CLINICAL SIGNIFICANCE OF MYOCARDIAL STRAIN IN THE PATIENTS WITH CHD (LITERATURE REVIEW)
Abstract and keywords
Abstract (English):
2-D echocardiography is currently the first-line imaging modality for assessing global and regional function of left ventricle (LV). Using 2-D echocardiography, LV function is most often evaluated visually, as a result of the quality of the research depends directly on the experience and qualifications of the expert. The new technology of two-dimensional speckle tracking echocardiography allows to assessing the contractile function of the left ventricle quantitative. Over the years, the numerous studies have demonstrated the value of speckle tracking echocardiography in the diagnosis and risk stratification of a wide range of cardiac diseases, including coronary heart disease [14]. During the cardiac cycle the speckle tracking echocardiography allows in semi-automatic mode to evaluate the deformation of the myocardium in the three spatial directions: longitudinal, radial, and circular. In addition, speckle tracking estimates the direction of rotation and speed of motion of the left ventricular myocardium. This technology may have important clinical value for quick and accurate assessment of global and segmental myocardial function. The use of estimates of the deformation of the myocardium and the speed of deformation of the myocardium by means of speckle tracking method may be able to increase the sensitivity and precision of stenosing lesions of the coronary arteries [16].

Keywords:
coronary artery disease, stable angina pectoris, two dimensional speckle tracking echocardiography, myocardial strain, longitudinal strain.
References

1. Anwar AM. Accuracy of two-dimensional speckle tracking echocardiography for the detection of sig-nificant coronary stenosis. J Cardiovasc. Ultrasound. 2013. 21(4). R.177-182.

2. Alekhin M.N. Ul´trazvukovye metody otsenki deformatsii miokarda i ikh klinicheskoe znache-nie. Moskva: Vidar-M, 2012. 88 s.

3. Biering-Sorensen T., Hoffmann S., Mogelvang R., Zeeberg Iversen A., Galatius S.,Fritz-Hansen and ets. Myocardial strain analysis by 2-dimensional speckle tracking echocardiography improves diagnosties of coronary artery stenosis in stable angina pectoris. Circ Cardiovasc Imaginge. 2014. 7(1). R. 58-65

4. Dahlslett T., Karlsen, Grenne B., vEek C., Sjoli B., Skulstad H. Early assessment of Strain Echocardi-ography Can Accurately Exclude Significant Coronary Artery Stenosis in Suspected Non ST-Segment Elevation Acute coronary Syndrome. J Am Soc Echocardiogr. 2014. 4.

5. Eek C., Grenne B., Brunvand H., Aakhus S., Endresen K., Smiseth O.A. Strain echocardiography pre-dicts acute coronary occulusion in patients with non-ST-segment elevation acute coronary syndrome. Eur J. Echocardiogr. 2010. 11(6). R. 501-508.

6. Gjesdal O., Helle-Valle T., Hopp E., Lunde K., Vartdal T., Aakhus S. Noninvasive sseparation of large,medium, and small myocardial infarcts in survivors of reperfused ST-elevation myocardial infarction: a comprehensive tissue Doppler and speckle-tracking echocardiography study. Circ Cardiovasc Imaging. 2008. 1(3). R. 189-196.

7. Galimskaya V.A., Donchenko I.A., Oleynikov V.E. Zhur. Izvestiya vysshikh uch. Zavedeniy. Po-volzhskiy region. Med. nauki. 2011. №4. S. 36-41.

8. Hoffmann S., Jensen J.S., Iversen A.Z., Soqaard P., Galatius S., Olsen N.T., Bech J. Tissue Doppler echocardiography improves the diagnosis of coronary artery stenosis in stable angine pectoris. Eur Heart J car-diovasc imaging. 2012. 13(9). R. 724-729.

9. Hare J.L., Brown J.K., Leano R. Use of myocardial deformation imaging to detect preclinical myo-cardial dysfunction before conventional measures in patients undergoing breast cancer treatment with trastuzu-mab //Am Heart J. 2009. V.158. N2. P. 294-301.

10. Jose Andrade; Giovanni G. Cerri. Left ventricular twist: comparison between two- and three-dimensional speckle-tracking echocardiography in healthy volunreers. European Journal of Echocardiography. 2011. 12(1). R. 76-79.

11. Kostis J.B., Mavrogeorgis.E., Slater A. Use of range-gated, pulsed ultrasonic Doppler technique for continuous measurement of velocity of the posterior heart wall. Chest 1972. V. 62. P. 597-604.

12. Moen C.A., Salminen P.R., Grong K., Matre K. Left ventricular strain, rotation, and torsion as mark-ers of acute myocardial ischemia. Am J Physiol Heart Circ Physiol. 2011. 300(6).

13. Ng A.C., Thomas L., Leung D.Y. Tissue Doppler echocardiography. Minerva Cardioangiol. 2010. 58 (3). R. 357-378.

14. Prakticheskaya ekhokardiografiya / Pod red. Franka A. Flakskampfa; per s nem.; pod obshch. red. akad RAMN, prof. V.A. Sandrikova. M.: MEDpress-inform, 2013. 872 s.

15. Perk G., Tunick P.A., Kronzon I. Non-Doppler two-dimensional strain imaging by echocardiography from technical considerations to clinical applications. J Am. Soc Echocardiogr. 2007. 20(3). R. 234-243.

16. Rukovodstvo po funktsional´noy diagnostike v kardiologii / pod red Yu.A. Vasyuka. M.: Prak-ticheskaya meditsina, 2012. 164 s.

17. Sarvari S.I., Hauquaa K.H., Zahid W., Bendz B., Aakhus S., Aaberge L., Edvardren T. Layer-specific quantification of myocardial deformation by strain echocardiography may reveal significant CAD in patients with non-ST-segment elevation acute coronary syndrome. J ACC Cardiovasc Imaging. 2013. 6 (5). R. 535-544.

18. Senqupta P., Vijay K., Krishnamoorthy, Korinek J., Narula J., Vannan M. Left Ventricular Form and Function Reviseted: Applied Translational Science to Cardiovascular Ultrasound Imaging. J. Am. Soc. Echo-cardiogr. 2007. 20(5). R. 539-551

19. Vardanyan A.A. Otsenka deformatsii i skorosti smeshcheniya miokarda u bol´nykh ishemicheskoy bolezn´yu serdtsa. Avtoreferat dissertatsii. Moskva, 2007.

20. Voigt J.U., Exner B., Schmiedehausen R. Strain-Rate Imaging During Dobutamine Stress Echocardi-ography provides Objective Evidence of Inducible ischemia. Circulation 2003. 107. R. 2120-2126.

21. Kakuchaya T.T. Tkanevoy dopler, deformatsiya i skorost´ deformatsii miokarda v otsenke funk-tsii miokarda - kontseptual´nye tekhnicheskie osnovy i primenenie v klinike. Med. zhurnal Kreativnaya kardiologiya. 2008. №1. S. 73-93.

22. Serdio Mondillo M.D., Maurizio Galderisi M.D., Donayo Mele M.D., Matteo Cameli M.D. Speckle Tracking Echocardiography. A new Technigue for assessing Myocardial Function. J Ultrasound Med. 2011. 1. R. 71-81.

Login or Create
* Forgot password?