Right ventricular free-wall longitudinal speckle tracking strain as a prognostic criterion of adverse outcomes in patients with pulmonary hypertension: a systematic review and meta-analysis

Голухова, Е.З.; Slivneva, I.V.; Мамалыга, М.Л.; Marapov, D. I.; Алёхин, М. Н.; Skopin, I.I.; Antonova, D.

doi:10.15829/1560-4071-2021-4417

Cited by 4 publications

(5 citation statements)

References 61 publications

(118 reference statements)

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“…Тяжелый (III) функциональный класс (ФК) ХСН по классификации NYHA демонстрировали 5,7% пациентов, I-II ФК ХСН выявляли в 21,7% случаев. Распространенность нарушений гликемического профиля составила 10,8%, из них большинство (7,8%) представлено сахарным диабетом 2 типа, сахарный диабет 1 типа диагностирован у 1 пациентки, прогнозирования исходов заболевания может быть использован такой информативный и безопасный метод исследования, как ЭхоКГ [12]. Один из метаанализов результатов ЭхоКГ 1216 пациентов из 69 стран как с подтвержденной, так и с предполагаемой COVID-19 говорит о том, что изменения при ЭхоКГ были выявлены у 55% пациентов, которым это исследование выполнялось.…”

Section: Discussionunclassified

“…Ранее было показано, что продольная деформация ПЖ по диагностической значимости превосходит циркулярную и радиальную [16]. Результатами отечественного метаанализа подтверждается: продольная деформация свободной стенки ПЖ -оптимальный предиктор правожелудочковой дисфункции, поскольку демонстрирует предиктивную ценность для смертности от легочной гипертензии и от всех причин независимо от других ЭхоКГ параметров и от клинических проявлений [12].…”

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“…Полученное в нашем исследовании среднее значение GLES RV (-22±5,7%) несколько ниже указанного в качестве порогового Li Y, et al (≤-23% [20]), но сопоставимо с цифрами Medvedofsky D [19]. Нет уверенности, насколько корректно сопоставление результатов, полученных в разные сроки от начала заболевания и с использованием ультразвуковых сканеров разных производителей (зарубежные исследования выполнены с использованием аппаратуры Philips Medical Systems) -известно, что при анализе данных ЭхоКГ важна однородность систем визуализации [12].…”

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Echocardiographic characteristics of COVID-19 pneumonia survivors three months after hospital discharge

et al. 2021

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Coronavirus disease 2019 (COVID-19) is an infectious disease that affects almost all organs and systems. The main target is the respiratory system, but cardiovascular involvement is also common. Today, it is relevant to study the effect of complicated COVID-19 course on the patient’s cardiovascular system after hospital discharge — in particular, echocardiographic parameters.Aim. To study the echocardiographic parameters of patients with COVID-19 pneumonia 3 months after discharge from the hospital.Material and methods. The study included 106 patients with documented COVID-19 pneumonia. Patients underwent a comprehensive examination during hospitalization and 3 months ± 2 weeks after hospital discharge. The mean age of participants was 47±16 years (from 19 to 84 years), while 49% were women.Results. Three months after discharge, the average body mass index of the subjects was 28,2±5,7 kg/m2. Obesity was noted in 37,1%, cardiovascular diseases — in 52%. According to echocardiography, the prevalence of right ventricular (RV) dilatation was 2,9%, a decrease in tricuspid annular plane systolic excursion (TAPSE) — 9,5%, grade ≥2 tricuspid regurgitation — 1,9%, pulmonary hypertension (pulmonary artery systolic pressure >36 mm Hg) — 3,8%. The mean value of RV global longitudinal myocardial strain (GLMS RV) and global longitudinal myocardial strain (GLES RV) was 19,6±4,5 and 20,6±4,6, respectively. We found moderate correlations between GLMS RV and blood flow time through the left ventricular outflow tract (OT) (r=-0,436), through the mitral valve (r=-0,390; both p<0,0001) and through the RVOT (r=-0,348; р=0,004), with cardiac index (CI) (r=0,316; p=0,009), as well as between GLES RV and blood flow time through the LVOT (r=-0,411; p<0,0001) and RVOT (r=-0,300; p=0,005), and with CI (r=0,302; p=0,004). At the same time, the correlation of GLES RV with RV fractional area change (FAC) was weak (r=-0,283; p=0,007), while there was no correlation with the TAPSE. In addition, correlation of GLMS RV with these parameters were not defined.Conclusion. Three months after COVID-19 pneumonia, RV strain parameters were shown to have stronger relationships with time characteristics of flows in LVOT and RVOT, as well as with CI, than with such generally accepted characteristics of RV function as FAC and TAPSE.

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Echocardiographic characteristics of COVID-19 pneumonia survivors three months after hospital discharge

et al. 2021

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“…Визуализация правого желудочка (ПЖ) и верификация признаков систолической дисфункции претерпела значительные изменения за последние десятилетия. Новый метод визуализации в реальном времени -двухмерный анализ деформации миокарда с помощью спекл-трекинг эхокардиографии (STE) показал свою прогностическую валидность в оценке дисфункции ПЖ при различных патологических состояниях [1][2][3][4][5][6][7]. На сегодняшний день общее прогностическое влияние дисфункции ПЖ на смертность и послеоперационные осложнения в большой кардиохирургической популяции остается неопределенным.…”

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Right ventricular dysfunction as a predictor of complicated course in left heart surgery

et al. 2023

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Aim. To analyze the right ventricular (RV) functionality in a cohort of heterogeneous cardiac surgical patients with left-sided valvular heart disease and determine the contribution of RV dysfunction in the complicated postoperative period according to echocardiography.Material and methods. A single-center prospective study of patients with left heart defects operated on in 2022 was conducted. Age ranged was 20-81 years, with a median age of 58 years. The study was conducted on a PHILIPS EPIQ CVx system using an X5-1 probe.Results. To estimate the risk of a complicated postoperative period depending on various indicators of RV systolic function assessment, ROC-analysis was performed. The ROC curve of the RV free wall longitudinal strain (RV FW LS) was characterized by the highest AUC value among other RV functional measures, equal to 0,81±0,06 (95% confidence interval (CI): 0,68-0,93), p<0,001. A value of 20% was selected as the cut-off point of RV FW LS for predicting a complicated postoperative period. The RV FW LS <20% was 19,2 times more likely to develop a complicated course (95% CI: 5,64 to 65,50), compared with the RV FW LS group ≥20%; p<0,05. The odds of heart failure (HF) in the RV FW LS <20% group were 22,78 times higher (95% CI: 5,90 to 88,04), compared with the RV FW LS ≥20% group; p<0,05.Conclusion. The RV FW LS <20% can be considered an independent predictor of complicated postoperative period with a multiple increase in the risk of complications, mainly the risk of heart failure. The assessment of RV FW LS can significantly help in risk stratification, being the reason for the reclassification of a number of patients in the high-risk group with a possible modification of surgical strategy.

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“…Результаты исследований [14] демонстрируют, что БАПЛА помимо улучшения КЛИНИЧЕСКИЕ СЛУЧАИ показателей гемодинамики и функционального статуса пациентов приводит к улучшению функции правых отделов сердца, включая уменьшение конечносистолического и конечно-диастолического объемов, в также увеличению ФВ ЛЖ. Уже после трех этапов БАПЛА у пациента клинически имело место отсутствие отечного синдрома, повышение переносимости физических нагрузок, однако сохранялась систолическая дисфункция ПЖ по ЭхоК Г. Возможно, метод спекл-трекинг ЭхоКГ [15] был бы полезен для ранней объективизации динамического статуса пациента.…”

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Management of a patient with subacute tricuspid valve and pacemaker endocarditis with chronic thromboembolic pulmonary hypertension: a case report

Chumachenko,

Kizhvatova,

Kosmacheva

et al. 2023

Russ J Cardiol

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A case report is devoted to the successful management of a 33-year-old patient with subacute infective endocarditis of the tricuspid valve and pacemaker, as well as chronic thromboembolic pulmonary hypertension. There were following therapy stages: 1) pharmacotherapy — antimicrobial agents, treatment of heart failure, pulmonary hypertension; 2) an interventional approach — tricuspid valve replacement with chamber sanitation, pacemaker explantation, endocardial lead removal from the right heart, implantation of a pacemaker with an epicardial lead system and 3) delayed balloon pulmonary angioplasty.

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Right ventricular free-wall longitudinal speckle tracking strain as a prognostic criterion of adverse outcomes in patients with pulmonary hypertension: a systematic review and meta-analysis

Cited by 4 publications

References 61 publications

Echocardiographic characteristics of COVID-19 pneumonia survivors three months after hospital discharge

Echocardiographic characteristics of COVID-19 pneumonia survivors three months after hospital discharge

Right ventricular dysfunction as a predictor of complicated course in left heart surgery

Management of a patient with subacute tricuspid valve and pacemaker endocarditis with chronic thromboembolic pulmonary hypertension: a case report

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