The Correlation Between Speckle Tracking Echocardiography and Coronary Artery Disease in Patients with Suspected Stable Angina Pectoris

Overview

Journal Indian Heart J

Publisher Elsevier

Specialty Cardiology & Vascular Diseases

Date 2018 Jul 3

PMID 29961454

Citations 10

Authors

Shaimaa Moustafa

Khalid Elrabat

Fathy Swailem

Alaa Galal

Affiliations

Soon will be listed here.

Abstract

Background: To examine the value of speckle tracking echocardiography to detect the presence, extent and severity of coronary artery affection in patients with suspected stable angina pectoris.

Methods: Two hundred candidates with suspected stable angina pectoris and normal resting conventional echocardiography were subjected to speckle tracking echocardiography and coronary angiography. Global and segmental longitudinal peak systolic strain were assessed and were correlated to the results of coronary angiography for each patient.

Results: There was a statistically significant difference in the mean of global longitudinal peak systolic strain between normal coronaries and different degrees of coronary artery disease (CAD) (-20.11±0.8 for normal, -18.34±2.52 for single vessel, -16.14±2.85 for two vessels, -14.81±2.12 for three vessels, -13.01±2.92 for left main disease). GLPSS showed high sensitivity for the diagnosis of single vessel CAD (90%, specificity 95.1%, cutoff value: -18.44, AUC: 0.954); two vessels disease (90%, sensitivity 88.9%, cutoff value -17.35, AUC: 0.906) and for three vessels CAD (cutoff value -15.33, sensitivity 63% and specificity 72.2% AUC 0.681) segmental LPSS also showed statistical significance for localization of the affected vessel for left anterior descending, left circumflex and right coronary artery (ρ=0.001) and inverse correlation with syntax score that was significant with high and intermediate score (ρ=0.001) and insignificant for low syntax score (ρ value 0.05).

Conclusion: Two-dimensional speckle tracking echocardiography has good sensitivity and specificity to predict the presence, extent and severity of CAD.

Citing Articles

Resting segmental speckle tracking strain and strain rate in stable coronary artery disease and revascularized myocardial infarction.

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The clinical value of noninvasive left ventricular myocardial work in the diagnosis of myocardial ischemia in coronary heart disease: a comparative study with coronary flow reserve fraction.

Zhao Y, He F, Guo W, Ge Z, Ge Z, Lu Y Int J Cardiovasc Imaging. 2024; 40(10):2167-2179.

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Myocardial strain analysis by 4D-speckle tracking echocardiography for prediction of coronary artery disease severity in patients with stable angina pectoris.

Bhore A, Shah P, Hardas S, Asawa M Indian Heart J. 2023; 75(3):177-184.

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The correlation between speckle-tracking echocardiography and coronary angiography in suspected coronary artery disease with normal left ventricular function.

Yadav K, Prajapati J, Singh G, Patel I, Karre A, Bansal P J Cardiovasc Thorac Res. 2023; 14(4):234-239.

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Cardiac iron overload detection using longitudinal strain in asymptomatic children with beta thalassemia major.

Chamtouri I, Khalifa R, Besbes H, Jomaa W, Abdallah W, Ben Hamda K Int J Cardiovasc Imaging. 2022; 38(11):2283-2290.

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