SEGMENTAL ANALYSIS OF DIASTOLIC DYSFUNCTION OF THE LEFT VENTRICLE IN MYOCARDIAL POSTINFARCTION FOCAL CHANGES
https://doi.org/10.15829/1560-4071-2016-8-20-25
Abstract
Aim. Comparison of diagnostical abilities of tissue Doppler (TD) and speckle tracking (ST) for assessment of segmental diastolic dysfunction in postinfarction focal changes of myocardium (PIFC) of LV.
Material and methods. Totally, 137 CHD patients studied. In analysis of TD and ST we assessed peaks of early and delayed transmitral LV fillings. Assessment of transmitral parameters of diastolic dysfunction was done with common approach.
Results. The study showed that in PIFC persons there is no significant differences by most of transmitral flow parameters and TD. Strain rate assessment of myocardial deformation and ST led to conclusion on mostly delayed filling peak decrease, which is one of the signs of segmental diastolic dysfunction of the LV in PIFC.
Conclusion. TD and ST make it to reveal covert disorders of diastolic LV relaxation in PIFC patients with absence of diastolic dysfunction criteria by TMBF.
About the Authors
D. A. ShvetsRussian Federation
Orel
S. V. Povetkin
Russian Federation
Kursk
References
1. Nagueh S, Appleton С, Gillebert Т, еt al. Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography. Journal of the American Society of Echocardiography 2009; 22: 107-33.
2. Lo Q, Liza L. Echocardiographic evaluation of diastolic heart failure. Australasian Journal of Ultrasound in Medicine 2010; 13: 14-26.
3. Stoylen A. Strain rate imaging. Myocardial deformation imaging by ultrasound: echocardiography Tissue Doppler and Speckle. http://folk.ntnu.no/stoylen/strainrate/#Diastolic_strain_rate/ (20.01.2013).
4. Theodore P, Veronica L, Hsin-Yueh L. Role of Tissue Doppler and Strain Echocardiography in Current Clinical Practice. Circulation 2007; 116: 2597-609.
5. Shvec DA, Povetkin SV. The influence of the postinfarction focal changes on parameters of the deformation of the left ventricle. Scientific statements of the Belgorod State University 2014; 11: 33-6. Russian (Швец Д.А. Поветкин С.В. Влияние постинфарктных очаговых изменений на параметры деформации левого желудочка. Научные ведомости Белгородского государственного университета 2014; 11: 33-6).
6. Bokeriya OL, Averina II. Visualization techniques and basic parameters for assessment of the myocardial function. Bulletin of the Bakoulev Scientific Center for Cardiovascular Surgery RAS 2014; 3: 4-18. (Бокерия О. Л., Аверина И. И. Методы визуализации и основные показатели для оценки функции миокарда. Бюллетень НЦССХ им. А.Н. Бакулева РАН 2014; 3: 4-18).
7. Mor-Avi VP, Lang R, Badano LJ. Current and Evolving Echocardiographic Techniques for the Quantitative Evaluation of Cardiac Mechanics: ASE/EAE Consensus Statement on Methodology and Indications Endorsed by the Japanese Society of Echocardiography. Journal of the American Society of Echocardiography 2011; 24: 277-313.
8. Wang J, Khoury DS, Thohan V, et al. Global diastolic strain rate for the assessment of left ventricular relaxation and filling pressures. Circulation 2007; 115: 1376-83.
Review
For citations:
Shvets D.A., Povetkin S.V. SEGMENTAL ANALYSIS OF DIASTOLIC DYSFUNCTION OF THE LEFT VENTRICLE IN MYOCARDIAL POSTINFARCTION FOCAL CHANGES. Russian Journal of Cardiology. 2016;(8):20-25. (In Russ.) https://doi.org/10.15829/1560-4071-2016-8-20-25