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Erschienen in: The International Journal of Cardiovascular Imaging 10/2019

25.05.2019 | Original Paper

Should the septum be included in the assessment of right ventricular longitudinal strain? An ultrasound two-dimensional speckle-tracking stress study

verfasst von: Maria Sanz-de la Garza, Geneviève Giraldeau, Josefa Marin, Sebastian Imre Sarvari, Eduard Guasch, Luigi Gabrielli, Carlos Brambila, Bart Bijnens, Marta Sitges

Erschienen in: The International Journal of Cardiovascular Imaging | Ausgabe 10/2019

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Abstract

Right ventricular longitudinal strain (RVLS) by 2D speckle-tracking echocardiography (2D-STE) is a useful parameter for assessing systolic function. However, the exact method to perform it is not well defined as some authors evaluate only free wall (FW) segments while others include all six RV segments. To compare the assessment of RVLS at rest and during exercise by these two approaches. Echocardiography was performed on 80 healthy subjects at rest and during exercise. The analysis consisted of standard and 2D-STE assessment of RV global and segmental strain tracing only RVFW and also tracing all six RV segments. At rest, RVLS could be assessed in 78 (feasibility 97.5%) subjects by both methods. However, during exercise, RVLS by RVFW method was feasible in 67 (83.8%) as compared to 74 (92.5%) by RV6S approach. Both at rest and during exercise, RVLS values by the two methods showed excellent correlation (r =  > 0.90). However, RVLS values assessed by RV6S were lower (absolute values) than those by RVFW approach (RV6S vs. RVFW; rest: − 27.0 ± 3.9 vs. − 9.5 ± 3.9, p < 0.001 and exercise: − 30.7 ± 5.2 vs. − 33.3 ± 5.1, p < 0.001). Furthermore, basal strain was higher and apical strain lower (absolute values) by RV6S approach. At rest, reproducibility for RVLS was excellent and similar for the two methods. However, during exercise, reproducibility for RVFW method was poorer, especially at the apex. The two currently described methods for RVLS assessment by 2D-STE demonstrated excellent agreement. However, the RV6S approach seemed to be more feasible and reproducible, particularly during exercise. Moreover, global and segmental strain values are different with both methods and should not be interchanged.
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Metadaten
Titel
Should the septum be included in the assessment of right ventricular longitudinal strain? An ultrasound two-dimensional speckle-tracking stress study
verfasst von
Maria Sanz-de la Garza
Geneviève Giraldeau
Josefa Marin
Sebastian Imre Sarvari
Eduard Guasch
Luigi Gabrielli
Carlos Brambila
Bart Bijnens
Marta Sitges
Publikationsdatum
25.05.2019
Verlag
Springer Netherlands
Erschienen in
The International Journal of Cardiovascular Imaging / Ausgabe 10/2019
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-019-01633-6

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