Global Left Ventricular Function Index as a Predictor of Subclinical Contractile Dysfunction in Patients with Concentric Left Ventricular Hypertrophy
Elkot, M., Shah, M., Hassanein, A., Seddik, E. (2023). Global Left Ventricular Function Index as a Predictor of Subclinical Contractile Dysfunction in Patients with Concentric Left Ventricular Hypertrophy. EKB Journal Management System, 29(4), 1201-1208. doi: 10.21608/zumj.2023.213787.2807
Moataz A Elkot; Mahmoud H Shah; Ahmed Helmy Hassanein; Eman H Seddik. "Global Left Ventricular Function Index as a Predictor of Subclinical Contractile Dysfunction in Patients with Concentric Left Ventricular Hypertrophy". EKB Journal Management System, 29, 4, 2023, 1201-1208. doi: 10.21608/zumj.2023.213787.2807
Elkot, M., Shah, M., Hassanein, A., Seddik, E. (2023). 'Global Left Ventricular Function Index as a Predictor of Subclinical Contractile Dysfunction in Patients with Concentric Left Ventricular Hypertrophy', EKB Journal Management System, 29(4), pp. 1201-1208. doi: 10.21608/zumj.2023.213787.2807
Elkot, M., Shah, M., Hassanein, A., Seddik, E. Global Left Ventricular Function Index as a Predictor of Subclinical Contractile Dysfunction in Patients with Concentric Left Ventricular Hypertrophy. EKB Journal Management System, 2023; 29(4): 1201-1208. doi: 10.21608/zumj.2023.213787.2807

Global Left Ventricular Function Index as a Predictor of Subclinical Contractile Dysfunction in Patients with Concentric Left Ventricular Hypertrophy

Zagazig University Medical Journal
Volume 29, Issue 4, July and August 2023, Page 1201-1208  XML PDF (459.79 K)
Document Type: Original Article
DOI: 10.21608/zumj.2023.213787.2807
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Authors
Moataz A Elkot1; Mahmoud H Shah2; Ahmed Helmy Hassanein3; Eman H Seddik email 4
1Cardiovacular department,faculty of medicine,Zagazig university,Zagazig,Egypt
2cardiovascular ,faculty of medicine,zagazig university
3cardiovascular department , Sohag cardiac specialized center,Sohag,Egypt
4cardiovascular department,faculty of medicine,Zagazig university,Zagazig,Egypt
Abstract
Background &Aim: Left ventricular (LV) ejection fraction (LVEF) is mostly used as a parameter of LV function which is often assessed without considering changes in LV structure, geometry, and hypertrophy. LV global function index (LVGFI) is a novel parameter that integrates LV structure with global function in the assessment of LV cardiac performance. Our study aimed to throw light on LVGFI as a diagnostic marker of early subclinical contractile dysfunction in patients with concentric Left ventricular hypertrophy.

Methods: A case-control study involving 123 participants; they were divided into three groups, control (Group 1) 41 volunteers, LVH without systolic dysfunction (Group 2) 41 cases, and LVH with systolic dysfunction (Group 3). Conventional systolic function assessment, LVGFI was expressed by the equation;(LV stroke volume / LV global volume) *100 and tissue doppler mitral annulus Sa wave, IVCT Isovolumetric contraction time.

Results: (LVGFI), and Sa mitral annulus had the lowest mean value in G3. LVGFI had a positive correlation with average Sa (r=0.755, p <0.001), EF (m-mode, r = 0.235, p=0.008) and EF (Simpson, r = 0.305, p=0.001). Multivariate analysis showed that LVGFI had the best relationship with Sa average (p=0.001), EF Simpson(p= 0.002) and then hypertension(p=0.02*).LVGFI was a good predictor for subclinical LV systolic dysfunction at a cut off less than 22.4%, sensitivity of 85%, specificity of 80%, and area under the curve of 0.74.

Conclusion: LVGFI at a cut-off of less than 22.4% was useful in detecting subclinical LV systolic dysfunction in concentric LVH.

Keywords: LVGFI; concentric hypertrophy; systolic function
Keywords
LVGFI; concentric hypertrophy; systolic function
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