Myocardial strain pattern progress in patients with Coarctation of the Aorta undergoing aortic stenting
Background and Aim Ventricular function evaluation in coarctation of the aorta (CoA) has become more sophisticated and precise with speckle tracking, revealing subclinical changes. However, CoA stenting treatment effects in on myocardial strain are still controversial. This study aimed to estimate t...
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| Veröffentlicht in: | Echocardiography (Mount Kisco, N.Y.) N.Y.), 2021-01, Vol.38 (1), p.64-71 |
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| creator | Aragão, Natalia Freitas de Deus Vale Borgo, Juliana Nicchio Valentim Jesus, Carlos Alberto de Davoglio, Tathiane Armstrong, Anderson da Costa Barretto, Rodrigo Bellio de Mattos Le Bihan, David Assef, Jorge Eduardo Pedra, Carlos Augusto Cardoso Pedra, Simone Rolim Fernandes Fontes |
| description | Background and Aim
Ventricular function evaluation in coarctation of the aorta (CoA) has become more sophisticated and precise with speckle tracking, revealing subclinical changes. However, CoA stenting treatment effects in on myocardial strain are still controversial. This study aimed to estimate the extent to which changes in left ventricular global longitudinal strain (LV GLS) occur in patients with CoA who undergo stenting.
Methods
The study included 21 patients with CoA (median age: 15 years [8–39]) and 21 healthy individuals matched by age and gender. Clinical and echocardiographic evaluations were performed 1 day before, 6 months, and 1 year after stenting. Correlations between LV GLS and arm‐leg gradient, isthmus gradient on echocardiogram, age at intervention, left ventricular mass, and ejection fraction were tested.
Results
Before treatment, patients with CoA had lower LV GLS than the control group (−18.4% ± 1.96 vs −21.5% ± 1.37; P |
| doi_str_mv | 10.1111/echo.14937 |
| format | Article |
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Ventricular function evaluation in coarctation of the aorta (CoA) has become more sophisticated and precise with speckle tracking, revealing subclinical changes. However, CoA stenting treatment effects in on myocardial strain are still controversial. This study aimed to estimate the extent to which changes in left ventricular global longitudinal strain (LV GLS) occur in patients with CoA who undergo stenting.
Methods
The study included 21 patients with CoA (median age: 15 years [8–39]) and 21 healthy individuals matched by age and gender. Clinical and echocardiographic evaluations were performed 1 day before, 6 months, and 1 year after stenting. Correlations between LV GLS and arm‐leg gradient, isthmus gradient on echocardiogram, age at intervention, left ventricular mass, and ejection fraction were tested.
Results
Before treatment, patients with CoA had lower LV GLS than the control group (−18.4% ± 1.96 vs −21.5% ± 1.37; P < .01), showing significant increase to −19.4% ± 2.1 at 6 months and −20.7% ± 2.19 at 1 year, P < .001. Only 28.5% (6 patients) had preserved GLS before treatment, improving to 80.9% (17 patients) in 1 year. The only variable correlated with low LV GLS values before treatment was age at intervention (Spearman's index = −0.571; P = .007).
Conclusion
Percutaneous therapy showed significant LV GLS improvement 12 months after aortic stenting. Older patients have lower GLS, suggesting that early intervention may have positive effects on preservation of LV systolic function.</description><identifier>ISSN: 0742-2822</identifier><identifier>EISSN: 1540-8175</identifier><identifier>DOI: 10.1111/echo.14937</identifier><identifier>PMID: 33231891</identifier><language>eng</language><publisher>United States</publisher><subject>aorta coarctation ; congenital heart disease ; echocardiography ; myocardial strain ; pediatric echocardiography</subject><ispartof>Echocardiography (Mount Kisco, N.Y.), 2021-01, Vol.38 (1), p.64-71</ispartof><rights>2020 Wiley Periodicals LLC</rights><rights>2020 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3297-c4e6cb6508656b26313d1d9143e8a18b875fd1e7d0be72052cd2ea7de631d1633</citedby><cites>FETCH-LOGICAL-c3297-c4e6cb6508656b26313d1d9143e8a18b875fd1e7d0be72052cd2ea7de631d1633</cites><orcidid>0000-0002-9924-7964</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fecho.14937$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fecho.14937$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33231891$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aragão, Natalia Freitas de Deus Vale</creatorcontrib><creatorcontrib>Borgo, Juliana Nicchio Valentim</creatorcontrib><creatorcontrib>Jesus, Carlos Alberto de</creatorcontrib><creatorcontrib>Davoglio, Tathiane</creatorcontrib><creatorcontrib>Armstrong, Anderson da Costa</creatorcontrib><creatorcontrib>Barretto, Rodrigo Bellio de Mattos</creatorcontrib><creatorcontrib>Le Bihan, David</creatorcontrib><creatorcontrib>Assef, Jorge Eduardo</creatorcontrib><creatorcontrib>Pedra, Carlos Augusto Cardoso</creatorcontrib><creatorcontrib>Pedra, Simone Rolim Fernandes Fontes</creatorcontrib><title>Myocardial strain pattern progress in patients with Coarctation of the Aorta undergoing aortic stenting</title><title>Echocardiography (Mount Kisco, N.Y.)</title><addtitle>Echocardiography</addtitle><description>Background and Aim
Ventricular function evaluation in coarctation of the aorta (CoA) has become more sophisticated and precise with speckle tracking, revealing subclinical changes. However, CoA stenting treatment effects in on myocardial strain are still controversial. This study aimed to estimate the extent to which changes in left ventricular global longitudinal strain (LV GLS) occur in patients with CoA who undergo stenting.
Methods
The study included 21 patients with CoA (median age: 15 years [8–39]) and 21 healthy individuals matched by age and gender. Clinical and echocardiographic evaluations were performed 1 day before, 6 months, and 1 year after stenting. Correlations between LV GLS and arm‐leg gradient, isthmus gradient on echocardiogram, age at intervention, left ventricular mass, and ejection fraction were tested.
Results
Before treatment, patients with CoA had lower LV GLS than the control group (−18.4% ± 1.96 vs −21.5% ± 1.37; P < .01), showing significant increase to −19.4% ± 2.1 at 6 months and −20.7% ± 2.19 at 1 year, P < .001. Only 28.5% (6 patients) had preserved GLS before treatment, improving to 80.9% (17 patients) in 1 year. The only variable correlated with low LV GLS values before treatment was age at intervention (Spearman's index = −0.571; P = .007).
Conclusion
Percutaneous therapy showed significant LV GLS improvement 12 months after aortic stenting. Older patients have lower GLS, suggesting that early intervention may have positive effects on preservation of LV systolic function.</description><subject>aorta coarctation</subject><subject>congenital heart disease</subject><subject>echocardiography</subject><subject>myocardial strain</subject><subject>pediatric echocardiography</subject><issn>0742-2822</issn><issn>1540-8175</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LxDAQhoMouq5e_AGSowjVTNI23aMs6wcoe9FzSZPpbqTbaJIi--_N2tWjuQx5eeZheAm5AHYD6d2iXrsbyGdCHpAJFDnLKpDFIZkwmfOMV5yfkNMQ3hljEiA_JidCcAHVDCZk9bJ1WnljVUdD9Mr29EPFiD5N71YeQ6BjZrGPgX7ZuKZzp7yOKXI9dS2Na6R3zkdFh96gXznbr6hKgdXJmdbS_4wctaoLeL6fU_J2v3idP2bPy4en-d1zpgWfyUznWOqmLFhVFmXDSwHCgJlBLrBSUDWVLFoDKA1rUHJWcG04KmkwkQZKIabkavSm6z8HDLHe2KCx61SPbgg1z8scCuAlS-j1iGrvQvDY1h_ebpTf1sDqXbH1rtj6p9gEX-69Q7NB84f-NpkAGIEv2-H2H1W9mD8uR-k30imEaQ</recordid><startdate>202101</startdate><enddate>202101</enddate><creator>Aragão, Natalia Freitas de Deus Vale</creator><creator>Borgo, Juliana Nicchio Valentim</creator><creator>Jesus, Carlos Alberto de</creator><creator>Davoglio, Tathiane</creator><creator>Armstrong, Anderson da Costa</creator><creator>Barretto, Rodrigo Bellio de Mattos</creator><creator>Le Bihan, David</creator><creator>Assef, Jorge Eduardo</creator><creator>Pedra, Carlos Augusto Cardoso</creator><creator>Pedra, Simone Rolim Fernandes Fontes</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9924-7964</orcidid></search><sort><creationdate>202101</creationdate><title>Myocardial strain pattern progress in patients with Coarctation of the Aorta undergoing aortic stenting</title><author>Aragão, Natalia Freitas de Deus Vale ; Borgo, Juliana Nicchio Valentim ; Jesus, Carlos Alberto de ; Davoglio, Tathiane ; Armstrong, Anderson da Costa ; Barretto, Rodrigo Bellio de Mattos ; Le Bihan, David ; Assef, Jorge Eduardo ; Pedra, Carlos Augusto Cardoso ; Pedra, Simone Rolim Fernandes Fontes</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3297-c4e6cb6508656b26313d1d9143e8a18b875fd1e7d0be72052cd2ea7de631d1633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>aorta coarctation</topic><topic>congenital heart disease</topic><topic>echocardiography</topic><topic>myocardial strain</topic><topic>pediatric echocardiography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aragão, Natalia Freitas de Deus Vale</creatorcontrib><creatorcontrib>Borgo, Juliana Nicchio Valentim</creatorcontrib><creatorcontrib>Jesus, Carlos Alberto de</creatorcontrib><creatorcontrib>Davoglio, Tathiane</creatorcontrib><creatorcontrib>Armstrong, Anderson da Costa</creatorcontrib><creatorcontrib>Barretto, Rodrigo Bellio de Mattos</creatorcontrib><creatorcontrib>Le Bihan, David</creatorcontrib><creatorcontrib>Assef, Jorge Eduardo</creatorcontrib><creatorcontrib>Pedra, Carlos Augusto Cardoso</creatorcontrib><creatorcontrib>Pedra, Simone Rolim Fernandes Fontes</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aragão, Natalia Freitas de Deus Vale</au><au>Borgo, Juliana Nicchio Valentim</au><au>Jesus, Carlos Alberto de</au><au>Davoglio, Tathiane</au><au>Armstrong, Anderson da Costa</au><au>Barretto, Rodrigo Bellio de Mattos</au><au>Le Bihan, David</au><au>Assef, Jorge Eduardo</au><au>Pedra, Carlos Augusto Cardoso</au><au>Pedra, Simone Rolim Fernandes Fontes</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Myocardial strain pattern progress in patients with Coarctation of the Aorta undergoing aortic stenting</atitle><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle><addtitle>Echocardiography</addtitle><date>2021-01</date><risdate>2021</risdate><volume>38</volume><issue>1</issue><spage>64</spage><epage>71</epage><pages>64-71</pages><issn>0742-2822</issn><eissn>1540-8175</eissn><abstract>Background and Aim
Ventricular function evaluation in coarctation of the aorta (CoA) has become more sophisticated and precise with speckle tracking, revealing subclinical changes. However, CoA stenting treatment effects in on myocardial strain are still controversial. This study aimed to estimate the extent to which changes in left ventricular global longitudinal strain (LV GLS) occur in patients with CoA who undergo stenting.
Methods
The study included 21 patients with CoA (median age: 15 years [8–39]) and 21 healthy individuals matched by age and gender. Clinical and echocardiographic evaluations were performed 1 day before, 6 months, and 1 year after stenting. Correlations between LV GLS and arm‐leg gradient, isthmus gradient on echocardiogram, age at intervention, left ventricular mass, and ejection fraction were tested.
Results
Before treatment, patients with CoA had lower LV GLS than the control group (−18.4% ± 1.96 vs −21.5% ± 1.37; P < .01), showing significant increase to −19.4% ± 2.1 at 6 months and −20.7% ± 2.19 at 1 year, P < .001. Only 28.5% (6 patients) had preserved GLS before treatment, improving to 80.9% (17 patients) in 1 year. The only variable correlated with low LV GLS values before treatment was age at intervention (Spearman's index = −0.571; P = .007).
Conclusion
Percutaneous therapy showed significant LV GLS improvement 12 months after aortic stenting. Older patients have lower GLS, suggesting that early intervention may have positive effects on preservation of LV systolic function.</abstract><cop>United States</cop><pmid>33231891</pmid><doi>10.1111/echo.14937</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-9924-7964</orcidid></addata></record> |
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| subjects | aorta coarctation congenital heart disease echocardiography myocardial strain pediatric echocardiography |
| title | Myocardial strain pattern progress in patients with Coarctation of the Aorta undergoing aortic stenting |
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