Application of strain and other echocardiographic parameters in the evaluation of early and long-term clinical outcomes after cardiac surgery revascularization
Abstract Background Coronary artery bypass graft (CABG) surgery is an effective therapeutic strategy for coronary heart disease (CHD). Myocardial longitudinal strain echocardiography with 2D speckle tracking could obtain ventricular function with better accuracy and reliability than the left ventric...
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| Format: | Article |
| Language: | English |
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BMC
2019-08-01
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| Series: | BMC Cardiovascular Disorders |
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| Online Access: | http://link.springer.com/article/10.1186/s12872-019-1162-8 |
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| author | Anna Gozdzik Krzysztof Letachowicz Barbara Barteczko Grajek Tomasz Plonek Marta Obremska Marek Jasinski Waldemar Gozdzik |
| author_facet | Anna Gozdzik Krzysztof Letachowicz Barbara Barteczko Grajek Tomasz Plonek Marta Obremska Marek Jasinski Waldemar Gozdzik |
| author_sort | Anna Gozdzik |
| collection | DOAJ |
| description | Abstract Background Coronary artery bypass graft (CABG) surgery is an effective therapeutic strategy for coronary heart disease (CHD). Myocardial longitudinal strain echocardiography with 2D speckle tracking could obtain ventricular function with better accuracy and reliability than the left ventricular ejection fraction. The aim of the study was to assess changes in left ventricular function in patients before and after surgical revascularization for a 24-month period of observation, using echocardiography with speckle tracking strain imaging. We searched for echocardiographic predictors of poor early and long-term outcome after CABG. Methods We enrolled 69 patients scheduled for elective coronary bypass grafting. Patients were divided into groups based on pre-operative systolic and diastolic parameters, depending on the GLS value and the E’ Lat and E/E’ value. The correlation between these parameters and early and long-term outcomes was analyzed. Results Preoperative EF was preserved in 86, 95% (60) patients. Pre-operative reduced GLS was observed in 73.91% (51) of patients and severely reduced in 31.88% (22). In the first post-operative 6-month period, we observed a significant decrease in the GLS. The GLS was a predictor of early postoperative outcome for intubation time, the inotropes use and length of ICU stay. Diastolic dysfunction was a predictor of the greater inotrope requirements. Conclusions Global longitudinal strain and diastolic dysfunction parameters are a good predictors of worse early outcome after CABG. |
| first_indexed | 2024-12-23T04:54:02Z |
| format | Article |
| id | doaj.art-8ad5fd44556f44ed8f989e014ac22683 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-12-23T04:54:02Z |
| publishDate | 2019-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-8ad5fd44556f44ed8f989e014ac226832022-12-21T17:59:23ZengBMCBMC Cardiovascular Disorders1471-22612019-08-011911810.1186/s12872-019-1162-8Application of strain and other echocardiographic parameters in the evaluation of early and long-term clinical outcomes after cardiac surgery revascularizationAnna Gozdzik0Krzysztof Letachowicz1Barbara Barteczko Grajek2Tomasz Plonek3Marta Obremska4Marek Jasinski5Waldemar Gozdzik6Department and Clinic of Cardiac Surgery, Wroclaw Medical UniversityDepartment and Clinic of Nephrology and Transplantation Medicine, Wroclaw Medical UniversityDepartment and Clinic of Anaesthesiology and Intensive Therapy, Wroclaw Medical UniversityDepartment and Clinic of Cardiac Surgery, Wroclaw Medical UniversityDepartment of Medical Emergency, Wroclaw Medical UniversityDepartment and Clinic of Cardiac Surgery, Wroclaw Medical UniversityDepartment and Clinic of Anaesthesiology and Intensive Therapy, Wroclaw Medical UniversityAbstract Background Coronary artery bypass graft (CABG) surgery is an effective therapeutic strategy for coronary heart disease (CHD). Myocardial longitudinal strain echocardiography with 2D speckle tracking could obtain ventricular function with better accuracy and reliability than the left ventricular ejection fraction. The aim of the study was to assess changes in left ventricular function in patients before and after surgical revascularization for a 24-month period of observation, using echocardiography with speckle tracking strain imaging. We searched for echocardiographic predictors of poor early and long-term outcome after CABG. Methods We enrolled 69 patients scheduled for elective coronary bypass grafting. Patients were divided into groups based on pre-operative systolic and diastolic parameters, depending on the GLS value and the E’ Lat and E/E’ value. The correlation between these parameters and early and long-term outcomes was analyzed. Results Preoperative EF was preserved in 86, 95% (60) patients. Pre-operative reduced GLS was observed in 73.91% (51) of patients and severely reduced in 31.88% (22). In the first post-operative 6-month period, we observed a significant decrease in the GLS. The GLS was a predictor of early postoperative outcome for intubation time, the inotropes use and length of ICU stay. Diastolic dysfunction was a predictor of the greater inotrope requirements. Conclusions Global longitudinal strain and diastolic dysfunction parameters are a good predictors of worse early outcome after CABG.http://link.springer.com/article/10.1186/s12872-019-1162-8Coronary surgeryEchocardiographyLongitudinal strain |
| spellingShingle | Anna Gozdzik Krzysztof Letachowicz Barbara Barteczko Grajek Tomasz Plonek Marta Obremska Marek Jasinski Waldemar Gozdzik Application of strain and other echocardiographic parameters in the evaluation of early and long-term clinical outcomes after cardiac surgery revascularization BMC Cardiovascular Disorders Coronary surgery Echocardiography Longitudinal strain |
| title | Application of strain and other echocardiographic parameters in the evaluation of early and long-term clinical outcomes after cardiac surgery revascularization |
| title_full | Application of strain and other echocardiographic parameters in the evaluation of early and long-term clinical outcomes after cardiac surgery revascularization |
| title_fullStr | Application of strain and other echocardiographic parameters in the evaluation of early and long-term clinical outcomes after cardiac surgery revascularization |
| title_full_unstemmed | Application of strain and other echocardiographic parameters in the evaluation of early and long-term clinical outcomes after cardiac surgery revascularization |
| title_short | Application of strain and other echocardiographic parameters in the evaluation of early and long-term clinical outcomes after cardiac surgery revascularization |
| title_sort | application of strain and other echocardiographic parameters in the evaluation of early and long term clinical outcomes after cardiac surgery revascularization |
| topic | Coronary surgery Echocardiography Longitudinal strain |
| url | http://link.springer.com/article/10.1186/s12872-019-1162-8 |
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