Cargando…
Two-Dimensional Speckle Tracking Echocardiography Identifies Coronary Artery Disease in 690 Patients: A Retrospective Study from a Single Center
BACKGROUND: Two-dimensional speckle tracking echocardiography (2D-STE) is a novel and non-invasive technique for the diagnosis of coronary artery disease (CAD). This retrospective study from a single center aimed to identify myocardial ischemia using 2D-STE in CAD patients identified by angiography....
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7883402/ https://www.ncbi.nlm.nih.gov/pubmed/33561114 http://dx.doi.org/10.12659/MSM.929476 |
_version_ | 1783651204397531136 |
---|---|
author | Zhu, Huolan Yang, Chenguang Li, Yi Guo, Ying Meng, Xuyang Ren, Yirong Tan, Long Zhang, Ruisheng Wang, Fang |
author_facet | Zhu, Huolan Yang, Chenguang Li, Yi Guo, Ying Meng, Xuyang Ren, Yirong Tan, Long Zhang, Ruisheng Wang, Fang |
author_sort | Zhu, Huolan |
collection | PubMed |
description | BACKGROUND: Two-dimensional speckle tracking echocardiography (2D-STE) is a novel and non-invasive technique for the diagnosis of coronary artery disease (CAD). This retrospective study from a single center aimed to identify myocardial ischemia using 2D-STE in CAD patients identified by angiography. MATERIAL/METHODS: From March 1 to November 30, 2019, 690 patients in Beijing Hospital were enrolled. After angiography, 346 patients were diagnosed with CAD. Reduction in vessel diameter of ≥50% by stenosis in at least 1 major coronary artery or its main branch was considered CAD. Analysis of 2D-STE was performed using EchoPAC version 201. RESULTS: The global strain was significantly impaired in CAD patients (P<0.01). Global longitudinal peak strain (GLPS) was analyzed in layers. For GLPS of the epicardium, the odds ratio (OR) was 1.297 (1.217–1.382; P=0.002), the area under the curve (AUC) was 0.727, and the cut-off value was −16.95; sensitivity and specificity were 73.7% and 63.0%, respectively. For GLPS of the middle layer, the OR was 1.260 (1.192–1.333; P<0.001), the AUC was 0.732, and the cut-off value was −20.95; sensitivity and specificity were 82.4% and 56.2%, respectively. For GLPS of the endocardium, the OR was 1.193 (1.137–1.251; P<0.001), the AUC was 0.708, and the cut-off value was −22.95; sensitivity and specificity were 82.9% and 52.9%, respectively. CONCLUSIONS: The findings from this study support the clinical application of 2D-STE in patient populations with suspected myocardial ischemia due to CAD. Therefore, 2D-STE combined with ECG monitoring may have a future role for early screening of CAD patients. |
format | Online Article Text |
id | pubmed-7883402 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-78834022021-03-04 Two-Dimensional Speckle Tracking Echocardiography Identifies Coronary Artery Disease in 690 Patients: A Retrospective Study from a Single Center Zhu, Huolan Yang, Chenguang Li, Yi Guo, Ying Meng, Xuyang Ren, Yirong Tan, Long Zhang, Ruisheng Wang, Fang Med Sci Monit Clinical Research BACKGROUND: Two-dimensional speckle tracking echocardiography (2D-STE) is a novel and non-invasive technique for the diagnosis of coronary artery disease (CAD). This retrospective study from a single center aimed to identify myocardial ischemia using 2D-STE in CAD patients identified by angiography. MATERIAL/METHODS: From March 1 to November 30, 2019, 690 patients in Beijing Hospital were enrolled. After angiography, 346 patients were diagnosed with CAD. Reduction in vessel diameter of ≥50% by stenosis in at least 1 major coronary artery or its main branch was considered CAD. Analysis of 2D-STE was performed using EchoPAC version 201. RESULTS: The global strain was significantly impaired in CAD patients (P<0.01). Global longitudinal peak strain (GLPS) was analyzed in layers. For GLPS of the epicardium, the odds ratio (OR) was 1.297 (1.217–1.382; P=0.002), the area under the curve (AUC) was 0.727, and the cut-off value was −16.95; sensitivity and specificity were 73.7% and 63.0%, respectively. For GLPS of the middle layer, the OR was 1.260 (1.192–1.333; P<0.001), the AUC was 0.732, and the cut-off value was −20.95; sensitivity and specificity were 82.4% and 56.2%, respectively. For GLPS of the endocardium, the OR was 1.193 (1.137–1.251; P<0.001), the AUC was 0.708, and the cut-off value was −22.95; sensitivity and specificity were 82.9% and 52.9%, respectively. CONCLUSIONS: The findings from this study support the clinical application of 2D-STE in patient populations with suspected myocardial ischemia due to CAD. Therefore, 2D-STE combined with ECG monitoring may have a future role for early screening of CAD patients. International Scientific Literature, Inc. 2021-02-09 /pmc/articles/PMC7883402/ /pubmed/33561114 http://dx.doi.org/10.12659/MSM.929476 Text en © Med Sci Monit, 2021 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) ) |
spellingShingle | Clinical Research Zhu, Huolan Yang, Chenguang Li, Yi Guo, Ying Meng, Xuyang Ren, Yirong Tan, Long Zhang, Ruisheng Wang, Fang Two-Dimensional Speckle Tracking Echocardiography Identifies Coronary Artery Disease in 690 Patients: A Retrospective Study from a Single Center |
title | Two-Dimensional Speckle Tracking Echocardiography Identifies Coronary Artery Disease in 690 Patients: A Retrospective Study from a Single Center |
title_full | Two-Dimensional Speckle Tracking Echocardiography Identifies Coronary Artery Disease in 690 Patients: A Retrospective Study from a Single Center |
title_fullStr | Two-Dimensional Speckle Tracking Echocardiography Identifies Coronary Artery Disease in 690 Patients: A Retrospective Study from a Single Center |
title_full_unstemmed | Two-Dimensional Speckle Tracking Echocardiography Identifies Coronary Artery Disease in 690 Patients: A Retrospective Study from a Single Center |
title_short | Two-Dimensional Speckle Tracking Echocardiography Identifies Coronary Artery Disease in 690 Patients: A Retrospective Study from a Single Center |
title_sort | two-dimensional speckle tracking echocardiography identifies coronary artery disease in 690 patients: a retrospective study from a single center |
topic | Clinical Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7883402/ https://www.ncbi.nlm.nih.gov/pubmed/33561114 http://dx.doi.org/10.12659/MSM.929476 |
work_keys_str_mv | AT zhuhuolan twodimensionalspeckletrackingechocardiographyidentifiescoronaryarterydiseasein690patientsaretrospectivestudyfromasinglecenter AT yangchenguang twodimensionalspeckletrackingechocardiographyidentifiescoronaryarterydiseasein690patientsaretrospectivestudyfromasinglecenter AT liyi twodimensionalspeckletrackingechocardiographyidentifiescoronaryarterydiseasein690patientsaretrospectivestudyfromasinglecenter AT guoying twodimensionalspeckletrackingechocardiographyidentifiescoronaryarterydiseasein690patientsaretrospectivestudyfromasinglecenter AT mengxuyang twodimensionalspeckletrackingechocardiographyidentifiescoronaryarterydiseasein690patientsaretrospectivestudyfromasinglecenter AT renyirong twodimensionalspeckletrackingechocardiographyidentifiescoronaryarterydiseasein690patientsaretrospectivestudyfromasinglecenter AT tanlong twodimensionalspeckletrackingechocardiographyidentifiescoronaryarterydiseasein690patientsaretrospectivestudyfromasinglecenter AT zhangruisheng twodimensionalspeckletrackingechocardiographyidentifiescoronaryarterydiseasein690patientsaretrospectivestudyfromasinglecenter AT wangfang twodimensionalspeckletrackingechocardiographyidentifiescoronaryarterydiseasein690patientsaretrospectivestudyfromasinglecenter |