Evidence map›Paper›PMID 42781541›Full record

ArticleResearch in heart yield and translational medicine2025

The Diagnostic Role of Speckle-Tracking Echocardiography-Derived Right Ventricular Longitudinal Strain in Determining the Severity of Rheumatic Mitral Stenosis.

Firoozeh Abtahi, Haleh Esfandiari, Alireza Arzhangzadeh, Salma Nozhat, Roozbeh Narimani-Javid

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Article in Research in heart yield and translational medicine, 2025. 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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5 · Who and what money

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5 authors.

Firoozeh AbtahiDepartment of Cardiology, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID https://orcid.org/0000-0002-8202-465X
Haleh EsfandiariDepartment of Cardiology, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID https://orcid.org/0000-0001-8651-4640
Alireza ArzhangzadehDepartment of Cardiology, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID https://orcid.org/0000-0002-7466-7487
Salma NozhatDepartment of Cardiology, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID https://orcid.org/0009-0003-0390-5577
Roozbeh Narimani-JavidResearch Center for Advanced Technologies in Cardiovascular Medicine, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-9134-8787

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Highlights: 2D STE-derived RVGLS and RVFWLS associate with MS severity in patients with rheumatic MS.RVGLS have high sensitivity for ruling out severe MS during routine echocardiographic evaluation. Introduction: Echocardiographic planimetry is the primary and most available modality for diagnosing rheumatic mitral stenosis (MS). Nonetheless, this approach is highly reliant on the examiner's technique. Echocardiographic evaluation of MS should also include assessment of right ventricular (RV) function because of its prognostic role. We hypothesized that the assessment of RV function via speckle-tracking echocardiography could also have a diagnostic role in determining MS severity. Methods: This cross-sectional study included 47 patients with a typical diagnosis of rheumatic MS. Echocardiographic data were recorded and evaluated offline by an expert cardiologist. We measured right ventricular global longitudinal strain (RVGLS), right ventricular free-wall longitudinal strain (RVFWLS), mitral valve area (MVA) using 2D planimetry, and other conventional parameters of MS severity. Data were analyzed and visualized utilizing SPSS version 26 (IBM Corp) and Python 3.10.6 (Python Software Foundation). Results: Our analysis showed that both RVGLS (R=-0.598; P<0.05) and RVFWLS (R=-0.620; P<0.05) were significantly correlated with MVA. The mean RVGLS values in patients with severe and progressive MS were -14.44±4.36 and -18.12±3.25, respectively (P=0.017). The mean RVFWLS values also demonstrated a significant difference between these two groups (-6.3±4.7 vs-20.8±3.2; P=0.005). The area under the curve (AUC) for RVGLS and RVFWLS in detecting severe MS was 0.75 (95% CI, 0.64 to 0.86) and 0.78 (95% CI, 0.66 to 0.90), respectively. Conclusion: RVGLS and RVFWLS significantly correlate with MVA and may serve as tools to assess the severity of rheumatic MS in daily clinical practice. These strain parameters have high sensitivity for ruling out severe MS during routine echocardiographic evaluation.

Indexed as

Free-Wall Longitudinal StrainGlobal Longitudinal StrainMitral Valve StenosisRight Ventricular FunctionSpeckle-Tracking Echocardiography

Identifiers

PMID42781541
PMCPMC13599717

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