The Early Variation of Left Ventricular Strain After Aortic Valve Replacement by Three-Dimensional Echocardiography

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2015 Oct 17

PMID 26473730

Citations 5

Authors

Yongle Chen

Zhiqi Zhang

Leilei Cheng

Li Fan

Chunsheng Wang

Xianhong Shu

Affiliations

Soon will be listed here.

Abstract

Aortic stenosis (AS) and aortic incompetence (AI) are common aortic valve diseases. Both may deteriorate into irreversible myocardial dysfunction and will increase the risk of sudden death. In this study, we aimed to investigate the early variation trend of left ventricular function by three-dimensional speckle tracking echocardiography (3D-STE) in the patients who underwent cardiac surgeries for aortic valve disease. Twenty patients with severe aortic AS and 16 patients with severe AI were enrolled. All of them underwent the aortic valve replacement (AVR) procedures. The patients' global longitudinal strain (GLS) and global circumferential strain (GCS) were evaluated by 3D-STE before surgery and at 1 week after surgery. In addition, GLS and GCS were followed at 1 month as well as 3 months after AVR. In AS patients, the GCS after AVR altered little both at 1 week (p = 0.562) and at 1 month (p = 0.953) compared with the data before the surgery. And it increased significantly at 3 months of follow-up observation compared to that before AVR (p<0.05). Meanwhile, GLS increased progressively after AVR and improved significantly at 3 months after surgery (p<0.05). For the AI patients, GLS as well as GCS decreased at 1 week after AVR compared to those data at baseline (p<0.05). However, these two parameters recovered at 1 month after AVR. Furthermore, GLS and GCS improved significantly at 3 months after the surgery (p<0.05). Therefore, both GLS and GCS were influenced by AVR and would be improved at 3 months after surgery both in AS patients or AI patients. GLS and GCS can be finely evaluated by 3D-STE, and they are helpful to determine the variation tendency of left ventricular function in patients with AVR.

Citing Articles

Left Ventricular Diastolic Dysfunction Predicts Global Longitudinal Strain Recovery after Surgical Aortic Valve Replacement.

Bonanni F, Caciolli S, Berteotti M, Granchietti A, Tozzetti V, Cenni N Diagnostics (Basel). 2024; 14(19).

PMID: 39410580 PMC: 11482543. DOI: 10.3390/diagnostics14192176.

Time Course of Left Ventricular Strain Assessment via Cardiovascular Magnetic Resonance Myocardial Feature Tracking in Takotsubo Syndrome.

Goto H, Kato K, Imori Y, Wakita M, Eguchi N, Takaoka H J Clin Med. 2024; 13(11).

PMID: 38892953 PMC: 11172486. DOI: 10.3390/jcm13113238.

Speckle Tracking Echocardiographic Assessment of Left Ventricular Function by Myocardial Strain Before and After Aortic Valve Replacement.

Kaler G, Mahla R, Mahla H, Choudhary S, Singh G, Patel R J Saudi Heart Assoc. 2022; 33(4):353-363.

PMID: 35087700 PMC: 8765039. DOI: 10.37616/2212-5043.1288.

Changes in left ventricular function in patients with aortic regurgitation 12 months after transapical transcatheter aortic valve implantation.

Deng M, Wei X, Zhang X, Li X, Liu G, Zhu D Int J Cardiovasc Imaging. 2018; 35(1):99-105.

PMID: 30264363 DOI: 10.1007/s10554-018-1445-7.

Newer echocardiographic techniques for aortic-valve imaging: Clinical aids today, clinical practice tomorrow.

Tiwari N, Patel K World J Cardiol. 2018; 10(8):62-73.

PMID: 30190799 PMC: 6121002. DOI: 10.4330/wjc.v10.i8.62.

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