Systolic time intervals as simple echocardiographic parameters of left ventricular systolic performance: correlation with ejection fraction and longitudinal two-dimensional strain

被引:87
|
作者
Reant, Patricia [1 ]
Dijos, Marina [1 ]
Donal, Erwan [2 ,3 ,4 ]
Mignot, Aude [1 ]
Ritter, Philippe [1 ]
Bordachar, Pierre [1 ]
Dos Santos, Pierre [1 ]
Leclercq, Christophe [2 ,3 ,4 ]
Roudaut, Raymond [1 ]
Habib, Gilbert [5 ]
Lafitte, Stephane [1 ]
机构
[1] Univ Bordeaux, CHU Bordeaux, Inserm U828, Dept Cardiol,CIC 0005, Bordeaux, France
[2] CHU Pontchaillou, Rennes, France
[3] Univ Rennes 1 France, CIC IT 804, Rennes, France
[4] INSERM, U642, Rennes, France
[5] Hop La Timone, Dept Cardiol, Marseille, France
来源
EUROPEAN JOURNAL OF ECHOCARDIOGRAPHY | 2010年 / 11卷 / 10期
关键词
Left ventricular function; Echocardiography; Systolic time intervals; 2D strain; ACUTE MYOCARDIAL-INFARCTION; HEART-FAILURE; EXPERIMENTAL VALIDATION; ATRIAL-FIBRILLATION; NORMAL INDIVIDUALS; PRESSURE-FLOW; DISEASE; PERIOD; CARDIOMYOPATHY; CONTRACTILITY;
D O I
10.1093/ejechocard/jeq084
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Conventionally, the evaluation of left ventricular (LV) systolic function is based on ejection fraction assessment, which may be supplemented by other echocardiographic techniques, such as tissue Doppler imaging, 3D evaluation, and speckle tracking strains. However, these imaging modalities have a high technicity and are time-consuming, while being associated with reproducibility limitations. In this context, the usefulness of simpler measurements such as systolic time intervals (STI) by pulsed Doppler echocardiography must be emphasized. In this multicentre study, left ventricular ejection fraction (LVEF), dP/dt(max), LV stroke volume, myocardial longitudinal deformation, aortic pre-ejectional period (PEP, ms), and left ventricular ejection time (LVET, ms) were prospectively investigated and compared in 134 consecutive heart failure (HF) patients and 43 control subjects. Feasibility of STI measurements was 100%. Intra-observer reproducibility was 98% for PEP, 96% for LVET, 87% for LVEF, and 93% for global longitudinal strain (GLS). By subgroup analyses, with increasingly altered LVEF or GLS, PEP significantly increased, whereas significantly LVET decreased, resulting in a significantly increased PEP/LVET ratio (P < 0.001). In the HF patients group, a correlation between LVEF and PEP/LVET was found, with r = 0.55 (y = -0.0083x + 0.75, P < 0.001). Based on receiver operating curve analyses, the area under the curve was 0.91 for PEP/LVET > 0.43, which allowed us to detect LVEF < 35% with a sensitivity of 87%, and a specificity of 84%. STI can be easily and accurately measured in clinical practice, and may be used for detecting alterations in LV systolic function. Moreover, this method is likely to have potential applications in the management of HF patients.
引用
收藏
页码:834 / 844
页数:11
相关论文
共 50 条
  • [21] EVALUATION OF LEFT VENTRICULAR PERFORMANCE IN MITRAL STENOSIS BY SYSTOLIC TIME INTERVALS
    WATANABE, M
    MATSUOKA, S
    KUMADA, T
    OMAE, M
    UEHATA, H
    SHIMONO, Y
    YAGINUMA, T
    MURAI, K
    KONISHI, T
    WAKABAYA.A
    ISHIKAWA, K
    NOHARA, Y
    TAKAYASU, M
    SAWAYAMA, T
    JAPANESE CIRCULATION JOURNAL-ENGLISH EDITION, 1972, 36 (12): : 1341 - &
  • [22] Automated function imaging to assess left ventricular systolic function: relation between global left ventricular longitudinal strain and biplane left ventricular ejection fraction
    Delgado, V.
    Mollema, S. A.
    Tops, L. F.
    Ypenburg, C.
    Marsan, N. Ajmone
    Van der Wall, E. E.
    Schalij, M. J.
    Bax, J. J.
    EUROPEAN HEART JOURNAL, 2008, 29 : 253 - 253
  • [23] USE OF SYSTOLIC-TIME INTERVALS FOR PREDICTING LEFT-VENTRICULAR EJECTION FRACTION IN ISCHEMIC HEART-DISEASE
    EDDLEMAN, EE
    SWATZELL, RH
    BANCROFT, WH
    BALDONE, JC
    TUCKER, MS
    AMERICAN HEART JOURNAL, 1977, 93 (04) : 450 - 454
  • [24] Usefulness and clinical relevance of left ventricular global longitudinal systolic strain in patients with heart failure with preserved ejection fraction
    Carsten Tschöpe
    Michele Senni
    Heart Failure Reviews, 2020, 25 : 67 - 73
  • [25] Role of global longitudinal strain in assessment of left ventricular systolic function in patients with heart failure with preserved ejection fraction
    Bshiebish, Hasanain Ali Hameed
    Al-Musawi, Ali Hussein
    Khudeir, Safaa Ali
    JOURNAL OF THE SAUDI HEART ASSOCIATION, 2019, 31 (02) : 100 - 105
  • [26] Usefulness and clinical relevance of left ventricular global longitudinal systolic strain in patients with heart failure with preserved ejection fraction
    Tschoepe, Carsten
    Senni, Michele
    HEART FAILURE REVIEWS, 2020, 25 (01) : 67 - 73
  • [27] Left ventricular function assessment in Kawasaki disease by two-dimensional global longitudinal systolic strain with automated function imaging
    Moghadam, Ehsan Aghaei
    Taraz, Maryam
    Zeinaloo, Aliakbar
    Majnoon, Mohammad Taghi
    Zanjani, Keyhan Sayadpour
    Gorgi, Mojtaba
    EGYPTIAN HEART JOURNAL, 2024, 76 (01):
  • [28] Techniques for comprehensive two dimensional echocardiographic assessment of left ventricular systolic function
    Marwick, TH
    HEART, 2003, 89 : 2 - 8
  • [29] Comparison of left ventricular longitudinal systolic function parameters in the prediction of adverse outcome in heart failure with preserved ejection fraction
    Gozdzik, Anna
    Marwick, Thomas H.
    Przewlocka-Kosmala, Monika
    Jankowska, Ewa A.
    Ponikowski, Piotr
    Kosmala, Wojciech
    ESC HEART FAILURE, 2021, 8 (02): : 1531 - 1540
  • [30] Role of two dimensional strain and strain rate imaging in assessment of left ventricular systolic function in patients with rheumatic mitral stenosis and normal ejection fraction
    Younan, Hany
    EGYPTIAN HEART JOURNAL, 2015, 67 (03): : 193 - 198