ArticleThe international journal of cardiovascular imaging2019
Usefulness of layer-specific strain in diagnosis of coronary artery disease in patients with stable angina pectoris.
Article in The international journal of cardiovascular imaging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Machine learning-enhanced echocardiography for screening coronary artery disease.Biomedical engineering online · 2023Trial
- Prognostic value of Layer-Specific global longitudinal strain in patients undergoing Coronary Artery Bypass Grafting.The international journal of cardiovascular imaging · 2026Article
- Article
- Value of two-dimensional speckle-tracking echocardiography in evaluation of cardiac function in small fetuses.Quantitative imaging in medicine and surgery · 2024Article
- Resting segmental speckle tracking strain and strain rate in stable coronary artery disease and revascularized myocardial infarction.The international journal of cardiovascular imaging · 2024Article
- Evaluation of left ventricular systolic function in type 2 diabetes mellitus patients with and without peripheral vascular disease.World journal of diabetes · 2024Article
- The clinical application of longitudinal layer specific strain as a diagnostic and prognostic instrument in ischemic heart diseases: A systematic review and meta-analysis.Frontiers in cardiovascular medicine · 2023Review
- Right ventricular strain predicts adverse outcomes in patients undergoing coronary artery bypass grafting.The international journal of cardiovascular imaging · 2022Article
- The evaluation of right ventricular function in patients with diabetes mellitus and significant stenosis at the proximal portion of the right coronary artery.Journal of ultrasound · 2022Article
- Evaluation of left ventricular function by treadmill exercise stress echocardiography combined with layer-specific strain technique in essential hypertension patients.Journal of clinical hypertension (Greenwich, Conn.) · 2022Article
- Layer-specific and whole wall global longitudinal strain predict major adverse cardiovascular events in patients with stable angina pectoris.The international journal of cardiovascular imaging · 2022Article
- Regional Myocardial Work Measured by Echocardiography for the Detection of Myocardial Ischemic Segments: A Comparative Study With Invasive Fractional Flow Reserve.Frontiers in cardiovascular medicine · 2022Article
- Change in global longitudinal strain following acute coronary syndrome and subsequent risk of heart failure.The international journal of cardiovascular imaging · 2021Article
- Two-Dimensional Speckle Tracking Echocardiography Identifies Coronary Artery Disease in 690 Patients: A Retrospective Study from a Single Center.Medical science monitor : international medical journal of experimental and clinical research · 2021Observational
- Segmental Tissue Speckle Tracking Predicts the Stenosis Severity in Patients With Coronary Artery Disease.Frontiers in cardiovascular medicine · 2021Article
- Speckle Tracking Echocardiography: Early Predictor of Diagnosis and Prognosis in Coronary Artery Disease.BioMed research international · 2021Review
- Early diastolic strain rate by two-dimensional speckle tracking echocardiography is a predictor of coronary artery disease and cardiovascular events in stable angina pectoris.The international journal of cardiovascular imaging · 2020Article
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7 authors.
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Abstract
Novel software allows for layer-specific evaluation of myocardial strain by speckle tracking echocardiography (2DSTE). However, the potential of layer-specific strain at rest for diagnosing coronary artery disease (CAD) in patients with suspected stable angina pectoris (SAP) remains unknown. Our objective was to evaluate the usefulness of layer-specific 2DSTE at rest for diagnosis of CAD in patients with SAP. In total, 285 patients referred with clinically suspected SAP, normal ejection fraction, and no previous cardiac history were prospectively enrolled. All patients were examined by echocardiography, including 2DSTE, exercise ECG, and coronary angiography (CAG). Layer-specific 2DSTE was performed in three apical views to provide longitudinal peak systolic strains. Stenosis ≥ 70% in ≥ 1 major coronary artery on CAG was considered as significant CAD. Of 285 patients included, 104 had significant CAD (36%). Endocardial, epicardial, and mid-myocardial GLS were all significantly impaired in CAD patients (P < 0.001). Multivariable analysis including baseline clinical parameters, conventional echocardiographic measurements, Duke score, and layer-specific strain measurements revealed epicardial [odds ratio 1.19 (P = 0.048)] and mid-myocardial [odds ratio 1.16 (P = 0.047)] global longitudinal strain (GLS) as the only independent predictors of CAD. In direct comparison, epicardial and mid-myocardial GLS had a significantly higher diagnostic performance compared to endocardial GLS (P = 0.038 and P = 0.031, respectively). In conclusion, layer-specific GLS from 2DSTE at rest was significantly impaired in patients with significant CAD. In addition, epicardial and mid-myocardial GLS were independent predictors of CAD.
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