Four‐Dimensional Speckle Tracking Echocardiography in Patients with Hypertrophic Cardiomyopathy

Kılıçkesmez, Kadriye Orta; Baydar, Onur; Bostan, Cem; Coşkun, Uğur; Küçükoğlu, Serdar

doi:10.1111/echo.12916

Cited by 13 publications

(20 citation statements)

References 26 publications

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“…It bases on a speckle tracking imaging technique and 4‐track intra‐myocardial echo spots by automatically analyzing myocardial longitudinal and circumferential areas, as well as the radial strain and strain rate, to identify slight differences of strain in space and time in each myocardial segment . In addition, 4DSTE can evaluate global and regional myocardial deformation or strain as well as early myocardial dysfunction in numerous systemic diseases …”

Section: Discussionmentioning

confidence: 95%

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Predictive value of left ventricular myocardial strain by four‐dimensional speckle tracking echocardiography combined with red cell distribution width in heart failure with preserved ejection fraction

et al. 2019

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Objectives The diagnostic difficulty of heart failure with preserved ejection fraction (HFpEF) is differentiating it in patients with similar symptoms and signs. This study aimed to assess the potential predictive value of left ventricular global longitudinal strain (GLS), global radial strain (GRS), global circumferential strain (GCS), and global area strain (GAS) measured by four‐dimensional speckle tracking echocardiography (4DSTE) combined with red cell distribution width (RDW) in patients with HFpEF. Methods One hundred and sixty‐nine patients with symptoms or signs indicative of chronic heart failure and a left ventricular ejection fraction (LVEF) ≥ 50% and fifty controls with normal LVEF were recruited in this study. Standard echocardiography and 4DSTE examinations were performed. Laboratory examinations including RDW were performed on the same day as the echocardiographic study. Results GLS, GCS, GRS, and GAS in the patient cohort were significantly lower, and RDW was significantly higher than those in the control cohort (P < 0.01), and the strain parameters in definite HFpEF patients were also dramatically lower than the rest patients (P < 0.01). The associations of age, gender, NYHA classification, hypertension history, left ventricular end‐diastolic volume index, interventricular septal thickness, and diastolic dysfunction with HFpEF were significantly improved by adding 4DSTE parameters (P < 0.01) and further improved by adding RDW (P < 0.01). Conclusions In suspected HFpEF patients, who have symptoms or signs of heart failure, even without other conventional evidence of this diagnosis, GLS, GRS, and GCS have potential independent predictive value, while RDW has independent incremental predictive value for HFpEF.

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Section: Discussionmentioning

confidence: 95%

“…Thus, it may not be able to identify slight impairments in systolic function . Speckle tracking echocardiography (STE) is based on tissue displacement tracking and measurement . It can evaluate myocardial mechanics accurately and satisfactorily .…”

Section: Introductionmentioning

confidence: 99%

Predictive value of left ventricular myocardial strain by four‐dimensional speckle tracking echocardiography combined with red cell distribution width in heart failure with preserved ejection fraction

et al. 2019

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“…The changes and compensatory mechanisms of LV deformation were also observed with four‐dimensional STE, an innovative tool acquiring a 3D view of the heart and allowing a real time visualization of change in strain in every segment of the LV …”

Section: Echocardiographic Myocardial Strain Imagingmentioning

confidence: 99%

“…The changes and compensatory mechanisms of LV deformation were also observed with four-dimensional STE, an innovative tool acquiring a 3D view of the heart and allowing a real time visualization of change in strain in every segment of the LV 31. Analysis of strain-derived longitudinal and circumferential mechanics and LV torsion and twist seems to give feasible and valuable information to better understand the underlying pathophysiological abnormalities of HCM and the compensatory role of each component to guarantee normal cardiac function.…”

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confidence: 99%

Echocardiographic advances in hypertrophic cardiomyopathy: Three‐dimensional and strain imaging echocardiography

et al. 2018

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In the recent past, new ultrasound technologies, such as three-dimensional echocardiography and strain imaging echocardiography, raised up in clinical practice leading to a better assessment of cardiac morphology and performance. These tools may assess regional cardiac mechanics, detecting clinical and subclinical myocardial dysfunction in different settings such as ischemic heart disease, cardiomyopathies, and heart valve diseases. Interesting results derive from patients affected from hypertrophic cardiomyopathy (HCM). Particularly, the mentioned techniques are progressively redefining the role of echocardiography in diagnostic evaluation of HCM variants such as apical HCM, detection of the underlying conditions of increased wall thickness, assessment of subclinical myocardial impairment, and potentially refine risk stratification and prognosis. In this review, we describe the clinical uses of these methodologies and the perspective application in HCM patients.

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“…Radial and Circumferential deformation, to the contrary, seems to be preserved or even increased in the early stages of the disease. CS has been shown as the main component of systolic function maintenance in HCM .…”

Section: Deformation Imaging In Ischemic Cardiomyopathymentioning

confidence: 99%

Role of the deformation imaging in the evaluation of patients with cardiomyopathy

Papadopoulos

2017

Continuing Cardiol Educ

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Cardiomyopathies are a heterogeneous group of diseases recognized by specific patterns of myocardial morphology and function. Myocardial deformation imaging, using strain and strain rate as main parameters, is a novel echocardiographic method for the evaluation of global and regional myocardial function. Speckle tracking imaging is currently the best technique for the evaluation of myocardial deformation in the longitudinal, radial, and circumferential axis. The aim of the following review was to analyze the potential role of the deformation imaging in the evaluation of cardiomyopathies, focusing on the recent developments regarding the differential and early diagnosis as well as the prognosis of the disease.

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Four‐Dimensional Speckle Tracking Echocardiography in Patients with Hypertrophic Cardiomyopathy

Abstract: Patients with HCM have reduced longitudinal and radial strain but increased circumferential and area strain on 4DSTE. These results are found appropriate with previous 2DSTE studies. Thus, 4DSTE is useful to determine LV deformational mechanics.

Cited by 13 publications

References 26 publications

Predictive value of left ventricular myocardial strain by four‐dimensional speckle tracking echocardiography combined with red cell distribution width in heart failure with preserved ejection fraction

Predictive value of left ventricular myocardial strain by four‐dimensional speckle tracking echocardiography combined with red cell distribution width in heart failure with preserved ejection fraction

Echocardiographic advances in hypertrophic cardiomyopathy: Three‐dimensional and strain imaging echocardiography

Role of the deformation imaging in the evaluation of patients with cardiomyopathy

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