Left Ventricular Strain and Adverse Events in Patients with Heart Failure with Preserved Ejection Fraction | ||||
| Benha Medical Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 02 May 2025 PDF (657.91 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/bmfj.2025.369824.2347 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mahmoud S. Abdelnaby1; Mohammed R. Loaloa  2; Neama A. Elmelgy3; Hesham K. Rashid4
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| 1Lecturer of Cardiovascular Medicine, Faculty of Medicine, Benha University | ||||
| 2(M.B.B.Ch, Department of Cardiovascular Medicine, Faculty of Medicine, Benha University | ||||
| 3Assistant Professor of Cardiovascular Medicine, Faculty of Medicine, Benha University | ||||
| 4Professor of Cardiovascular Medicine, Faculty of Medicine, Benha University | ||||
| Abstract | ||||
| Background: In addition to being a sensitive metric for identifying myocardial anomalies, global longitudinal strain (GLS) has clinical and prognostic significance in heart failure with preserved ejection fraction (HFpEF). Aim: assessment of left ventricular strain and its correlation with adverse outcomes in terms of mortality in heat failure with intact ejection fraction. Methods: a sufficient number of patients were admitted, as per inclusion criteria: Heart failure with intact ejection fraction, while those with hemodynamic instability, cardiogenic shock, inadequate echogenic window, or lower ejection fraction were excluded. Every patient was evaluated using baseline transthoracic echocardiography, regular laboratory tests, history taking, demographic data gathering, and a thorough clinical examination. Results: The mean ± SD of the left-ventricular ejection fraction was 60.17 ± 5.29 percent, with a range of 50 to 70%. The mean ± SD of the left ventricular mass index was 79.8 ± 12.41 g/m2, with a range of 50 to 110 g/m2. With respective ranges of 25.7–40.2 mm and 38.9–57.2 mm, the mean ± SD values for the left ventricular end-systolic and diastolic diameters were 31.8 ± 2.86 mm and 47.91 ± 3.44 mm. The mean ± SD of the global longitudinal strain was -18.89 ± 3.11 percent, with a range of -13 to -23%. The mean ± SD of the global circumferential strain was -19.89 ± 3.11 percent, with a range of -14 to -24 percent. conclusion, compared to event-free heart failure with maintained ejection, individuals with an event showed much reduced global longitudinal strain and global circumferential strain. | ||||
| Keywords | ||||
| Left-Ventricular Strain; Adverse Events; Heart Failure; Preserved-Ejection Fraction | ||||
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