Value of M-Mode Apical Systolic Excursion to Assess Subclinical Left Ventricular Dysfunction in Relation To 2D Speckle Tracking Echocardiography in Hypertensive Patients
Yassin, R., Abd Al-Wahab, H., El-Deeb, H. (2022). Value of M-Mode Apical Systolic Excursion to Assess Subclinical Left Ventricular Dysfunction in Relation To 2D Speckle Tracking Echocardiography in Hypertensive Patients. EKB Journal Management System, 89(2), 7288-7301. doi: 10.21608/ejhm.2022.274413
Rehab Ebrahim Yassin; Hager Mostafa Abd Al-Wahab; Hend Mohammed El-Deeb. "Value of M-Mode Apical Systolic Excursion to Assess Subclinical Left Ventricular Dysfunction in Relation To 2D Speckle Tracking Echocardiography in Hypertensive Patients". EKB Journal Management System, 89, 2, 2022, 7288-7301. doi: 10.21608/ejhm.2022.274413
Yassin, R., Abd Al-Wahab, H., El-Deeb, H. (2022). 'Value of M-Mode Apical Systolic Excursion to Assess Subclinical Left Ventricular Dysfunction in Relation To 2D Speckle Tracking Echocardiography in Hypertensive Patients', EKB Journal Management System, 89(2), pp. 7288-7301. doi: 10.21608/ejhm.2022.274413
Yassin, R., Abd Al-Wahab, H., El-Deeb, H. Value of M-Mode Apical Systolic Excursion to Assess Subclinical Left Ventricular Dysfunction in Relation To 2D Speckle Tracking Echocardiography in Hypertensive Patients. EKB Journal Management System, 2022; 89(2): 7288-7301. doi: 10.21608/ejhm.2022.274413

Value of M-Mode Apical Systolic Excursion to Assess Subclinical Left Ventricular Dysfunction in Relation To 2D Speckle Tracking Echocardiography in Hypertensive Patients

The Egyptian Journal of Hospital Medicine
Article 176, Volume 89, Issue 2, October 2022, Page 7288-7301  XML PDF (921.48 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2022.274413
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Authors
Rehab Ebrahim Yassin; Hager Mostafa Abd Al-Wahab email ; Hend Mohammed El-Deeb
Abstract
Background: Regardless of the early stages of their condition, hypertensive people exhibit diastolic and subclinical systolic dysfunction.
Objective: This study aimed to evaluate the accuracy of M-Mode Apical Systolic Excursion (MMASE) to identify subclinical systolic dysfunction in hypertensive sufferers in comparison to left ventricular global longitudinal systolic strain (LV GLS) determined by 2D-Speckle tracking echocardiography (2D-STE).
Patients and methods: In this case-control survey; demographics, clinical information, conventional echocardiography, tissue doppler imaging (TDI), and 2D-STE were examined in 56 hypertensive individuals with normal ejection fraction (EF), vs 28 healthy people. In order to determine MMASE. M-Mode vector was applied through the left ventricle's apex in an apical four-chamber view, and the endocardial excursion between end diastole and end systole was measured.
Results: MMASE and LV GLS revealed a strong positive correlation (P< 0.001). After implementing the ROC curve in comparison to the gold standard LV GLS, we said that MMASE has a cut off value for identification of subclinical systolic dysfunction below 0.6 cm.
Conclusion: In patients with hypertension, MMASE is a helpful M-mode assessment in the early diagnosis of subclinical LV systolic malfunction validated by a decrease in global LV longitudinal systolic strain.
 
 
Keywords
Hypertension; Speckle tracking; Subclinical systolic dysfunction; MMASE
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