Speckle tracking echocardiography in severe patient–prosthesis mismatch

dc.authoridTuğba Kemaloğlu Öz / 0000-0003-1168-8237
dc.authorscopusidTuğba Kemaloğlu Öz / 55804564100
dc.authorwosidTuğba Kemaloğlu Öz / HXI-6000-2023
dc.contributor.authorÖsken, Altuğ
dc.contributor.authorÜnal Dayı, Şennur
dc.contributor.authorÖzcan, Kazım Serhan
dc.contributor.authorKeskin, Muhammed
dc.contributor.authorKemaloğlu Öz, Tuğba
dc.contributor.authorPoyraz, Esra
dc.contributor.authorGürkan, Ufuk
dc.contributor.authorAkgöz, Haldun
dc.contributor.authorÇam, Neşe
dc.date.accessioned2021-03-11T08:38:03Z
dc.date.available2021-03-11T08:38:03Z
dc.date.issued2021en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: Although aortic valve replacement (AVR) when successfully performed boasts low mortality rates in selected patients, prosthesis-patient mismatch (PPM) can be found in the majority of these individuals. Limited research is available supporting the benefit of two-dimensional speckle tracking echocardiography (2D-STE) in patients with severe PPM. This study sought to assess myocardial strain using 2D-STE to determine the relationship between subclinical left ventricular (LV) dysfunction and aortic PPM in patients undergoing AVR with preserved LV ejection fraction. Material and methods: We retrospectively examined all consecutive patients with isolated AVR who presented to our center from 2005 to 2018. The data of 1086 patients were analyzed. Severe PPM was defined as an indexed effective orifice area of 0.65 cm2/m2 or less. As a result of the detailed assessment, 54 patients meeting the eligibility criteria were included in the study. Baseline data were collected and compared between the two groups of patients with severe PPM (n = 27) and those with normofunctional aortic prosthesis valve as a control group (n = 27). All patients underwent baseline echocardiography. Global longitudinal strain (GLS) and global circumferential strain (GCS) were evaluated by 2D-STE. Results: When compared with controls, patients with severe PPM had significantly decreased GLS (18.6 ± 2.9 vs. 21.4 ± 2.1; p < 0.01) and GCS (17.2 ± 3.6 vs. 21.7 ± 2.1; p < 0.01) values. Conclusion: In addition to standard clinical and echocardiographic parameters, GLS and GCS suggest subclinical dysfunction and have incremental value in patients with severe PPM.en_US
dc.identifier.citationÖsken, A., Ünal Dayı, Ş., Özcan, K.S. et al. Speckle tracking echocardiography in severe patient–prosthesis mismatch. Herz (2021). https://doi.org/10.1007/s00059-021-05031-4en_US
dc.identifier.doi10.1007/s00059-021-05031-4en_US
dc.identifier.pmid33687479en_US
dc.identifier.scopus2-s2.0-85102250138en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.urihttps://doi.org/10.1007/s00059-021-05031-4
dc.identifier.urihttps://hdl.handle.net/20.500.12713/1546
dc.identifier.wosWOS:000626782100001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorKemaloğlu Öz, Tuğba
dc.language.isoenen_US
dc.publisherSpringer Linken_US
dc.relation.ispartofHerz.en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAortic Valve Replacementen_US
dc.subjectLeft Ventricular Functionen_US
dc.subjectMyocardial Strain Imagingen_US
dc.subjectProsthetic Valveen_US
dc.subjectStrain Rateen_US
dc.titleSpeckle tracking echocardiography in severe patient–prosthesis mismatchen_US
dc.typeArticleen_US

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