Relation of presystolic wave on doppler examination to syntax score in patients with acute myocardial infarction

Dursun, İhsan; Kul, Selim; Şahin, Sinan; Kalaycıoğlu, Ezgi; Akyüz, Ali Rıza; Korkmaz, Levent

doi:10.1007/s10554-017-1270-4

Cited by 10 publications

(14 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Significant difference was observed in the SYNTAX score between patients with and without PSW ( P = .03), similar to the results in a previous study, performed on the patients with acute myocardial infarction which revealed median SYNTAX scores was significantly lower in the PSW positive group compared to those without PSW [ P = .013] 13 …”

Section: Discussionsupporting

confidence: 88%

“…It could be proposed that PSW might be more prevalent in patients with better cardiac function and physiology. It was previously shown that PSW was less frequent in patients with subclinical left ventricular dysfunction 13 …”

Section: Discussionmentioning

confidence: 93%

“…The findings of our study revealed, the prevalence of PSW in the patients with a history of chronic CAD was 49.1% (108/220). In a previous survey of 348 patients with acute myocardial infarction, the prevalence of the PSW was 51% 13 …”

Section: Discussionmentioning

confidence: 95%

“…The PSW velocity was significantly lower in patients with abnormal systolic function 12 . The absence of PSW was found to be a predictor for higher SYNTAX score in patients with acute myocardial infarction 13 . Although the role of the PSW in the prediction of SYNTAX score has been previously assessed in patients with acute myocardial infarction, this association has not yet been evaluated in patients with chronic CAD.…”

Section: Introductionmentioning

confidence: 92%

See 3 more Smart Citations

Prevalence of the presystolic wave in echocardiography and its association with the extent of coronary artery disease in patients with chronic stable angina

et al. 2021

View full text Add to dashboard Cite

Introduction Since mortality and morbidity of coronary artery disease are high, there is a need for non‐invasive diagnostic methods for early diagnosis and prediction of ischemic heart disease (IHD) outcome. This study aimed to assess the relationship between angiographic findings, the Presystolic wave (PSW) and some of the ischemic related parameters in echocardiography of the patients with chronic stable angina. Materials and methods This cross‐sectional study was conducted on the patients with chronic angina pectoris who referred to a tertiary hospital for coronary angiography in Mashhad, Iran. Demographic and medical history of the patients, as well as echocardiography findings, including ejection fraction (EF), regional wall motion abnormalities (RWMA), PSW and diastolic function were recorded. Angiographic findings, including SYNTAX score were also assessed. Results A total of 220 patients (132 males and 88 females) with the mean age of 62.43 ± 11.40 years old participated in this study. The prevalence of PSW was 49.1%. The absence of the PSW was related to more RWMA (P =.002), and higher stages of left ventricular diastolic dysfunction (LVDD) (P =.029) and higher SYNTAX score (P =.001). There was a significant association between the absence of the PSW and EF categories, especially in severe LV systolic dysfunction (LVEF < 30%) (P =.001). Conclusions The findings of this study revealed that PSW is strongly associated with the SYNTAX score. The absence of the PSW may indicate patients at high‐risk clinical status (higher SYNTAX score, severe systolic dysfunction, more RWMA, and higher stages of LVDD).

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 92%

See 2 more Smart Citations

Prevalence of the presystolic wave in echocardiography and its association with the extent of coronary artery disease in patients with chronic stable angina

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Presystolic wave (PSW) is an image which is frequently, albeit not necessarily, observed on the outflow tract of the left ventricle (LVOT) later in the diastolic period upon Doppler echocardiographic imaging (13,14). Although PSW's exact prevalence and clinical importance in diverse medical conditions are not well recognized, preliminary evidence suggested that its absence could indicate adverse CV events in patients with overt left ventricular (LV) failure (14,15), subclinical LV dysfunction in asymptomatic HT patients (16), higher Syntax score in patients with acute myocardial infarction (15), worsening arterial elasticity in asymptomatic subjects (13), and increased carotid plaque burden in patients with multiple CV comorbidities (17). Not only its absence, but its velocity was also proposed to have clinical implications (13,14,16,17).…”

Section: Introductionmentioning

confidence: 99%

Yeni̇ Tani Esansi̇yel Hi̇pertansi̇yon Hastalarinda Presi̇stoli̇k Dalga Aorti̇k Sertli̇k Derecesi̇ni̇ Öngördürebi̇lmekte, Fakat Si̇rkadi̇yen Kan Basinci Paterni̇ni̇ Öngörememektedi̇r

2019

View full text Add to dashboard Cite

Arka plan ve Amaç: Hipertansiyon (HT) hastalarında non-dipping sirkadiyen patern ile artmış aortik sertlik derecesi, morbidite ve mortalite artışı ile ilişkilidir. Bu çalışmadaki amacımız sol ventrikül çıkım yolu (SVÇY) üzerinde transtorasik doppler ekokardiyografi (TTE) ile ölçümlenen presistolik dalganın (PSD), TTE ile ölçülen aortik sertlik parametreleri ile ilişkisinin olup olmadığının değerlendirilmesidir. Metot: Kardiyoloji polikliniğine başvuran ve yeni hipertansiyon teşhisi konan ardışık 140 hasta çalışmaya dahil edildi. Fizik muayene, laboratuar analizi, TTE ve ambülatuar kan basınç monitörizasyonu (AKBM) ile ilişkili veriler arşiv taraması yoluyla retrospektif olarak elde edildi. Hastalar, AKBM sonuçlarına göre dipper (75 hasta) ve non-dipper (65 hasta) şeklinde alt gruplara ayrıldı. PSD velositesi ile sirkadiyen patern ve aortik sertlik arasındaki ilişki incelendi. Bulgular: PSD tepe velositesi, dipper ve non-dipper HT hasta alt grupları arasında benzerdi. Spearman korelasyon analizinde PSD ile aortik sertlik indeksi (r=0.286; p=0.007), transmitral A velositesi (r=0.260; p=0.017), E/A oranı (r= -0.265; p=0.015) ve lateral E' velositesi (r= -0.279; p=0.013) arasında anlamlı korelasyon izlendi. Çok değişkenli lineer regresyon analizinde aortik sertlik indeksinin (β =0.525, p<0.001), yaşın (β =0.239, p=0.009), lateral E/E' oranının (β =0.636, p<0.001) ve E/A oranının (β =-0.503, p<0.001), PSD velositesi için önemli öngördürücüler olduğu tespit edilmiştir. Sonuç: Şayet mevcut ise, yeni tanı hipertansiyon hastalarında SVÇY üzerinden ölçülen PSD velositesi, TTE ile değerlendirilen aortik sertlik derecesi ve sol ventrikül kompliansı ile ilgili bilgi sağlayabilmekte olup sirkadiyen kan basıncı paternini öngördürmede yarar sağlamamaktadır.

show abstract

The relationship between presystolic wave and nondipper hypertension

Kahyaoğlu

Bayam

Günay

et al. 2020

Blood Pressure Monitoring

View full text Add to dashboard Cite

Background A presystolic wave (PSW) is commonly seen on Doppler examination of the left ventricular outflow tract (LVOT), and the possible mechanism for PSW is considered to be left ventricular stiffness and impaired LV compliance. We aimed to compare the relationship between PSW and dipper, nondipper hypertension. Patients and methods A total of 83 patients were included in the study. The participating patients were divided into two groups as 42 patients with dipper hypertension and 41 patients with nondipper hypertension based on the results of ambulatory blood pressure monitoring. Results Left ventricular mass index (91.6 ± 12.9 vs. 106.1 ± 7.9, P < 0.001) and E/Em (7.4 [6.6–8.3] vs. 10 [8–12], P < 0.001) were significantly higher, and Em (9.9 ± 2.7 vs. 7.9 ± 3.4, P = 0.004) was significantly lower in the nondipper group compared with dipper group. And also, the PSW was found to be higher in the nondipper group. The nondipper group had markedly increased frequencies of PSW compared with the dipper group (68 vs. 38%, respectively, P = 0.008). In the multivariate logistic regression test, E/Em [odds ratio (OR) 1.464, 95% confidence interval (CI): 1.113–1.926, P = 0.006] and the presence of PSW (OR 3.115, 95% CI: 1.061–9.143, P = 0.039) were determined as independent predictive parameters for nondipper hypertension. Conclusion The presence of PSW on transthoracic echocardiography suggests that we may come across nondipper hypertension and a high risk of end-organ damage. PSW may be used as a useful parameter in risk stratification in hypertensive patients.

show abstract

Relation of presystolic wave on doppler examination to syntax score in patients with acute myocardial infarction

Abstract: We found that the presence of PSW was related with higher LVEF, lower SXscore and lower stage diastolic dysfunction in patients with AMI. PSW may be used in prediction of the coronary artery disease complexity and it could help risk stratification in patients with AMI.

Cited by 10 publications

References 34 publications

Prevalence of the presystolic wave in echocardiography and its association with the extent of coronary artery disease in patients with chronic stable angina

Prevalence of the presystolic wave in echocardiography and its association with the extent of coronary artery disease in patients with chronic stable angina

Yeni̇ Tani Esansi̇yel Hi̇pertansi̇yon Hastalarinda Presi̇stoli̇k Dalga Aorti̇k Sertli̇k Derecesi̇ni̇ Öngördürebi̇lmekte, Fakat Si̇rkadi̇yen Kan Basinci Paterni̇ni̇ Öngörememektedi̇r

The relationship between presystolic wave and nondipper hypertension

Contact Info

Product

Resources

About