Assessment of Left Ventricle Systolic Function by 2D Speckle Tracking Echocardiography in Patients with Subarachnoid Hemorrhage
Background: Subarachnoid hemorrhage [SAH] is a neurological emergency with high mortality rates; Cardiac dysfunction with unfavorable neurological outcomes is common association.The Aim of The Work: Subclinical left ventricular systolic dysfunction and its association with the outcome of SAH was ass...
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| Format: | Article |
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Al-Azhar University, Faculty of Medicine (Damietta)
2022-04-01
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| Series: | International Journal of Medical Arts |
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| Online Access: | https://ijma.journals.ekb.eg/article_231403_d5f3b565ed1e568ca1005bab801d339f.pdf |
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| author | Osama Mohammed Abd El Hay Mohammed Salim El-Baz Abd El Hamied Ismaiel Abd El Hamied Ahmed Hassan Mohammed Elsheshiny Ehab Kamal Meligy |
| author_facet | Osama Mohammed Abd El Hay Mohammed Salim El-Baz Abd El Hamied Ismaiel Abd El Hamied Ahmed Hassan Mohammed Elsheshiny Ehab Kamal Meligy |
| author_sort | Osama Mohammed Abd El Hay |
| collection | DOAJ |
| description | Background: Subarachnoid hemorrhage [SAH] is a neurological emergency with high mortality rates; Cardiac dysfunction with unfavorable neurological outcomes is common association.The Aim of The Work: Subclinical left ventricular systolic dysfunction and its association with the outcome of SAH was assessed.Patients and Methods: 120 cases were involved in this study divided in to two groups 60 healthy control group and 60 Patients with non-traumatic aneurysmal SAH. They were scaled according to Hunt & Hess scale and analyzed for age, sex, history of hypertension, diabetes mellitus, and smoking. ECG was done for all cases, Serum cholesterol, LDLc and troponin I were measured. Conventional and 2D speckle tracking echo were done for the following parameters, ejection fraction EF [by both M mode and biplane], LVEDD, LVESD, LVFS, RWMA and LV GLS.Results: Female gender was more affected beside, significant increases hypertension, smoking, s. cholesterol, LDLc, and troponin I. ECG showed significant ST- T wave changes and prolongation in QTc . Conventional echocardiography showed no significant changes regarding EF, FS, LVEDD and LVESD while, there were significant RWMA in the form of anteroseptal hypokinesia. Strain imaging of LV showed significant reduction of LV GLS in SAH cases which indicates subclinical dysfunction. Hunt& Hess scaling showed about 28.3% of cases had 3 grades which indicated bad prognosis of these cases. Positive correlation between Hunt & Hess scale and hypertension, troponin I and LV GLS which confirms the association between myocardial damage and bad clinical outcome of SAH. Conclusion: Subclinical myocardial damage and dysfunction is common complication of SAH, which is associated with poor prognosis SAH. |
| first_indexed | 2024-04-12T13:42:54Z |
| format | Article |
| id | doaj.art-60d8e2252071458c85a415dfceda03a5 |
| institution | Directory Open Access Journal |
| issn | 2636-4174 2682-3780 |
| language | English |
| last_indexed | 2024-04-12T13:42:54Z |
| publishDate | 2022-04-01 |
| publisher | Al-Azhar University, Faculty of Medicine (Damietta) |
| record_format | Article |
| series | International Journal of Medical Arts |
| spelling | doaj.art-60d8e2252071458c85a415dfceda03a52022-12-22T03:30:47ZengAl-Azhar University, Faculty of Medicine (Damietta)International Journal of Medical Arts2636-41742682-37802022-04-01442301230810.21608/ijma.2022.107576.1397231403Assessment of Left Ventricle Systolic Function by 2D Speckle Tracking Echocardiography in Patients with Subarachnoid HemorrhageOsama Mohammed Abd El Hay0Mohammed Salim El-Baz1Abd El Hamied Ismaiel Abd El Hamied2Ahmed Hassan Mohammed Elsheshiny3Ehab Kamal Meligy4Department of Cardiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.Department of Cardiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.Department of Cardiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.Department of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.Department of Cardiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.Background: Subarachnoid hemorrhage [SAH] is a neurological emergency with high mortality rates; Cardiac dysfunction with unfavorable neurological outcomes is common association.The Aim of The Work: Subclinical left ventricular systolic dysfunction and its association with the outcome of SAH was assessed.Patients and Methods: 120 cases were involved in this study divided in to two groups 60 healthy control group and 60 Patients with non-traumatic aneurysmal SAH. They were scaled according to Hunt & Hess scale and analyzed for age, sex, history of hypertension, diabetes mellitus, and smoking. ECG was done for all cases, Serum cholesterol, LDLc and troponin I were measured. Conventional and 2D speckle tracking echo were done for the following parameters, ejection fraction EF [by both M mode and biplane], LVEDD, LVESD, LVFS, RWMA and LV GLS.Results: Female gender was more affected beside, significant increases hypertension, smoking, s. cholesterol, LDLc, and troponin I. ECG showed significant ST- T wave changes and prolongation in QTc . Conventional echocardiography showed no significant changes regarding EF, FS, LVEDD and LVESD while, there were significant RWMA in the form of anteroseptal hypokinesia. Strain imaging of LV showed significant reduction of LV GLS in SAH cases which indicates subclinical dysfunction. Hunt& Hess scaling showed about 28.3% of cases had 3 grades which indicated bad prognosis of these cases. Positive correlation between Hunt & Hess scale and hypertension, troponin I and LV GLS which confirms the association between myocardial damage and bad clinical outcome of SAH. Conclusion: Subclinical myocardial damage and dysfunction is common complication of SAH, which is associated with poor prognosis SAH.https://ijma.journals.ekb.eg/article_231403_d5f3b565ed1e568ca1005bab801d339f.pdfsubarachnoid hemorrhagespeckle trackingechocardiographyglobal longitudinal strain |
| spellingShingle | Osama Mohammed Abd El Hay Mohammed Salim El-Baz Abd El Hamied Ismaiel Abd El Hamied Ahmed Hassan Mohammed Elsheshiny Ehab Kamal Meligy Assessment of Left Ventricle Systolic Function by 2D Speckle Tracking Echocardiography in Patients with Subarachnoid Hemorrhage International Journal of Medical Arts subarachnoid hemorrhage speckle tracking echocardiography global longitudinal strain |
| title | Assessment of Left Ventricle Systolic Function by 2D Speckle Tracking Echocardiography in Patients with Subarachnoid Hemorrhage |
| title_full | Assessment of Left Ventricle Systolic Function by 2D Speckle Tracking Echocardiography in Patients with Subarachnoid Hemorrhage |
| title_fullStr | Assessment of Left Ventricle Systolic Function by 2D Speckle Tracking Echocardiography in Patients with Subarachnoid Hemorrhage |
| title_full_unstemmed | Assessment of Left Ventricle Systolic Function by 2D Speckle Tracking Echocardiography in Patients with Subarachnoid Hemorrhage |
| title_short | Assessment of Left Ventricle Systolic Function by 2D Speckle Tracking Echocardiography in Patients with Subarachnoid Hemorrhage |
| title_sort | assessment of left ventricle systolic function by 2d speckle tracking echocardiography in patients with subarachnoid hemorrhage |
| topic | subarachnoid hemorrhage speckle tracking echocardiography global longitudinal strain |
| url | https://ijma.journals.ekb.eg/article_231403_d5f3b565ed1e568ca1005bab801d339f.pdf |
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