The role of two-dimensional speckle tracking echocardiography in evaluating left ventricular function of patients with multi-vessel coronary artery disease / 中国医师杂志

ABSTRACT

Objective To explore the role of two-dimensional speckle tracking echocardiography in evaluating left ventricular function of patients with multi-vessel coronary artery disease (MVD).Methods 40 patients with MVD without obviously abnormal ventricular wall activity admitted to our hospital from June 2017 to January 2018 were selected as the study objects,and were classified as MVD group,and 42 normal persons were selected as the control group.The left atrial end systolic diameter (LAd) and left ventricular end diastolic diameter (LVEDD) were measured by echocardiography,and then the dynamic gray scale images of all patients were collected.The left ventricular global systolic longitudinal strain (GLS),left ventricular global radial strain (GRS),global circumferential strain (GCS),left ventricular basal global longitudinal strain (Bas-GLS),basal global circumferential strain (Bas-GCS),basal global radial strain (BasGRS),middle global longitudinal strain (Mid-GLS),middle global circumferential strain (Mid-GCS),middle global radial strain (Mid-GRS),global longitudinal strain of apical segment (Ap-GLS),global circumferential strain value of apical segment (Ap-GCS),and global radial strain value of apical segment (Ap-GRS) were measured by two-dimensional speckle tracking technique.Results In MVD group,84.21％ of patients with coronary artery occlusion or subtotal occlusion showed collateral formation on coronary angiography;there was no significant difference in the indexes detected by conventional echocardiography (P ＞ 0.05).The GLS,Bas-GLS,Mid-GLS,Bas-GCS,Mid-GCS,GRS,and Bas-GRS in MVD group were significantly lower than those in control group,with statistically significant differences (P ＜ 0.05).Conclusions Compared with echocardiography,two-dimensional speckle tracking technique can detect myocardial lesions more sensitively in patients with coronary multi-vessel disease without abnormal wall activity,and find out the dysfunction of myocardial contraction,especially the damage of longitudinal myocardial contraction and the damage of basal myocardium.