Feasibility and Observer Reproducibility of Speckle Tracking Echocardiography in Congenital Heart Disease Patients

Mokhles, Palwasha; Bosch, Annemien E. van den; McGhie, Jackie; Domburg, Ron T. van; Ruys, Titia P.E.; Kauer, Floris; Geleijnse, Marcel L.; Hesselink, Jolien W. Roos

doi:10.1111/echo.12172

Cited by 5 publications

(4 citation statements)

References 15 publications

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“…Increasing data suggest that longitudinal strain is a strong predictor of adverse outcome in patients with different cardiovascular diseases . Our study clearly showed that assessment of myocardial function using deformation imaging was easy, feasible, and highly reproducible.…”

Section: Discussionsupporting

confidence: 61%

Inhomogeneous Longitudinal Cardiac Rotation and Impaired Left Ventricular Longitudinal Strain in Children and Young Adults with End‐Stage Renal Failure Undergoing Hemodialysis

et al. 2014

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Section: Discussionsupporting

confidence: 61%

Inhomogeneous Longitudinal Cardiac Rotation and Impaired Left Ventricular Longitudinal Strain in Children and Young Adults with End‐Stage Renal Failure Undergoing Hemodialysis

et al. 2014

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“…Speckle-tracking echocardiography (STE) is a non-invasive modality for the assessment of myocardial deformation. Reference ranges have been published for the pediatric population [14,15], and STE has increasingly been applied in patients with congenital heart disease [16][17][18]. STE has several characteristics that make it appealing for evaluation of ventricular function in this patient population.…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Pre-operative Left Ventricular Longitudinal Strain and Post-operative Length of Stay in Patients Undergoing Arterial Switch Operation Is Age Dependent

2018

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Introduction-Post-operative length of stay (LOS) after the arterial switch operation (ASO) is variable. The association between pre-operative non-invasive measures of ventricular function and post-operative course has not been well established. The aims of this study were to (1) evaluate the relationship between pre-operative non-invasive measures of ventricular function and postoperative LOS and (2) evaluate the change in ventricular function after ASO. Methods-Data were reviewed in consecutive ASO patients between 2010 and 2016. The primary outcome was post-operative LOS. Echocardiograms obtained during the pre-operative period and at the time of discharge were retrospectively analyzed using speckle-tracking echocardiography. Pearson's correlation between patient-specific, pre-operative, and echocardiographic data versus post-operative LOS was assessed. Results-Fifty-two patients were included in analyses, 39 neonates and 13 infants. Left ventricular (LV) longitudinal strain correlated with post-operative LOS for infants age > 28 days (r = 0.62, p = 0.03), but not for neonates (r = 0.14, p = 0.40). Operative age (r = − 0.42, p = 0.003), weight at surgery (r = − 0.48, p ≤ 0.001), and cardiopulmonary bypass time (r = 0.30, p = 0.045) also correlated with post-operative LOS. Standard 2D measures of ventricular function did not correlate with post-operative LOS. LV ejection fraction and longitudinal strain worsened postoperatively. Conclusion-Higher pre-operative LV longitudinal strain (representing worse LV function) is associated with increased post-operative LOS after ASO in infants > 28 days, but not in neonates. LV ejection fraction and longitudinal strain worsened after ASO. Future studies should assess the utility of performing STE in risk stratifying patients prior to ASO.

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Section: Systemic Rv In Biventricular Physiologymentioning

confidence: 99%

“…However, much data showed the feasibility and reproducibility of this technique, which is reported to be good in different studies including patients with different CHDs (119,120) and modest in patients with complex anatomy such as single ventricle physiologies (121, 122). To enhance the reliability and reproducibility of strain analysis, a standardized approach is fundamental, and this follows the EACVI consensus document recommendations for adult patients (123).…”

Section: State-of-the-art and Future Perspective Of Ste To Assess Car...mentioning

confidence: 99%

The mechanics of congenital heart disease: from a morphological trait to the functional echocardiographic evaluation

Avesani,

Sabatino,

Borrelli

et al. 2024

Front. Cardiovasc. Med.

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Advances in pediatric cardiac surgery have resulted in a recent growing epidemic of children and young adults with congenital heart diseases (CHDs). In these patients, congenital defects themselves, surgical operations and remaining lesions may alter cardiac anatomy and impact the mechanical performance of both ventricles. Cardiac function significantly influences outcomes in CHDs, necessitating regular patient follow-up to detect clinical changes and relevant risk factors. Echocardiography remains the primary imaging method for CHDs, but clinicians must understand patients' unique anatomies as different CHDs exhibit distinct anatomical characteristics affecting cardiac mechanics. Additionally, the use of myocardial deformation imaging and 3D echocardiography has gained popularity for enhanced assessment of cardiac function and anatomy. This paper discusses the role of echocardiography in evaluating cardiac mechanics in most significant CHDs, particularly its ability to accommodate and interpret the inherent anatomical substrate in these conditions.

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Feasibility and Observer Reproducibility of Speckle Tracking Echocardiography in Congenital Heart Disease Patients

Abstract: Speckle tracking echocardiography is feasible in 80% of adult patients with congenital heart disease and shows excellent intra- and inter-observer reproducibility.

Cited by 5 publications

References 15 publications

Inhomogeneous Longitudinal Cardiac Rotation and Impaired Left Ventricular Longitudinal Strain in Children and Young Adults with End‐Stage Renal Failure Undergoing Hemodialysis

Inhomogeneous Longitudinal Cardiac Rotation and Impaired Left Ventricular Longitudinal Strain in Children and Young Adults with End‐Stage Renal Failure Undergoing Hemodialysis

The Relationship Between Pre-operative Left Ventricular Longitudinal Strain and Post-operative Length of Stay in Patients Undergoing Arterial Switch Operation Is Age Dependent

The mechanics of congenital heart disease: from a morphological trait to the functional echocardiographic evaluation

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