ArticleAmerican heart journal plus : cardiology research and practice2026
Ventricular preexcitation-induced subclinical LV dysfunction: Insights from pressure-strain loop imaging.
Article in American heart journal plus : cardiology research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Ventricular preexcitation causes subclinical LV dysfunction despite preserved LVEF. Pressure-strain loop (PSL) analysis, a novel method, sensitively quantifies myocardial work to assess such functional alterations. This study evaluated global and segmental myocardial work alterations by PSL in these patients.MethodsSeventy-seven patients with ventricular preexcitation (stratified into right-AP [ Results: Septal AP and right AP demonstrated significantly increased global and basal-middle ventricular WW along with reduced WE compared to controls (all Conclusion: PSL analysis effectively identifies subclinical left ventricular dysfunction in ventricular preexcitation patients with preserved LVEF, particularly pronounced in right-sided and septal accessory pathway subgroups. Ventricular mechanical dyssynchrony emerges as a key mechanistic contributor to these functional impairments, highlighting its pivotal role in early-stage electromechanical uncoupling.
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