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Date Published: 11/11/2022
Online Published: 11/11/2022
Abstract Views: 446
Views pdf: 155
DOI: https://doi.org/10.58490/ctump.2022i53.158
Issue
No. 53 (2022)
Section
Article
How to Cite
Danh , P. Q., & Tran, K. S. (2022). STUDY CHANGE OF CHARACTERISTICS OF HEART ASSESSMENT BY GLOBAL LONGITUDINAL STRAIN AFTER PERCUTANEOUS CORONARY INTERVENTION IN CHRONIC STABLE ANGINA AT KIEN GIANG GENERAL HOSPITAL IN 2021-2022. Cantho Journal of Medicine and Pharmacy, 53, 6-11. https://doi.org/10.58490/ctump.2022i53.158 (Original work published 2022)

STUDY CHANGE OF CHARACTERISTICS OF HEART ASSESSMENT BY GLOBAL LONGITUDINAL STRAIN AFTER PERCUTANEOUS CORONARY INTERVENTION IN CHRONIC STABLE ANGINA AT KIEN GIANG GENERAL HOSPITAL IN 2021-2022

Phuoc Quy Danh 1,, Kim Son Tran2
1 Kien Giang hospital
2 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: The benefit of revascularization of chronic stable angina in percutaneous coronary intervention (PCI) is controversial. On the other hand, left ventricular (LV) global longitudinal strain (GLS) is a more sensitive marker of LV myocardial ischemia and LV function than LV ejection fraction (EF). Objectives: To investigate the impact of chronic stable angina on LV function using LV GLS in percutaneous coronary intervention. Materials and methods: In 63 stable-angina patients with successfu indications for coronary intervention admitted to the cardiology department of Kien Giang General Hospital from April 2021 to April 2022 met the selection criteria. Cross-sectional study descriptive analysis. Results: A total of 63 consecutive patients (66.54±9.1 years, 49.2% males, LVEF 64.33±8.38%) with chronic stable angina who had a positive functional ischemia and underwent PCI, were included in this study. Echocardiography was performed before and 3 months after the procedure with conventional assessment including LV end-diastolic and end-systolic volume (LVEDV, LVESV), LVEF, and with 2DSTE analysis of GLS. Successful PCI was obtained in 63 patients. There were no stent thromboses during follow- up. GLS showed a significant improvement 3 months after successful PCI (pre-PCI -16.2±3.06 % vs post-PCI -15.82± 2.11%; P< 0.001). Conclusion: Patients with stable angina with successfu indications for coronary intervention showed improved left ventricular systolic function as assessed by echocardiography GLS.

Article Details

Keywords

Keywords: PCI: percutaneous coronary intervention; GLS: echocardiographic global longitudinal strain; CAD: Coronary artery diseas.

References

1. Đỗ Phương Anh (2014), Đánh dấu mô cơ tim bệnh nhân bệnh tim thiếu máu cục bộ mạn tính trước và sau điều trị tái tưới máu, Đại Học Y Hà Nội.
2. Phạm Thị Hằng Hoa (2019), Khảo sát đặc điểm chỉ số căng dọc thất trái trên 2D đánh dấu mô cơ tim ở bệnh nhân đau thắt ngực ổn định. Tim mạch học Việt Nam, 86, pp. 50-55.
3. Bajracharya P., Acharya K. P., Banerjee S. K., Ahmed C. M., Alam M. M., et al. (2020), Correlation between Myocardial Strain by 2-D Speckle-Tracking Echocardiography and Angiographic findings by Coronary Angiogram in Stable Angina. Maedica (Bucur), 15(3), pp. 365-372.
4. Biering-Sorensen T., Hoffmann S., Mogelvang R., Zeeberg Iversen A., Galatius S., et al. (2014), "Myocardial strain analysis by 2-dimensional speckle tracking echocardiography improves diagnostics of coronary artery stenosis in stable angina pectoris. Circ Cardiovasc Imaging, 7 (1), pp. 58-65.
5. Chimura M., Yamada S., Yasaka Y. Kawai H. (2019), Improvement of left ventricular function assessment by global longitudinal strain after successful percutaneous coronary intervention for chronic total occlusion. PLoS One, 14 (6), pp. e0217092.
6. Fihn S. D., Gardin J. M., Abrams J., Berra K., Blankenship J. C., et al. (2012), 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease: a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation, 126 (25), pp. e354-471.
7. Knuuti J., Wijns W., Saraste A., Capodanno D., Barbato E., et al. (2020), 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. Eur Heart J, 41 (3), pp. 407-477.
8. Moustafa S., Elrabat K.,Swailem F. Galal A. (2018), The correlation between speckle tracking echocardiography and coronary artery disease in patients with suspected stable angina pectoris. Indian Heart J, 70 (3), pp. 379-386.
9. Park J. H. (2019), Two-dimensional Echocardiographic Assessment of Myocardial Strain: Important Echocardiographic Parameter Readily Useful in Clinical Field. Korean Circ J, 49 (10), pp. 908-931.