Feasibility of the assessment of longitudinal systolic deformation of the left ventricle in transesophageal atrial pacing stress echocardiography. Clinical case
https://doi.org/10.33667/2078-5631-2023-15-41-44
Abstract
The article describes a clinical case of registration of longitudinal systolic deformation of the left ventricle using speckle-t racking technology during stress- echocardiography with transesophageal atrial pacing in a patient with coronary heart disease. A feature of the clinical case is the identification of changes in the longitudinal deformation of the left ventricular not only in the zone of visible local disturbances of myocardial contractility, but also in other zones, followed by the identification of hemodynamically significant stenoses of the coronary arteries, which supply the zones with defective longitudinal deformation of left ventricular, but without visible local disturbances of myocardial contractility. The presented case shows the prospects of using the evaluation of left ventricular deformation indicators during stress echocardiography with transesophageal atrial pacing.
About the Authors
L. N. Antonova
Central clinical military hospital
Russian Federation
Russian Federation
Moscow
M. N. Alekhin
Central State Medical Academy of Department of Presidential Affairs; Central Clinical Hospital of the Presidential Administration
Russian Federation
Russian Federation
Moscow
References
1. Стабильная ишемическая болезнь сердца. Клинические рекомендации 2020. Российский кардиологический журнал. 2020;25(11):4076. doi:10.15829/1560-4071-2020-4076
2. Бокерия Л. А., Бузиашвили Ю. И., Алекян Б. Г., Мацкеплишвили С. Т., Иошина В. И., Камардинов Д. Х. Острый коронарный синдром. Основные вопросы стратегии и тактики в клинической практике. М.: НЦССХ им. А. Н. Бакулева РАМН; 2012.
3. Knuuti J, Wijns W, Saraste A, Capodanno D, Barbato E, FunckBrentano C et al. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. European Heart Journal. 2020;41(3):407–77. DOI: 10.1093/eurheartj/ehz425
4. Sicari R, Nihoyannopoulos P, Evangelista A, Kasprzak J, Lancellotti P, Poldermans D et al. Stress echocardiography expert consensus statement: European Association of Echocardiography (EAE) (a registered branch of the ESC). European Journal of Echocardiography. 2008;9(4):415–37. DOI: 10.1093/ejechocard/jen175
5. Gupta K, Kakar TS, Gupta A, Singh A, Gharpure N, Aryal S, Hawi R, Lloyd SG, Booker J, Hage FG, Prabhu SD, Nanda NC, Bajaj NS. Role of left ventricle deformation analysis in stress echocardiography for significant coronary artery disease detection: A diagnostic study meta-analysis. Echocardiography. 2019 Jun;36(6):1084–1094. doi: 10.1111/echo.14365. Epub 2019 May 22. PMID: 31116467; PMCID: PMC6579615.
6. Степанова А. И., Радова Н. Ф., Алехин М. Н. Спекл-трекинг стресс-эхокардиография с использованием тредмил-теста в оценке функциональной значимости степени стеноза коронарных артерий. Кардиология. 2021; 61(3): 4–11. https://doi.org/10.18087/cardio.2021.3.n1462.
Review
For citations:
Antonova L.N., Alekhin M.N. Feasibility of the assessment of longitudinal systolic deformation of the left ventricle in transesophageal atrial pacing stress echocardiography. Clinical case. Medical alphabet. 2023;1(15):41-44. (In Russ.) https://doi.org/10.33667/2078-5631-2023-15-41-44
Views:
245
Email this article 