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187695

Speckle Tracking Versus Conventional Echocardiography in Patients with Symptomatic Premature Ventricular Contractions

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Last updated: 04 Jan 2025

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Internal Medicine

Abstract

Background:Frequent premature ventricular complexes [PVCs] are linked to the left ventricular [LV] dysfunction. Early diagnosis is crucial for the proper treatment.
Aim of the Work:This study aimed to prove the superiority of modern diagnostic modalities as speckle tracking over the conventional echocardiography in the detection of subtle left ventricular dysfunction in symptomatic PVCs.
Patients and Methods:This study included 40 patients with frequent PVCs and 20 healthy subjects, as a comparison group. The myocardium strain in the circumferential [CS], radial [R] and longitudinal [L] directions were evaluated using conventional echocardiography and speckle tracking imaging.
Result:The study included 21 male and 39 females with age ranging between 22 and 56 years in the study group and between 22 and 57 years in the control group. In the case group, PVCs were more frequent [18.73 ± 7.15]. The two groups have normal resting conventional echocardiography with no evidence of structural heart or systemic disease. In the study group, 25 patients have PVCs arising from the right ventricle [RV] [62.5%] and 15 patients have PVCs arising from the LV [37.5%]. There was no significant correlation between PVCs origin and LV global longitudinal strain [GLS], radial strain [RS] and circumferential strain [CS] [p value= 0.285, 0.380 and 0.401] respectively. There was a significant inverse correlation between the total number of PVCs [PVC burden] and LV ejection fraction [EF], GLS, RS, and CS [p value <0.001].
Conclusion: The study concluded that speckle tracking echocardiography is an important and valuable tool for early identification of impairment in the LV function in patients with frequent PVCs earlier than conventional echocardiogram. 

DOI

10.21608/ijma.2021.72817.1300

Keywords

left ventricle, speckle tracking, Echocardiography, Premature, Ventricular Complexes

Authors

First Name

Mohamed Mohamed

Last Name

Hal

MiddleName

-

Affiliation

Department of Cardiology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

mohamedhal76@yahoo.com

City

Manzala, Dakahlya

Orcid

-

First Name

Mohamed

Last Name

Omar

MiddleName

Alshaht

Affiliation

Department of Cardiology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

m_omer76@yahoo.com

City

Damietta

Orcid

-

First Name

Hammuda

Last Name

Al-Bahnasy

MiddleName

Abd-Al-Khalek

Affiliation

Department of Cardiology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

ddr.hamouda@yahoo.com

City

Sammanoud, Gharbia

Orcid

0000-0002-7289-5056

First Name

Mohammad Ismail

Last Name

Al-Deftar

MiddleName

-

Affiliation

Department of Cardiology, Faculty of Medicine, Al-Azhar University, Egypt

Email

mideftar@gmail.com

City

Cairo

Orcid

-

First Name

Mohamed Moanes

Last Name

Mohamed

MiddleName

-

Affiliation

Department of Cardiology, Faculty of Medicine, Al-Azhar University, Egypt

Email

drmoanes11@yahoo.com

City

Cairo

Orcid

-

First Name

Mohie AL-Dein Mohamed

Last Name

Samy

MiddleName

-

Affiliation

Department of Cardiology, Faculty of Medicine, Al-Azhar University, Egypt

Email

mohie_aldein.cardio@gmail.com

City

Cairo

Orcid

-

Volume

3

Article Issue

3

Related Issue

27050

Issue Date

2021-07-01

Receive Date

2021-04-17

Publish Date

2021-07-01

Page Start

1,735

Page End

1,740

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 3_Pages 1735-1740.pdf

PDF . 1.7MB

Link

https://ijma.journals.ekb.eg/article_187695.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=187695

Order

187,695

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Speckle Tracking Versus Conventional Echocardiography in Patients with Symptomatic Premature Ventricular Contractions

Details

Type

Article

Created At

22 Jan 2023