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open access

Vol 30, No 1 (2023)
Original Article
Submitted: 2021-10-05
Accepted: 2022-03-24
Published online: 2022-04-19
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Speckle-tracking echocardiographic evaluation of the right ventricle in patients with ischemic left ventricular dysfunction

Dorota Smolarek1, Wojciech Sobiczewski2, Maria Dudziak1, Marcin Hellmann1
DOI: 10.5603/CJ.a2022.0024
·
Pubmed: 35470416
·
Cardiol J 2023;30(1):73-81.
Affiliations
  1. Department of Cardiac Diagnostics, Medical University, Gdansk, Poland
  2. 1st Department of Cardiology, Medical University, Gdansk, Poland

open access

Vol 30, No 1 (2023)
Original articles — Clinical cardiology
Submitted: 2021-10-05
Accepted: 2022-03-24
Published online: 2022-04-19

Abstract

Background: The comprehensive assessment of right ventricular (RV) performance is of paramount
importance because it is has been recognized as a strong prognostic factor in a variety of clinical settings.
The aim herein was to evaluate the usefulness of RV longitudinal strain imaging by speckle-tracking
echocardiography (STE) in daily clinical practice, especially in the context of RV systolic function and
its changes after acute coronary syndrome (ACS).
Methods: This prospective study enrolled 63 patients with ischemic injury (left ventricular ejection
fraction [LVEF] ≤ 45%). Additionally, a subgroup was created: patients with ACS treated with successful
percutaneous coronary intervention. The clinical and echocardiographic parameters, including
STE, were analyzed.
Results: Significant correlations for both RV free-wall (RVFWSL) and four-chamber (RV4CSL) longitudinal
strain evaluated by STE with New York Heart Association class, LVEF, E/E’ ratio, as well as
conventional parameters of RV function were found. RVFWSL was able to detect subtle RV functional
abnormalities, unreachable for traditional indices. RV recovery after ACS was not related to higher
LVEF but better contractility of the interventricular septum (IVS) assessed by STE.
Conclusions: Right ventricular strain proved to be a useful two-dimensional echocardiographic
method to detect impaired RV performance, which showed a significant relationship with clinical and
other echocardiographic indices. The IVS played a vital role in RV recovery among ACS survivors.

Abstract

Background: The comprehensive assessment of right ventricular (RV) performance is of paramount
importance because it is has been recognized as a strong prognostic factor in a variety of clinical settings.
The aim herein was to evaluate the usefulness of RV longitudinal strain imaging by speckle-tracking
echocardiography (STE) in daily clinical practice, especially in the context of RV systolic function and
its changes after acute coronary syndrome (ACS).
Methods: This prospective study enrolled 63 patients with ischemic injury (left ventricular ejection
fraction [LVEF] ≤ 45%). Additionally, a subgroup was created: patients with ACS treated with successful
percutaneous coronary intervention. The clinical and echocardiographic parameters, including
STE, were analyzed.
Results: Significant correlations for both RV free-wall (RVFWSL) and four-chamber (RV4CSL) longitudinal
strain evaluated by STE with New York Heart Association class, LVEF, E/E’ ratio, as well as
conventional parameters of RV function were found. RVFWSL was able to detect subtle RV functional
abnormalities, unreachable for traditional indices. RV recovery after ACS was not related to higher
LVEF but better contractility of the interventricular septum (IVS) assessed by STE.
Conclusions: Right ventricular strain proved to be a useful two-dimensional echocardiographic
method to detect impaired RV performance, which showed a significant relationship with clinical and
other echocardiographic indices. The IVS played a vital role in RV recovery among ACS survivors.

Full Text:

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Keywords

right ventricle, speckle-tracking echocardiography, longitudinal strain, acute coronary syndrome, left ventricular fraction

About this article
Title

Speckle-tracking echocardiographic evaluation of the right ventricle in patients with ischemic left ventricular dysfunction

Journal

Cardiology Journal

Issue

Vol 30, No 1 (2023)

Article type

Original Article

Pages

73-81

Published online

2022-04-19

Page views

2937

Article views/downloads

474

DOI

10.5603/CJ.a2022.0024

Pubmed

35470416

Bibliographic record

Cardiol J 2023;30(1):73-81.

Keywords

right ventricle
speckle-tracking echocardiography
longitudinal strain
acute coronary syndrome
left ventricular fraction

Authors

Dorota Smolarek
Wojciech Sobiczewski
Maria Dudziak
Marcin Hellmann

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