Speckle tracking echocardiographic assessment of left ventricular function by myocardial strain before and after aortic valve replacement

Kaler, Gajinder Pal Singh; Mahla, Rakesh; Mahla, Himanshu; Choudhary, Sarita; Singh, Gurdarshan; Patel, Raghuveer Prasad; Kaler, Navjot Kaur

doi:10.37616/2212-5043.1288

Cited by 3 publications

(1 citation statement)

References 38 publications

(26 reference statements)

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“…In the current work, both study and control groups were comparable in terms of age, gender, hypertension, diabetes mellitus, and smoking, which was consistent with Kaler et al [11] . We also discovered no significant difference in EF between the two groups.…”

Section: Discussionsupporting

confidence: 92%

Assessment of Left Ventricular Systolic Function by Three-Dimensional Echocardiography Pre and Post Aortic Valve Replacement in Patient with Severe Aortic Stenosis

Elsemelawy,

Abd El-kareem,

El- Abbady

et al. 2023

International Journal of Medical Arts

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Article informationBackground: Despite left ventricle [LV] dysfunction, the aortic valve replacement risk for aortic stenosis [AS] was acceptable and related mainly to coronary artery disease and mean aortic gradient. The long-term survival was related to cardiac output and coronary disease. The Aim of the work:To assess the potential role of threedimensional [3D] speckle tracking echocardiography [STE] in the detection of systolic dysfunction of the LV in severe aortic stenosis pre-and post-valve replacement.Patients and Methods: Forty patients with severe AS in the preand post-surgical valve replacement were enrolled and assigned as group A. Group [B] included [20] sex-and agematched apparently healthy individuals as a control group.Results: There was a statistically significant differences between groups on the 2D and 3D STE but the 2D STE was the most significant as regard the global longitudinal strain. After aortic valve replacement, basic echocardiographic parameters showed no significant differences after than before aortic valve replacement. However, there was a significant improvement of global longitudinal strain and global circumferential strain after than before surgery by 2D and 3D speckle tracking echocardiography. Conclusion:The speckle tracking echocardiography 2D or 3D is an optional significant modality for detection of subclinical left ventricular dysfunction in patients with severe aortic stenosis and preserved EF.

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Section: Discussionsupporting

confidence: 92%

Assessment of Left Ventricular Systolic Function by Three-Dimensional Echocardiography Pre and Post Aortic Valve Replacement in Patient with Severe Aortic Stenosis

Elsemelawy,

Abd El-kareem,

El- Abbady

et al. 2023

International Journal of Medical Arts

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Strain Assessment in Aortic Stenosis: Pathophysiology and Clinical Utility

Meredith,

Roy,

Hayward

et al. 2024

Journal of the American Society of Echocardiography

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The Relative Apical Sparing Strain Pattern in Severe Aortic Valve Stenosis: A Marker of Adverse Cardiac Remodeling

Ramanauskaitė,

Balčiūnaitė,

Palionis

et al. 2024

JPM

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Background: The presence of a relative apical sparing (RAS) echocardiographic strain pattern raises a suspicion of underlying cardiac amyloidosis (CA). However, it is also increasingly observed in patients with aortic stenosis (AS). We aimed to evaluate the prevalence, dynamics, and clinical characteristics of the RAS strain pattern in severe AS patients who had been referred for surgical aortic valve replacement (SAVR). Methods: A total of 77 patients with severe AS and without CA were included with a mean age of 70 (62–73) years, 58% female, a mean aortic valve area index of 0.45 ± 0.1 cm2/m2, and a mean gradient of 54.9 (45–70) mmHg. Results: An RAS strain pattern was detected in 14 (18%) patients. RAS-positive patients had a significantly higher LV mass index (125 ± 28 g/m2 vs. 91 ± 32, p = 0.001), a lower LV ejection fraction (62 ± 12 vs. 68 ± 13, p = 0.040), and lower global longitudinal strain (–14.9 ± 3 vs. –18.7 ± 5%, p = 0.002). RAS strain pattern-positive patients also had higher B-type natriuretic peptide (409 (161–961) vs. 119 (66–245) pg/L, p = 0.032) and high-sensitivity troponin I (15 (13–29) vs. 9 (5–18) pg/L, p = 0.026) levels. Detection of an RAS strain pattern was strongly associated with increased LV mass index (OR 1.03, 95% CI 1.01–1.06, p < 0.001). The RAS strain pattern had resolved in all patients by 3 months after SAVR. Conclusions: Our findings suggest that the RAS strain pattern can be present in patients with severe AS without evidence of CA. The presence of an RAS strain pattern is associated with adverse LV remodeling, and it resolves after SAVR.

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Speckle tracking echocardiographic assessment of left ventricular function by myocardial strain before and after aortic valve replacement

Cited by 3 publications

References 38 publications

Assessment of Left Ventricular Systolic Function by Three-Dimensional Echocardiography Pre and Post Aortic Valve Replacement in Patient with Severe Aortic Stenosis

Assessment of Left Ventricular Systolic Function by Three-Dimensional Echocardiography Pre and Post Aortic Valve Replacement in Patient with Severe Aortic Stenosis

Strain Assessment in Aortic Stenosis: Pathophysiology and Clinical Utility

The Relative Apical Sparing Strain Pattern in Severe Aortic Valve Stenosis: A Marker of Adverse Cardiac Remodeling

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