Early and late diastolic strain rate vs global longitudinal strain at rest and during dobutamine stress for the assessment of significant coronary artery stenosis in patients with a moderate and high probability of coronary artery disease

Rumbinaitė, Egle; Žaliaduonytė-Pekšienė, Diana; Lapinskas, Tomas; Žvirblytė, Rūta; Karužas, Arnas; Jonauskienė, Ieva; Vieželis, Mindaugas; Čeponienė, Indrė; Gustienė, Olivija; Šlapikas, Rimvydas; Vaškelytė, Jolanta Justina

doi:10.1111/echo.13282

Cited by 21 publications

(17 citation statements)

References 43 publications

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“…109,110 Studies have compared the value of multiple strain parameters for detection of CAD. 104,[111][112][113][114] The optimal STE parameter for detection of ischemia remains uncertain. In general, STE has not shown an incremental increase in accuracy compared to visual assessment.…”

Section: Generally Limited To Assessment Of Longitudinal Function In mentioning

confidence: 99%

“…In general, STE has not shown an incremental increase in accuracy compared to visual assessment. [113][114][115][116] The requirements for and challenges to the clinical application of STE to stress echocardiography are listed in Table 8. 109 The reproducibility of regional strain values has not been well validated and inter-vendor differences in measurement are the subject of ongoing investigation.…”

Section: Generally Limited To Assessment Of Longitudinal Function In mentioning

confidence: 99%

See 1 more Smart Citation

Guidelines for Performance, Interpretation, and Application of Stress Echocardiography in Ischemic Heart Disease: From the American Society of Echocardiography

Pellikka

Arruda‐Olson

Chaudhry

et al. 2020

Journal of the American Society of Echocardiography

334

282

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Section: Generally Limited To Assessment Of Longitudinal Function In mentioning

confidence: 99%

Section: Generally Limited To Assessment Of Longitudinal Function In mentioning

confidence: 99%

Guidelines for Performance, Interpretation, and Application of Stress Echocardiography in Ischemic Heart Disease: From the American Society of Echocardiography

Pellikka

Arruda‐Olson

Chaudhry

et al. 2020

Journal of the American Society of Echocardiography

334

282

View full text Add to dashboard Cite

“…Of the 317 records screened from the PubMed database, we found 13 studies (9 prospective and 4 retrospective studies) with 978 patients that were eligible for inclusion (Figure ). The included studies were published from 2007 to 2018.…”

Section: Resultsmentioning

confidence: 99%

Role of left ventricle deformation analysis in stress echocardiography for significant coronary artery disease detection: A diagnostic study meta‐analysis

et al. 2019

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Background We compared the diagnostic accuracy of longitudinal strain (LS) imaging during stress echocardiography with visual assessment of wall motion (WM) for detecting significant coronary artery disease (CAD). Methods Our systematic search included studies reporting diagnostic measures for LS imaging and visual assessment of WM for detecting significant CAD during stress echocardiography. Summary diagnostic accuracy measures including area under the curve (AUC), sensitivity, specificity, diagnostic odds ratio (DOR), and likelihood ratios (LRs) were estimated. Results In thirteen studies with 978 patients, ten studies used invasive coronary angiography as the reference standard. Pooled AUC for diagnosing significant CAD was 0.92 (95% confidence interval [CI] 0.89–0.94) for LS imaging as compared to 0.83 (95% CI 0.80–0.86), P < 0.001 for visual assessment of WM. LS imaging had higher sensitivity (88% [95% CI 84–92] vs 74% [95% CI 68–80], P < 0.001) and comparable specificity to visual assessment of WM (80% [95% CI 72–87] vs 83% [95% CI 74–90], P = 0.592). The DOR for LS imaging and visual assessment of WM was 31 and 15, P = 0.254, respectively. The positive LR was 4.5 for both; negative LR was 0.14 and 0.31, P = 0.002 for LS imaging and visual assessment of WM, respectively. Conclusions Longitudinal strain imaging during stress echocardiography has better diagnostic accuracy for detecting significant CAD as compared to visual assessment of WM. Studies using larger sample size and standardized techniques of strain measurement are required to further ascertain the added advantage of strain measurement over visual assessment alone.

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“…Cardiac strain imaging is a quantitative tool used in the early evaluation of regional systolic cardiac function using echocardiography and cardiac magnetic resonance (CMR) [8,9]. CTA-derived assessment of strain has emerged as a valuable method for the assessment of cardiac function, and it shows close correlations with both echocardiography and CMR [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Regional Left Ventricular Myocardial Strain in Patients with Left Anterior Descending Coronary Stenosis Using Computed Tomography Feature Tracking

Han

Cao

et al. 2020

Preprint

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Background: Computed tomography feature tracking (CT-FT) has emerged as a valuable method for the assessment of cardiac function. However, no studies have investigated the usefulness of CT-derived assessments of left ventricular (LV) strain in coronary artery disease (CAD). Our aim was to evaluate regional LV systolic deformation in patients with left anterior descending coronary artery (LAD) stenosis using CT-FT.Methods: Seventy-six patients with LAD stenosis were enrolled. The patients were divided into four groups according to the percentage of LAD stenosis: ≤25% was defined as group I (24 patients), 26% to 49% as group II (17 patients), 50% to 74% as group III (21 patients), and ≥75% as group IV (14 patients). Thirty-two sex- and age-matched healthy subjects were included as controls.Results: No intergroup differences were found between groups I-IV and the controls in terms of the left ventricular ejection fraction, end-diastolic volume and end-systolic volume. However, the longitudinal strain (LS) of the LAD territory was significantly reduced in groups I-IV compared with the controls (-20.8%, -18.6%, -18.6%, and -17.0% vs -23.7%, respectively). The circumferential strain (CS) of the LAD territory was significantly reduced in groups III and IV compared with the controls and groups I and II (-22.4% and -22.1% vs -25.4%, -24.1%, and -25.3%, respectively). Compared with the non-LAD territory, the LAD territory in groups II-IV showed significantly increased LS (-18.6% vs -21.9%, p=0.07; -18.6% vs -21.9%, p=0.024; -17.5% vs -20%, p=0.032, respectively). The severity of LAD stenosis was positively correlated with the LS of the LAD territory (r = 0.438, p=0.002).Conclusion: CT‑FT can detect decreasing LV systolic function in patients with LAD stenosis. LV regional systolic deformation of the LAD territory was reduced with increasing LAD stenosis severity.

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Early and late diastolic strain rate vs global longitudinal strain at rest and during dobutamine stress for the assessment of significant coronary artery stenosis in patients with a moderate and high probability of coronary artery disease

Cited by 21 publications

References 43 publications

Guidelines for Performance, Interpretation, and Application of Stress Echocardiography in Ischemic Heart Disease: From the American Society of Echocardiography

Guidelines for Performance, Interpretation, and Application of Stress Echocardiography in Ischemic Heart Disease: From the American Society of Echocardiography

Role of left ventricle deformation analysis in stress echocardiography for significant coronary artery disease detection: A diagnostic study meta‐analysis

Assessment of Regional Left Ventricular Myocardial Strain in Patients with Left Anterior Descending Coronary Stenosis Using Computed Tomography Feature Tracking

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