Speckle-tracking echocardiography for predicting outcome in chronic aortic regurgitation during conservative management and after surgery

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Standard

Speckle-tracking echocardiography for predicting outcome in chronic aortic regurgitation during conservative management and after surgery. / Olsen, Niels Thue; Søgaard, Peter; Larsson, Henrik B W; Goetze, Jens Peter; Jøns, Christian; Møgelvang, Rasmus; Nielsen, Olav W; Fritz-Hansen, Thomas.

I: JACC - Cardiovascular Imaging, Bind 4, Nr. 3, 01.03.2011, s. 223-30.

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Harvard

Olsen, NT, Søgaard, P, Larsson, HBW, Goetze, JP, Jøns, C, Møgelvang, R, Nielsen, OW & Fritz-Hansen, T 2011, 'Speckle-tracking echocardiography for predicting outcome in chronic aortic regurgitation during conservative management and after surgery', JACC - Cardiovascular Imaging, bind 4, nr. 3, s. 223-30. https://doi.org/10.1016/j.jcmg.2010.11.016, https://doi.org/10.1016/j.jcmg.2010.11.016

APA

Olsen, N. T., Søgaard, P., Larsson, H. B. W., Goetze, J. P., Jøns, C., Møgelvang, R., Nielsen, O. W., & Fritz-Hansen, T. (2011). Speckle-tracking echocardiography for predicting outcome in chronic aortic regurgitation during conservative management and after surgery. JACC - Cardiovascular Imaging, 4(3), 223-30. https://doi.org/10.1016/j.jcmg.2010.11.016, https://doi.org/10.1016/j.jcmg.2010.11.016

Vancouver

Olsen NT, Søgaard P, Larsson HBW, Goetze JP, Jøns C, Møgelvang R o.a. Speckle-tracking echocardiography for predicting outcome in chronic aortic regurgitation during conservative management and after surgery. JACC - Cardiovascular Imaging. 2011 mar. 1;4(3):223-30. https://doi.org/10.1016/j.jcmg.2010.11.016, https://doi.org/10.1016/j.jcmg.2010.11.016

Author

Olsen, Niels Thue ; Søgaard, Peter ; Larsson, Henrik B W ; Goetze, Jens Peter ; Jøns, Christian ; Møgelvang, Rasmus ; Nielsen, Olav W ; Fritz-Hansen, Thomas. / Speckle-tracking echocardiography for predicting outcome in chronic aortic regurgitation during conservative management and after surgery. I: JACC - Cardiovascular Imaging. 2011 ; Bind 4, Nr. 3. s. 223-30.

Bibtex

@article{8702b7893f88493584678324c2635e76,
title = "Speckle-tracking echocardiography for predicting outcome in chronic aortic regurgitation during conservative management and after surgery",
abstract = "Objectives The aim of this study was to test myocardial deformation imaging using speckle-tracking echocardiography for predicting outcomes in chronic aortic regurgitation. Background In chronic aortic regurgitation, left ventricular (LV) dysfunction must be detected early to allow timely surgery. Speckle-tracking echocardiography has been proposed for this purpose, but the clinical value of this method in aortic regurgitation has not been established. Methods A longitudinal study was performed in 64 patients with moderate to severe aortic regurgitation. Thirty-five patients were managed conservatively with frequent clinical visits and sequential echocardiography and followed for an average of 19 ± 8 months, while 29 patients underwent surgery for the valve lesion and were followed for 6 months post-operatively. Baseline LV function by speckle-tracking and conventional echocardiography was compared with impaired outcome after surgery (defined as persisting symptoms or persisting LV dilation [LV end-diastolic volume index =87 ml/m2] or dysfunction [LV ejection fraction <50%]) and with disease progression during conservative management (defined as development of symptoms, increase in LV volume >15%, or decrease in LV ejection fraction >10%). Results Reduced myocardial systolic strain, systolic strain rate, and early diastolic strain rate by speckle-tracking echocardiography was associated with disease progression during conservative management (-16.3% vs. -19.0%, p = 0.02; -1.04 vs. -1.19 s-1, p = 0.02; and 1.20 vs. 1.60 s-1, p = 0.002, respectively) and with impaired outcome after surgery (-11.5% vs. -15.6%, p = 0.01; -0.88 vs. -1.01 s-1, p = 0.04; and 0.98 vs. 1.33 s-1, p = 0.01, respectively). Conventional parameters of LV function and size (LV ejection fraction and LV end-diastolic volume index) were associated with outcome after surgery (p = 0.04 and p = 0.01, respectively) but not with outcome during conservative management (p = 0.57 and p = 0.39, respectively). Conclusions Speckle-tracking echocardiography is useful for the early detection of LV systolic and diastolic dysfunction in chronic aortic regurgitation. ",
author = "Olsen, {Niels Thue} and Peter S{\o}gaard and Larsson, {Henrik B W} and Goetze, {Jens Peter} and Christian J{\o}ns and Rasmus M{\o}gelvang and Nielsen, {Olav W} and Thomas Fritz-Hansen",
note = "Copyright {\textcopyright} 2011 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.",
year = "2011",
month = mar,
day = "1",
doi = "10.1016/j.jcmg.2010.11.016",
language = "English",
volume = "4",
pages = "223--30",
journal = "J A C C: Cardiovascular Imaging",
issn = "1936-878X",
publisher = "Elsevier",
number = "3",

}

RIS

TY - JOUR

T1 - Speckle-tracking echocardiography for predicting outcome in chronic aortic regurgitation during conservative management and after surgery

AU - Olsen, Niels Thue

AU - Søgaard, Peter

AU - Larsson, Henrik B W

AU - Goetze, Jens Peter

AU - Jøns, Christian

AU - Møgelvang, Rasmus

AU - Nielsen, Olav W

AU - Fritz-Hansen, Thomas

N1 - Copyright © 2011 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

PY - 2011/3/1

Y1 - 2011/3/1

N2 - Objectives The aim of this study was to test myocardial deformation imaging using speckle-tracking echocardiography for predicting outcomes in chronic aortic regurgitation. Background In chronic aortic regurgitation, left ventricular (LV) dysfunction must be detected early to allow timely surgery. Speckle-tracking echocardiography has been proposed for this purpose, but the clinical value of this method in aortic regurgitation has not been established. Methods A longitudinal study was performed in 64 patients with moderate to severe aortic regurgitation. Thirty-five patients were managed conservatively with frequent clinical visits and sequential echocardiography and followed for an average of 19 ± 8 months, while 29 patients underwent surgery for the valve lesion and were followed for 6 months post-operatively. Baseline LV function by speckle-tracking and conventional echocardiography was compared with impaired outcome after surgery (defined as persisting symptoms or persisting LV dilation [LV end-diastolic volume index =87 ml/m2] or dysfunction [LV ejection fraction <50%]) and with disease progression during conservative management (defined as development of symptoms, increase in LV volume >15%, or decrease in LV ejection fraction >10%). Results Reduced myocardial systolic strain, systolic strain rate, and early diastolic strain rate by speckle-tracking echocardiography was associated with disease progression during conservative management (-16.3% vs. -19.0%, p = 0.02; -1.04 vs. -1.19 s-1, p = 0.02; and 1.20 vs. 1.60 s-1, p = 0.002, respectively) and with impaired outcome after surgery (-11.5% vs. -15.6%, p = 0.01; -0.88 vs. -1.01 s-1, p = 0.04; and 0.98 vs. 1.33 s-1, p = 0.01, respectively). Conventional parameters of LV function and size (LV ejection fraction and LV end-diastolic volume index) were associated with outcome after surgery (p = 0.04 and p = 0.01, respectively) but not with outcome during conservative management (p = 0.57 and p = 0.39, respectively). Conclusions Speckle-tracking echocardiography is useful for the early detection of LV systolic and diastolic dysfunction in chronic aortic regurgitation.

AB - Objectives The aim of this study was to test myocardial deformation imaging using speckle-tracking echocardiography for predicting outcomes in chronic aortic regurgitation. Background In chronic aortic regurgitation, left ventricular (LV) dysfunction must be detected early to allow timely surgery. Speckle-tracking echocardiography has been proposed for this purpose, but the clinical value of this method in aortic regurgitation has not been established. Methods A longitudinal study was performed in 64 patients with moderate to severe aortic regurgitation. Thirty-five patients were managed conservatively with frequent clinical visits and sequential echocardiography and followed for an average of 19 ± 8 months, while 29 patients underwent surgery for the valve lesion and were followed for 6 months post-operatively. Baseline LV function by speckle-tracking and conventional echocardiography was compared with impaired outcome after surgery (defined as persisting symptoms or persisting LV dilation [LV end-diastolic volume index =87 ml/m2] or dysfunction [LV ejection fraction <50%]) and with disease progression during conservative management (defined as development of symptoms, increase in LV volume >15%, or decrease in LV ejection fraction >10%). Results Reduced myocardial systolic strain, systolic strain rate, and early diastolic strain rate by speckle-tracking echocardiography was associated with disease progression during conservative management (-16.3% vs. -19.0%, p = 0.02; -1.04 vs. -1.19 s-1, p = 0.02; and 1.20 vs. 1.60 s-1, p = 0.002, respectively) and with impaired outcome after surgery (-11.5% vs. -15.6%, p = 0.01; -0.88 vs. -1.01 s-1, p = 0.04; and 0.98 vs. 1.33 s-1, p = 0.01, respectively). Conventional parameters of LV function and size (LV ejection fraction and LV end-diastolic volume index) were associated with outcome after surgery (p = 0.04 and p = 0.01, respectively) but not with outcome during conservative management (p = 0.57 and p = 0.39, respectively). Conclusions Speckle-tracking echocardiography is useful for the early detection of LV systolic and diastolic dysfunction in chronic aortic regurgitation.

U2 - 10.1016/j.jcmg.2010.11.016

DO - 10.1016/j.jcmg.2010.11.016

M3 - Journal article

C2 - 21414568

VL - 4

SP - 223

EP - 230

JO - J A C C: Cardiovascular Imaging

JF - J A C C: Cardiovascular Imaging

SN - 1936-878X

IS - 3

ER -

ID: 34065738