Quantitative assessment of myocardial work in patients undergoing percutaneous coronary intervention by non-invasive left ventricular pressure-strain loop
ZHANG Pengying, XUE Ting, CHEN Yun’an, et al. Quantitative assessment of myocardial work in patients undergoing percutaneous coronary intervention by non-invasive left ventricular pressure-strain loop[J]. Journal of Clinical Ultrasound in Medicine, 2021,23(5):337-341.
ZHANG Pengying, XUE Ting, CHEN Yun’an, et al. Quantitative assessment of myocardial work in patients undergoing percutaneous coronary intervention by non-invasive left ventricular pressure-strain loop[J]. Journal of Clinical Ultrasound in Medicine, 2021,23(5):337-341. DOI: 10.16245/j.cnki.issn1008-6978.2021.05.006.
ObjectiveTo explore the application value of non-invasive left ventricular pressure-strain loop(LV-PSL)in quantitative assessment of myocardial work before and after percutaneous coronary intervention(PCI)in patients with coronary artery disease(CAD).MethodsThirty CAD patients(case group)who underwent PCI in our hospital and 30 healthy subjects(control group)were prospectively selected.The left ventricular end-diastolic volume(LVEDV)
left ventricular endsystolic volume(LVESV)and left ventricular ejection fraction(LVEF)were calculated by modified biplane Simpson method.The left ventricular global longitudinal strain(GLS)was measured by the two-dimensional speckle tracking echocardiography(2D-STE) myocardial automated functional imaging.The left ventricular global myocardial work index(GWI)
global myocardial constructive work(GCW)
global myocardial wasted work(GWW)and global myocardial work efficiency(GWE)were assessed by non-invasive LV-PSL.The differences of those parameters were compared between the control group and the case group before and 3 d after surgery.And the correlations of GWI
GCW
GWW
GWE with LVEF and GLS were analyzed.ResultsCompared with the control group
the LVEDV
LVESV and GWW of the case group were significantly increased before and 3 d after PCI
and the LVEF
GLS
GWI
GCW and GWE were significantly decreased
and the differences were statistically significant(all P<0.05).And compared with the case group before PCI
GWW was significantly decreased and GWE was significantly increased 3 d after PCI
and the differences were statistically significant(both P<0.05)
while the LVEDV
LVESV
LVEF
GLS
GWI and GCW had no significant changes.GWI
GCW
GWW
GWE were significantly correlated with LVEF and GLS(all P=0.00).ConclusionNon-invasive LV-PSL technology can be used to quantitatively evaluate left ventricular myocardial work in CAD patients before and after PCI
and provide a new method to accurately evaluate the effect of CAD on myocardial function and the recovery effect of myocardial function in the short term post-PCI.
关键词
左室压力-应变环心肌做功冠状动脉粥样硬化性心脏病经皮冠状动脉介入治疗
Keywords
Left ventricular pressure-strain loopMyocardial workCoronary artery diseasePercutaneouscoronary intervention