Assessment of left ventricular systolic function using two- and three-dimensional speckle tracking echocardiography among healthy preschool-age pediatric children
Abstract Background Accurate measurements of left ventricular (LV) volumes and function are important in the management of patients with various cardiac abnormalities. Two-dimensional (2D) speckle tracking echocardiography (STE) is shown to be accurate in detecting subclinical myocardial dysfunction...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2022-03-01
|
| Series: | The Egyptian Heart Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43044-022-00258-w |
| _version_ | 1819022906000146432 |
|---|---|
| author | Heba Kamel Ayah Tarek Elsayegh Hany Nazmi Hebatallah Mohamed Attia |
| author_facet | Heba Kamel Ayah Tarek Elsayegh Hany Nazmi Hebatallah Mohamed Attia |
| author_sort | Heba Kamel |
| collection | DOAJ |
| description | Abstract Background Accurate measurements of left ventricular (LV) volumes and function are important in the management of patients with various cardiac abnormalities. Two-dimensional (2D) speckle tracking echocardiography (STE) is shown to be accurate in detecting subclinical myocardial dysfunction when most of the conventional echocardiography parameters were normal. Three-dimensional (3D) echocardiography is a new noninvasive imaging technique that has been shown to be accurate in determining cardiac volume and performance. Establishment of normal range values of 3D STE over a different range of ages is crucial before applying this recent technology in clinical applications. This study aimed to assess feasibility of 3D LV STE and establish normal values for the LV systolic function among healthy Egyptian preschool-age pediatric population using 2D and 3D STE. Results A total of 200 subjects (95%) met the criteria for 2DSTE analysis, 10 were excluded from the 2D analysis and 180 subjects (85%) met the criteria for 3D STE analysis. Regarding the 2D STE GLS, the mean was -22.1345 ± 2.166%, GCS was f -19.02 ± 1.23%, and GRS was 42.25 ± 2.35%. There was a strongly positive significant correlation between age and 2D values of GLS (P = 0.001). The GCS showed a weakly positive nonsignificant correlation with age (P = 0.28), while GRS showed a strongly negative significant correlation with age (P = 0.001). Regarding the 3D STE data, GLS mean was -20.48 ± 1.526%, GCS mean was -13.90 ± 2.05%, while GRS mean was 47.21 ± 2.382%. 3D GLS values had a strongly positive significant correlation with age (P = 0.001). While GCS showed a weakly positive nonsignificant correlation (P = 0.955), GRS showed a strongly negative significant correlation (P = 0.001). Linear correlation analysis of 2D and 3D values of strain showed that GLS had a strongly positive significant correlation (P = 0.001), while GCS showed a weakly positive nonsignificant correlation (P = 0.161) and GRS showed a strongly positive significant correlation (P = 0.001). Conclusions 3D global strain analysis using the 3D STE is feasible in the preschool-age pediatric population. Results were almost concordant with previous observations in most of the values except for GCS, especially 3D values which could be attributed to different vendor system used and different ethnicity. Further studies are required to reinforce these data using the GE vendor machine. |
| first_indexed | 2024-12-21T04:30:26Z |
| format | Article |
| id | doaj.art-e9f5be0052df4747af4de2144ce12bd0 |
| institution | Directory Open Access Journal |
| issn | 2090-911X |
| language | English |
| last_indexed | 2024-12-21T04:30:26Z |
| publishDate | 2022-03-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Heart Journal |
| spelling | doaj.art-e9f5be0052df4747af4de2144ce12bd02022-12-21T19:15:57ZengSpringerOpenThe Egyptian Heart Journal2090-911X2022-03-0174111210.1186/s43044-022-00258-wAssessment of left ventricular systolic function using two- and three-dimensional speckle tracking echocardiography among healthy preschool-age pediatric childrenHeba Kamel0Ayah Tarek Elsayegh1Hany Nazmi2Hebatallah Mohamed Attia3Congenital and Structural Heart Disease Unit, Cardiology Department, Ain Shams University HospitalCongenital and Structural Heart Disease Unit, Cardiology Department, Ain Shams University HospitalCongenital and Structural Heart Disease Unit, Cardiology Department, Ain Shams University HospitalCongenital and Structural Heart Disease Unit, Cardiology Department, Ain Shams University HospitalAbstract Background Accurate measurements of left ventricular (LV) volumes and function are important in the management of patients with various cardiac abnormalities. Two-dimensional (2D) speckle tracking echocardiography (STE) is shown to be accurate in detecting subclinical myocardial dysfunction when most of the conventional echocardiography parameters were normal. Three-dimensional (3D) echocardiography is a new noninvasive imaging technique that has been shown to be accurate in determining cardiac volume and performance. Establishment of normal range values of 3D STE over a different range of ages is crucial before applying this recent technology in clinical applications. This study aimed to assess feasibility of 3D LV STE and establish normal values for the LV systolic function among healthy Egyptian preschool-age pediatric population using 2D and 3D STE. Results A total of 200 subjects (95%) met the criteria for 2DSTE analysis, 10 were excluded from the 2D analysis and 180 subjects (85%) met the criteria for 3D STE analysis. Regarding the 2D STE GLS, the mean was -22.1345 ± 2.166%, GCS was f -19.02 ± 1.23%, and GRS was 42.25 ± 2.35%. There was a strongly positive significant correlation between age and 2D values of GLS (P = 0.001). The GCS showed a weakly positive nonsignificant correlation with age (P = 0.28), while GRS showed a strongly negative significant correlation with age (P = 0.001). Regarding the 3D STE data, GLS mean was -20.48 ± 1.526%, GCS mean was -13.90 ± 2.05%, while GRS mean was 47.21 ± 2.382%. 3D GLS values had a strongly positive significant correlation with age (P = 0.001). While GCS showed a weakly positive nonsignificant correlation (P = 0.955), GRS showed a strongly negative significant correlation (P = 0.001). Linear correlation analysis of 2D and 3D values of strain showed that GLS had a strongly positive significant correlation (P = 0.001), while GCS showed a weakly positive nonsignificant correlation (P = 0.161) and GRS showed a strongly positive significant correlation (P = 0.001). Conclusions 3D global strain analysis using the 3D STE is feasible in the preschool-age pediatric population. Results were almost concordant with previous observations in most of the values except for GCS, especially 3D values which could be attributed to different vendor system used and different ethnicity. Further studies are required to reinforce these data using the GE vendor machine.https://doi.org/10.1186/s43044-022-00258-wTwo-dimensional strain echocardiographyThree-dimensional strain echocardiographyLeft ventricle functions |
| spellingShingle | Heba Kamel Ayah Tarek Elsayegh Hany Nazmi Hebatallah Mohamed Attia Assessment of left ventricular systolic function using two- and three-dimensional speckle tracking echocardiography among healthy preschool-age pediatric children The Egyptian Heart Journal Two-dimensional strain echocardiography Three-dimensional strain echocardiography Left ventricle functions |
| title | Assessment of left ventricular systolic function using two- and three-dimensional speckle tracking echocardiography among healthy preschool-age pediatric children |
| title_full | Assessment of left ventricular systolic function using two- and three-dimensional speckle tracking echocardiography among healthy preschool-age pediatric children |
| title_fullStr | Assessment of left ventricular systolic function using two- and three-dimensional speckle tracking echocardiography among healthy preschool-age pediatric children |
| title_full_unstemmed | Assessment of left ventricular systolic function using two- and three-dimensional speckle tracking echocardiography among healthy preschool-age pediatric children |
| title_short | Assessment of left ventricular systolic function using two- and three-dimensional speckle tracking echocardiography among healthy preschool-age pediatric children |
| title_sort | assessment of left ventricular systolic function using two and three dimensional speckle tracking echocardiography among healthy preschool age pediatric children |
| topic | Two-dimensional strain echocardiography Three-dimensional strain echocardiography Left ventricle functions |
| url | https://doi.org/10.1186/s43044-022-00258-w |
| work_keys_str_mv | AT hebakamel assessmentofleftventricularsystolicfunctionusingtwoandthreedimensionalspeckletrackingechocardiographyamonghealthypreschoolagepediatricchildren AT ayahtarekelsayegh assessmentofleftventricularsystolicfunctionusingtwoandthreedimensionalspeckletrackingechocardiographyamonghealthypreschoolagepediatricchildren AT hanynazmi assessmentofleftventricularsystolicfunctionusingtwoandthreedimensionalspeckletrackingechocardiographyamonghealthypreschoolagepediatricchildren AT hebatallahmohamedattia assessmentofleftventricularsystolicfunctionusingtwoandthreedimensionalspeckletrackingechocardiographyamonghealthypreschoolagepediatricchildren |