Clinical Physiology of Circulation

ISSN 1814-6910 (Print)
ISSN 2410-9134 (Online)

 

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Issue's catalogue ➤ КФК. 2018; 15 (3): 149-232 ➤ Оценка прогностического значения показателей продольной деформации миокарда левого желудочка при хирургической реваскуляризации у больных с выраженной ишемической дисфункцией миокарда

Evaluation of the prognostic value of indices of longitudinaldeformation of the left ventricular myocardium after surgicalrevascularization in patients with severe ischemic myocardial dysfunction

Authors: Ya.B. Brand 1, N.M. Bikbova 1, I.V. Klyuchnikov 2, N.I. Kharitonova 1, M.Kh. Mazanov 1, M.A. Sagirov 1, M.G. Ivanov 1

Company:
1 N.V. Sklifosovsky Research Institute of Emergency Medicine, Moscow Department of Health, Bol'shaya Sukharevskaya Ploshchad', 3, Moscow, 129090, Russian Federation
2 Bakoulev National Medical Research Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2018-15-3-190-197 © Коллектив авторов, 2018 Оригинальная статья УДК 616.127:616.124.2]-007.2:616.127-005.4-089.844-037 Original article

UDC: 616.127:616.124.2]-007.2:616.127-005.4-089.844-037

Link: Clinical Physiology of Blood Circulaiton. 2018; 15 (3): 190-197

Quote as: Brand Ya.B., Bikbova N.M., Klyuchnikov I.V., Kharitonova N.I., Mazanov M.Kh., Sagirov M.A., Ivanov M.G. Evaluation of the prognostic value of indices of longitudinal deformation of the left ventricular myocardium after surgical revascularization in patients with severe ischemic myocardial dysfunction. Clinical Physiology of Circulation. 2018; 15 (3): 190–7 (in Russ.). DOI: 10.24022/1814-6910-2018-15-3-190-197

Keywords:  speckle tracking echocardiography aortocoronary bypass low left ventricular ejection fraction. longitudinal strain

Received / Accepted:  06.08.2018/17.09.2018

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Abstract

Objective. To evaluate the prognostic significance of the indices of longitudinal deformation of the myocardium in patients with coronary artery disease with severe ischemic myocardial dysfunction of the left ventricle based on the analysis of their dynamics before and after revascularization.

Material and methods. 45 male patients with multivessel disease were enrolled in study. All patients underwent standard echocardiography and speckle tracking echocardiography to evaluate the longitudinal left ventricular (LV) myocardial deformation, as well as to assess the symptoms of chronic heart failure (CHF), according to the NYHA classification before and 6 months after the CABG surgery.

Results. Six months after the surgery all patients had correlations of the baseline indices of the longitudinal LV myocardial deformation and the trends of CHF symptoms after the syrgery. If the baseline global longitudinal deformation was less than –6.3%, there was a lack of significant positive trends in CHF symptoms in the postoperative period.

Conclusions. Longitudinal systolic left ventricular myocardial deformation is a reliable quantitative measure of the LV systolic function. The speckle-tracking echocardiography can be used to determine if surgical revascularization is suitable in patients with coronary heart disease and low left LV ejection fraction.

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About Authors

  • Brand Yakov Beniaminovich, Dr. Med. Sc., Professor, Head of Department of Urgent Coronary Surgery; orcid.org/0000-0002-2188-041X
  • Bikbova Natal'ya Marsovna, Researcher, Ultrasonic Diagnostics Physician; orcid.org/0000-0002-3037-3292
  • Klyuchnikov Ivan Vyacheslavovich, Dr. Med. Sc., Professor, Chief Researcher; orcid.org/0000-0002-8652-9639
  • Kharitonova Nadezhda Ivanovna, Cand. Med. Sc., Senior Researcher; orcid.org/0000-0002-2249-8925
  • Mazanov Murat Khamidbievich, Cand. Med. Sc., Senior Researcher; orcid.org/0000-0003-4145-1337
  • Sagirov Marat Anvarovich, Cand. Med. Sc., Head of Department of Urgent Coronary Surgery; orcid.org/0000-0002-2971-9188
  • Ivanov Mikhail Grigor'evich, Junior Researcher; orcid.org/0000-0002-9692-0703

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