рутинно использовать анализ GAS у беременных, в отличие от параметров 2DT. Следует отметить, что анализ движения кардиомиоци-тов в режиме 2DT (GLS) может служить инструментом оценки скрытой систолической дисфункции миокарда ЛЖ во время беременности, однако малый стаж АГ до беременности в сочетании с невысокими цифрами АД (2-я группа) не позволил получить достоверных различий этого параметра между 1-й и 2-й группами.…”

Section: рисунок нормальные значения Gls Gcs Grs в режиме 2dтunclassified

Subclinical Systolic Dysfunction of the Left Ventricle in Preeclamptic Women Without Proteinuria. The Possibilities of Echocardiography in Early Diagnosis

2017

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The article presents the main pathophysiological mechanisms associated with the development of complications of pregnancy against the background of arterial hypertension in patients without clinical manifestations of left ventricular dysfunction, the possibilities of speckle tracking of echocardiography in revealing latent systolic dysfunction of the left ventricle in pregnant women on the background of preeclampsia not accompanied by proteinuria are shown.Goal. To identify early markers of left ventricular systolic dysfunction in pregnant women with preeclampsia without proteinuria according to speckle tracking echocardiography.Material and methods. 100 pregnant women with hypertension and a gestation period of 29–40 weeks are divided into 2 groups: 1 st group – 50 patients without an arterial hypertension in the anamnesis, 2 nd group – 50 patients with an arterial hypertension in the anamnesis (without the proteinuria during pregnancy). For all patients, echocardiography with evaluation of cardiomyocyte function by speckle-tracking was performed on ultrasonic scanners Aplio ™ 500 and Aplio ™ Artida from Toshiba.Results. Ejection fraction of the left ventricle in the groups was not significantly different, while the longitudinal, radial and circular deformation parameters differed between the groups, with the lowest values characterizing the global longitudinal deformation.Conclusions. In assessing the function of the left ventricle in pregnant women with preeclampsia without diurnal proteinuria, it is not enough to focus on traditional parameters, shifting the emphasis towards derivatives of force, speed and time. Study of myocardium with the help of speckle tracking echocardiography promotes the detection of subclinical left ventricular dysfunction in patients with arterial hypertension without daily proteinuria.

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Correlates of global area strain in native hypertensive patients: a three-dimensional speckle-tracking echocardiography study

Cited by 116 publications

References 32 publications

Modern Diagnostic Approach for the Assessment of Cardiac Damage in Hypertension: 3D, CT and MRI

Modern Diagnostic Approach for the Assessment of Cardiac Damage in Hypertension: 3D, CT and MRI

Does Pulmonary Involvement Play a Role in Right Ventricular Dysfunction of Patients with Idiopathic Inflammatory Myopathies?

Subclinical Systolic Dysfunction of the Left Ventricle in Preeclamptic Women Without Proteinuria. The Possibilities of Echocardiography in Early Diagnosis

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