Assessment of the left ventricular systolic function in cardiac syndrome X using speckle tracking echocardiography

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dc.authoridCansel, Mehmet/0000-0003-4740-4371
dc.authoridAkaycan, Jülide/0000-0002-9174-6777
dc.authorwosidErmis, Necip/A-5184-2018
dc.authorwosidCansel, Mehmet/ABI-6324-2020
dc.authorwosidErmis, Necip/HJP-7061-2023
dc.authorwosidAkaycan, Jülide/ABI-2397-2020
dc.contributor.authorYagmur, Julide
dc.contributor.authorAcikgoz, Nusret
dc.contributor.authorCansel, Mehmet
dc.contributor.authorErmis, Necip
dc.contributor.authorKarakus, Yasin
dc.contributor.authorKurtoglu, Ertugrul
dc.date.accessioned2024-08-04T20:09:50Z
dc.date.available2024-08-04T20:09:50Z
dc.date.issued2016
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: The aim of this study was to evaluate left ventricular (LV) systolic strain by speckle tracking echocardiography (STE) and real-time three-dimensional echocardiography (3-DE) for the early detection of myocardial dysfunction in patients with cardiac syndrome X (CSX). Methods: We compared 34 patients with CSX (18 females, mean age 47.9 +/- 10.0 years) with 41 healthy persons as a control group (23 females, mean age 50.6 +/- 9.9 years). Inclusion criteria for CSX were typical angina, a positive exercise ECG stress test, and angiographically documented normal coronary arteries. Exclusion criteria for both groups were hypertension, valvular heart disease, cardiomyopathies, inflammatory diseases, myocarditis, vasculitis, arthropathies, Tietze's syndrome, gastrointestinal diseases, aortic diseases, hormone replacement therapy, arrhythmias, liver diseases, and alcohol use. All subjects underwent two-dimensional STE and 3-DE to assess resting LV function. STE measures were taken from the basal septum, mid-septum, apical septum, apex, apicolateral, mid-lateral, basal lateral, anteroseptal, anterior, anterolateral, inferolateral, inferior, and inferoseptal walls. Student's t-test, Mann-Whitney U test, and chi-square test were used to statistically analyze data. Results: LV echo ejection fraction (EF) and systolic wave peak velocity were similar for both groups. Regional mean longitudinal strain (-17.7 +/- 2.5% vs. -19.8 +/- 1.8%; p<0.0001) was significantly lower in patients with CSX than in healthy control patients. However, regional mean circumferential strain values (-22.0 +/- 1.6% vs. -22.2 +/- 2.3%; p=0.78) did not differ significantly between the two groups. Conclusion: Significant impairment of LV longitudinal myocardial systolic function was detected with STE in patients with CSX, although normal 3-D EF and tissue Doppler imaging systolic parameters were observed. Arteriosclerosis of small coronary arteries and microvascular dysfunction may affect myocardial longitudinal strain.en_US
dc.identifier.doi10.5152/AnatolJCardiol.2015.6388
dc.identifier.endpage423en_US
dc.identifier.issn2149-2263
dc.identifier.issn2149-2271
dc.identifier.issue6en_US
dc.identifier.pmid26680547en_US
dc.identifier.scopus2-s2.0-84994667694en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage419en_US
dc.identifier.trdizinid238292en_US
dc.identifier.urihttps://doi.org/10.5152/AnatolJCardiol.2015.6388
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/238292
dc.identifier.urihttps://hdl.handle.net/11616/92466
dc.identifier.volume16en_US
dc.identifier.wosWOS:000384425200007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Soc Cardiologyen_US
dc.relation.ispartofAnatolian Journal of Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectcardiac syndrome Xen_US
dc.subjectspeckle tracking echocardiographyen_US
dc.subjectstrainen_US
dc.titleAssessment of the left ventricular systolic function in cardiac syndrome X using speckle tracking echocardiographyen_US
dc.typeArticleen_US

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