Right Ventricular function using Speckle Tracking Echocardiography and Reversibility Of pulmonary Hypertention in simple cardiac shunts
Haroun, D., Elmaghawry, L., Gad, M., Khalil, W. (2022). Right Ventricular function using Speckle Tracking Echocardiography and Reversibility Of pulmonary Hypertention in simple cardiac shunts. EKB Journal Management System, 28(5), 922-929. doi: 10.21608/zumj.2019.17806.1609
Dina Haroun; Laila Mohammed Elmaghawry; Marwa Mohammed Gad; Wael Ali Khalil. "Right Ventricular function using Speckle Tracking Echocardiography and Reversibility Of pulmonary Hypertention in simple cardiac shunts". EKB Journal Management System, 28, 5, 2022, 922-929. doi: 10.21608/zumj.2019.17806.1609
Haroun, D., Elmaghawry, L., Gad, M., Khalil, W. (2022). 'Right Ventricular function using Speckle Tracking Echocardiography and Reversibility Of pulmonary Hypertention in simple cardiac shunts', EKB Journal Management System, 28(5), pp. 922-929. doi: 10.21608/zumj.2019.17806.1609
Haroun, D., Elmaghawry, L., Gad, M., Khalil, W. Right Ventricular function using Speckle Tracking Echocardiography and Reversibility Of pulmonary Hypertention in simple cardiac shunts. EKB Journal Management System, 2022; 28(5): 922-929. doi: 10.21608/zumj.2019.17806.1609

Right Ventricular function using Speckle Tracking Echocardiography and Reversibility Of pulmonary Hypertention in simple cardiac shunts

Zagazig University Medical Journal
Article 3, Volume 28, Issue 5, September 2022, Page 922-929  XML PDF (458.72 K)
Document Type: Original Article
DOI: 10.21608/zumj.2019.17806.1609
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Authors
Dina Haroun email 1; Laila Mohammed Elmaghawry2; Marwa Mohammed Gad3; Wael Ali Khalil4
1Cardiology department,zagazig university hospitals
2cardiology department,zagazig university
3cardiology department,zagazig university,zagazig
4Cardiology department, Faculty of medicine, Zagazig university, Egypt
Abstract
ABSTRACT
Background: This study was conducted to evaluate the results of simple cardiac shunt closure using trans catherer device regarding right ventricular function using speckle tracking and reversibility of pulmonary hypertention,testing the ability of echocardiography to provide unique noninvasive information with minimal risk, we aimed to detect right ventricular function in simple cardiac shunt patients before closure using longitudinal strain and to investigate its role in predicting reversibility of pulmonary hypertention after closure
Methods: This is a prospective randomized comparative study including simple shunt patients who presented to cardiology department from September 2018 to July 2019. Our patients were divided into two groups Group I: ten patients were having irreversible pulmonary hypertension.Group II: Twenty patients, were having reversible pulmonary hypertension.
Results: There was statistically significant increase in group II post closure regarding LVEF,RVFAC,TAPSE,SRV, RVLS (P< 0.05). While PASP showed significant decrease in GII post closure (P < 0.05). On the other hand, RVLS was negatively correlated with the defect size , Qp/Qs, PASP. And significant positive correlation with SRV, RVFAC,TAPSE. RVLS value of ≥ -20 could predict reversibility of PASP
Conclusion: The RVLS value of ≥-20 could predict reversibility of PASP with AUC 0.9 suggesting strong accuracy (P< 0.001). RVLS correctly identify simple shunt patients with increased PASP (sensitivity 80%), and it correctly reports 85 % of simple shunt patients without increased PASP as true negatives, while 15% are incorrectly identified as false positive with specificity 85%.
Keywords
pulmonary hypertension; cardiac shunts; right ventricular strain
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