用2D斑点追踪法评估心肌应变,评价有或无心力衰竭患者心脏康复的效果

N. Hrynchyshyn , M.T. Bailly , A. Briedj , P. Jourdain , F. Bailly
{"title":"用2D斑点追踪法评估心肌应变,评价有或无心力衰竭患者心脏康复的效果","authors":"N. Hrynchyshyn ,&nbsp;M.T. Bailly ,&nbsp;A. Briedj ,&nbsp;P. Jourdain ,&nbsp;F. Bailly","doi":"10.1016/j.acvdsp.2023.04.015","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Cardiac rehabilitation improves the subjective condition of the patient but little is known about associated structural and functional cardiac adaptations specifically the myocardial strain.</p></div><div><h3>Objective</h3><p>To evaluate the impact of rehabilitation on structural and functional cardiac parameters using myocardial strain assessment by 2D Speckle Tracking.</p></div><div><h3>Method</h3><p><span><span>The study group consisted of 86 patients: 46 with heart failure with optimal medical treatment and 40 after acute myocardial infarction<span>. A monocentric cohort study<span> has included all patients who performed a 2-months cardiac rehabilitation program during 1 year. Clinical characteristics, a resting ECG, 2-dimensional Doppler echocardiography with </span></span></span>tissue Doppler<span> and strain imaging, and an incremental maximal exercise test on a bicycle ergometer were collected before and after the rehabilitation program. Paired student </span></span><em>t</em>-test for comparison and Pearson's correlation coefficient were used for the statistical analysis.</p></div><div><h3>Results</h3><p>Performance capacity was significantly improved after cardiac rehabilitation: performance in watts 112<!--> <!-->W (±50) vs. 69.8<!--> <!-->W (±34.5); effort test duration 10.7<!--> <!-->min (±4.4) vs. 6.9<!--> <!-->min (±3.1) and 6<!--> <!-->min walking time 565<!--> <!-->m (±127) vs. 496<!--> <!-->m (±113). TEE parameters were significantly improved: LVFE 52.9% (±13) vs. 46.9% (±12.7), E/E’ 6.7 (±1.54) vs. 7.38 (±2.9). Significant difference of strain before and after cardiac rehabilitation 15.38% (+/4.72) vs. 14.12 (±4,79) has been also recorded. BNP level decreased by 29<!--> <!-->ng/dL but not statistically significant from baseline. No significant correlation was found between biological, functional and TTE parameters.</p></div><div><h3>Conclusion</h3><p><span>Strain imaging could be an interesting additional parameter to evaluate the positive response and structural improvement in patients with or without chronic heart failure who are undergoing cardiac rehabilitation (</span><span>Table 1</span>).</p></div>","PeriodicalId":8140,"journal":{"name":"Archives of Cardiovascular Diseases Supplements","volume":null,"pages":null},"PeriodicalIF":18.0000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Myocardial strain assessment by 2D Speckle Tracking to evaluate the effect of cardiac rehabilitation in patients with or without heart failure\",\"authors\":\"N. Hrynchyshyn ,&nbsp;M.T. Bailly ,&nbsp;A. Briedj ,&nbsp;P. Jourdain ,&nbsp;F. Bailly\",\"doi\":\"10.1016/j.acvdsp.2023.04.015\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>Cardiac rehabilitation improves the subjective condition of the patient but little is known about associated structural and functional cardiac adaptations specifically the myocardial strain.</p></div><div><h3>Objective</h3><p>To evaluate the impact of rehabilitation on structural and functional cardiac parameters using myocardial strain assessment by 2D Speckle Tracking.</p></div><div><h3>Method</h3><p><span><span>The study group consisted of 86 patients: 46 with heart failure with optimal medical treatment and 40 after acute myocardial infarction<span>. A monocentric cohort study<span> has included all patients who performed a 2-months cardiac rehabilitation program during 1 year. Clinical characteristics, a resting ECG, 2-dimensional Doppler echocardiography with </span></span></span>tissue Doppler<span> and strain imaging, and an incremental maximal exercise test on a bicycle ergometer were collected before and after the rehabilitation program. Paired student </span></span><em>t</em>-test for comparison and Pearson's correlation coefficient were used for the statistical analysis.</p></div><div><h3>Results</h3><p>Performance capacity was significantly improved after cardiac rehabilitation: performance in watts 112<!--> <!-->W (±50) vs. 69.8<!--> <!-->W (±34.5); effort test duration 10.7<!--> <!-->min (±4.4) vs. 6.9<!--> <!-->min (±3.1) and 6<!--> <!-->min walking time 565<!--> <!-->m (±127) vs. 496<!--> <!-->m (±113). TEE parameters were significantly improved: LVFE 52.9% (±13) vs. 46.9% (±12.7), E/E’ 6.7 (±1.54) vs. 7.38 (±2.9). Significant difference of strain before and after cardiac rehabilitation 15.38% (+/4.72) vs. 14.12 (±4,79) has been also recorded. BNP level decreased by 29<!--> <!-->ng/dL but not statistically significant from baseline. No significant correlation was found between biological, functional and TTE parameters.</p></div><div><h3>Conclusion</h3><p><span>Strain imaging could be an interesting additional parameter to evaluate the positive response and structural improvement in patients with or without chronic heart failure who are undergoing cardiac rehabilitation (</span><span>Table 1</span>).</p></div>\",\"PeriodicalId\":8140,\"journal\":{\"name\":\"Archives of Cardiovascular Diseases Supplements\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":18.0000,\"publicationDate\":\"2023-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of Cardiovascular Diseases Supplements\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1878648023001544\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Cardiovascular Diseases Supplements","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1878648023001544","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 1

摘要

心脏康复改善了患者的主观状况,但对相关的心脏结构和功能适应,特别是心肌应变,知之甚少。目的应用二维散斑追踪心肌应变评估来评估康复对心脏结构和功能参数的影响。方法研究组包括86名患者:46名采用最佳药物治疗的心力衰竭患者和40名急性心肌梗死患者。一项单中心队列研究纳入了所有在一年内进行了两个月心脏康复计划的患者。在康复计划前后收集临床特征、静息心电图、带组织多普勒和应变成像的二维多普勒超声心动图以及自行车测力计上的增量最大运动测试。采用配对学生t检验进行比较,Pearson相关系数进行统计分析。结果心功能康复后,运动能力显著提高:运动功率112W(±50),而运动功率69.8W(±34.5);用力测试持续时间10.7分钟(±4.4)vs.6.9分钟(±3.1)和6分钟步行时间565米(±127)vs.496米(?13)。TEE参数显著改善:LVFE 52.9%(±13)vs.46.9%(±12.7),E/E’6.7(±1.54)vs.7.38(±2.9)。心脏康复前后的应变显著差异15.38%(+/-4.72)vs.14.12(±4.79)。BNP水平下降了29 ng/dL,但与基线相比没有统计学意义。生物学、功能和TTE参数之间没有发现显著相关性。结论应变成像可能是一个有趣的额外参数,用于评估正在接受心脏康复的慢性心力衰竭患者的积极反应和结构改善(表1)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Myocardial strain assessment by 2D Speckle Tracking to evaluate the effect of cardiac rehabilitation in patients with or without heart failure

Introduction

Cardiac rehabilitation improves the subjective condition of the patient but little is known about associated structural and functional cardiac adaptations specifically the myocardial strain.

Objective

To evaluate the impact of rehabilitation on structural and functional cardiac parameters using myocardial strain assessment by 2D Speckle Tracking.

Method

The study group consisted of 86 patients: 46 with heart failure with optimal medical treatment and 40 after acute myocardial infarction. A monocentric cohort study has included all patients who performed a 2-months cardiac rehabilitation program during 1 year. Clinical characteristics, a resting ECG, 2-dimensional Doppler echocardiography with tissue Doppler and strain imaging, and an incremental maximal exercise test on a bicycle ergometer were collected before and after the rehabilitation program. Paired student t-test for comparison and Pearson's correlation coefficient were used for the statistical analysis.

Results

Performance capacity was significantly improved after cardiac rehabilitation: performance in watts 112 W (±50) vs. 69.8 W (±34.5); effort test duration 10.7 min (±4.4) vs. 6.9 min (±3.1) and 6 min walking time 565 m (±127) vs. 496 m (±113). TEE parameters were significantly improved: LVFE 52.9% (±13) vs. 46.9% (±12.7), E/E’ 6.7 (±1.54) vs. 7.38 (±2.9). Significant difference of strain before and after cardiac rehabilitation 15.38% (+/4.72) vs. 14.12 (±4,79) has been also recorded. BNP level decreased by 29 ng/dL but not statistically significant from baseline. No significant correlation was found between biological, functional and TTE parameters.

Conclusion

Strain imaging could be an interesting additional parameter to evaluate the positive response and structural improvement in patients with or without chronic heart failure who are undergoing cardiac rehabilitation (Table 1).

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Archives of Cardiovascular Diseases Supplements
Archives of Cardiovascular Diseases Supplements CARDIAC & CARDIOVASCULAR SYSTEMS-
自引率
0.00%
发文量
508
期刊介绍: Archives of Cardiovascular Diseases Supplements is the official journal of the French Society of Cardiology. The journal publishes original peer-reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches, review articles, editorials, and Images in cardiovascular medicine. The topics covered include coronary artery and valve diseases, interventional and pediatric cardiology, cardiovascular surgery, cardiomyopathy and heart failure, arrhythmias and stimulation, cardiovascular imaging, vascular medicine and hypertension, epidemiology and risk factors, and large multicenter studies. Additionally, Archives of Cardiovascular Diseases also publishes abstracts of papers presented at the annual sessions of the Journées Européennes de la Société Française de Cardiologie and the guidelines edited by the French Society of Cardiology.
期刊最新文献
Editorial Contents How to Report postoperative pediatric cardiac surgery? Review and analysis of the literature Surgical or transcatheter pulmonary valve replacement, how to choose ? No coronary artery in the aorta: Severe congenital malformation under-diagnosed
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1