Возможности и ограничения спекл-трекинг стресс-эхокардиографии

Возможности и ограничения спекл-трекинг стресс-эхокардиографии

Автор: Степанова А.И., Алехин М.Н.

Журнал: Сибирский журнал клинической и экспериментальной медицины @cardiotomsk

Рубрика: Обзоры и лекции

Статья в выпуске: 1 т.34, 2019 года.

Бесплатный доступ

Стресс-эхокардиография является методикой, которая позволяет оценивать сократимость миокарда и внутрисердечную гемодинамику в условиях физической нагрузки или реакции на фармакологический препарат. Оценка систолической функции левого желудочка (ЛЖ) играет важную роль в установлении прогноза и выборе стратегии лечения при различных сердечно-сосудистых заболеваниях. Технология спекл-трекинг - одна из наиболее перспективных для определения значений деформации ЛЖ, благодаря которой возможна не только визуальная, но и количественная оценка сократимости миокарда ЛЖ как в состоянии покоя, так и при проведении нагрузочных тестов. В данном обзоре проанализированы возможности применения спекл-трекинг стресс-эхокардиографии c физической нагрузкой или с введением фармакологического препарата у здоровых лиц и пациентов с различными заболеваниями, такими как ишемическая болезнь сердца (ИБС), клапанные пороки сердца, сахарный диабет, микрососудистое поражение. Наряду с этим рассмотрены различия между значениями продольной систолической деформации ЛЖ в зависимости от возраста, а также проведено сопоставление данных спекл-трекинг стресс-эхокардиографии с результатами коронарной ангиографии и компьютерной томографии коронарных артерий.

Еще

Стресс-эхокардиография, спекл-трекинг, продольная систолическая деформация

Короткий адрес: https://sciup.org/149125264

IDR: 149125264   |   DOI: 10.29001/2073-8552-2019-34-1-10-17

Список литературы Возможности и ограничения спекл-трекинг стресс-эхокардиографии

  • Tops L.F., Delgado V., Marsan N.A., Bax J.J. Myocardial strain to detect subtle left ventricular systolic dysfunction. Eur. J. Heart Fail. 2017 Mar.;19(3):307-313. DOI: 10.1002/ejhf.694
  • Kalam K., Otahal P., Marwick T.H. Prognostic implications of global LV dysfunction: a systematic review and meta-analysis of global longitudinal strain and ejection fraction. Heart. 2014;100:1673-1680. DOI: 10.1136/heartjnl-2014-305538
  • Lang R.M., Badano L.P., Mor-Avi V., Afilalo J., Armstrong A., Ernande L., et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of echocardiography and the European association of cardiovascular imaging. J. Am. Soc. Echocardiogr. 2015;28:1-39. 10.1016/j. echo.2014.10.003. DOI: 10.1016/j.echo.2014.10.003
  • Doucende G., Schuster I., Rupp T., Startun A., Dauzat M., Obert P., et al. Kinetics of left ventricular strains and torsion during incremental exercise in healthy subjects. Circ. Cardiovasc. Imaging. 2010;3:586-594. DOI: 10.1161/CIRCIMAGING.110.943522
  • Dandel M., Hetzer R. Echocardiographic strain and strain rate imaging - clinical applications. Int. J. Cardiol. 2009;132:11-24. DOI: 10.1016/j.ijcard.2008.06.091
  • Dandel M., Lehmkuhl H., Knosalla C., Suramelashvili N., Hetzer R. Strain and Strain Rate Imaging by Echocardiography - Basic Concepts and Clinical Applicability. Current Cardiology Reviews. 2009;5:133-148.
  • DOI: 10.2174/157340309788166642
  • Choi E.Y., Rosen B.D., Fernandes V.R., Yan R.T., Yoneyama K., Donekal S., et al. Prognostic value of myocardial circumferential strain for incident heart failure and cardiovascular events in asymptomatic individuals: the Multi-Ethnic Study of Atherosclerosis. Eur. Heart J. 2013 Aug.;34(30):2354-2361.
  • DOI: 10.1093/eurheartj/eht133
  • Nishimura K., Okayama H., Inoue K., Saito M., Yoshii T., Hiasa G., et al. Direct measurement of radial strain in the inner-half layer of the left ventricular wall in hypertensive patients. J. Cardiol. 2012 Jan.;59(1):64- 71.
  • DOI: 10.1016/j.jjcc.2011.08.003
  • Tanabe M., Lamia B., Tanaka H., Schwartzman D., Pinsky M.R., Gorcsan J. Echocardiographic speckle tracking radial strain imaging to assess ventricular dyssynchrony in a pacing model of resynchronization therapy. J. Am. Soc. Echocardiogr. 2008;21(12):1382-1388.
  • Yang L.T., Kado Y., Nagata Y., Otani K., Otsuji Y., Takeuchi M. Strain imaging with a bull’s-eye map for detecting significant coronary stenosis during dobutamine stress echocardiography. J. Am. Soc. Echocardiogr. 2017;30:159-167.
  • DOI: 10.1016/j.echo.2016.10.011
  • Ejlersen J.A., Poulsen S.H., Mortensen J., May O. A comparison of the diagnostic value of 2D strain stress Echocardiography, myocardial perfusion scintigraphy, and Duke treadmill score in patients suspected of coronary artery disease. Echocardiography. 2016;33:1523-1531.
  • Li Z., Li Y., Zhang L., Zhang X., Sullivan R., Ai X., et al. Reduced myocardial reserve in young X-linked muscular dystrophy mice diagnosed by two-dimensional strain analysis combined with stress echocardiography. J. Am. Soc. Echocardiogr. 2017;30:815-827.e9.
  • DOI: 10.1016/j.echo.2017.03.009
  • Caniggia C., Amor M., Lowenstein Haber D., Alasia D., Galello M., Darú V., et al. Feasibility and value of global and regional 2D strain during exercise stress echocardiography. Rev. Argent Cardiol. 2014;82:102-108.
  • Yang L.T., Kado Y., Nagata Y., Otani K., Otsuji Y., Takeuchi M. Strain imaging with a bull’s-eye map for detecting significant coronary stenosis during dobutamine stress echocardiography. J. Am. Soc. Echocardiogr. 2017;30:159-167.e1.
  • Banerjee A., Newman D.R., Van den Bruel A., Heneghan C. Diagnostic accuracy of exercise stress testing for coronary artery disease: a systematic review and meta-analysis of prospective studies. Int. J. Clin. Pract. 2012 May;66(5):477-492.
  • DOI: 10.1111/j.1742-1241.2012.02900.x
  • Hensel K.O., Abellan Schneyder F.E., Wilke L., Heusch A., Wirth S., Jenke A.C. Speckle Tracking Stress Echocardiography Uncovers Early Subclinical Cardiac Involvement in Pediatric Patients with Inflammatory Bowel Diseases. Sci. Rep. 2017;7(1):2966. Published 2017 Jun. 7.
  • DOI: 10.1038/s41598-017-03255-1
  • Reant P., Labrousse L., Lafitte S., Bordachar P., Pillois X., Tariosse L., et al. Experimental validation of circumferential, longitudinal, and radial 2-dimensional strain during dobutamine stress echocardiography in ischemic conditions. J. Am. Coll. Cardiol. 2008;51:149-157.
  • Larsen A.H., Clemmensen T.S., Wiggers H., Poulsen S.H. Left Ventricular Myocardial Contractile Reserve during Exercise Stress in Healthy Adults: A Two-Dimensional Speckle-Tracking Echocardiographic Study. J. Am. Soc. Echocardiogr. 2018;31(10):1116-1126.
  • DOI: 10.1016/j.echo.2018.06.010
  • Leitman M., Tyomkin V., Peleg E., Zyssman I., Rosenblatt S., Sucher E., et al. Speckle tracking imaging in normal stress echocardiography. J. Ultrasound Med. 2017;36:717-724.
  • DOI: 10.7863/ultra.16.04010
  • Laughli M.H. Cardiovascular response to exercise. Am. J. Physiol. 1999;277:244-259.
  • Lancellotti P., Pellikka P.A., Budts W., Chaudhry F.A., Donal E., Dulgheru R., et al. The clinical use of stress echocardiography in non-ischaemic heart disease: recommendations from the European Association of Cardiovascular Imaging and the American Society of Echocardiography. J. Am. Soc. Echocardiogr. 2017;30:101-138. jew190.
  • DOI: 10.1093/ehjci/
  • Wolsk E., Bakkestrom R., Thomsen J.H., Balling L., Andersen M.J., Dahl J.S., et al. The influence of age on hemodynamic parameters during rest and exercise in healthy individuals. JACC Heart Fail. 2017;5:337- 346.
  • DOI: 10.1016/j.jchf.2016.10.012
  • Zghal F., Bougteb H., Réant P., Lafitte S., Roudaut R. Assessing global and regional left ventricular myocardial function in elderly patients using the bidimensional strain method. Echocardiography. 2011;28:978- 982.
  • DOI: 10.1111/j.1540-8175.2011.01476.x
  • Carrick-Ranson G., Hastings J.L., Bhella P.S., Shibata S., Fujimoto N., Palmer M.D., et al. Effect of healthy aging on left ventricular relaxation and diastolic suction. Am. J. Physiol. Heart Circ. Physiol. 2012;303(3):315-322.
  • DOI: 10.1152/ajpheart.00142.2012
  • Kocabay G., Muraru D., Peluso D., Cucchini U., Mihaila S., PadayattilJose S., et al. Normal left ventricular mechanics by two-dimensional speckle tracking echocardiography. Rev. Esp. Cardiol. 2014;67:651- 658.
  • DOI: 10.1016/j.rec.2013.12.009
  • Kuznetsova T., Herbots L., Richart T., D’Hooge J., Thijs L., Fagard R.H., et al. Left ventricular strain and strain rate in a general population. Eur. Heart J. 2008;29:2014-2023.
  • DOI: 10.1093/eurheartj/ehn280
  • Koyama J., Falk R.H. Prognostic significance of strain Doppler imaging in light-chain amyloidosis. JACC Cardiovasc. Imaging. 2010;3:333-342.
  • DOI: 10.1016/j.jcmg.2009.11.013
  • Grenne B., Eek C., Sjøli B., Dahlslett T., Uchto M., Hol P.K., et al. Acute coronary occlusion in non- ST-segment elevation acute coronary syndrome: outcome and early identification by strain echocardiography. Heart. 2010;96:1550-1556.
  • DOI: 10.1136/hrt.2009.188391
  • Mansour M.J., Al-Jaroudi W., Hamoui O., Chaaban S., Chammas E. Multimodality imaging for evaluation of chest pain using strain analysis at rest and peak exercise. Echocardiography. 2018 Aug.;35(8):1157-1163.
  • DOI: 10.1111/echo.13885
  • Kalisz K., Buethe J., Saboo S.S., Abbara S., Halliburton S., Rajiah P. Artifacts at Cardiac CT: Physics and Solutions. Radiographics. 2016 Nov.- Dec.;36(7):2064-2083.
  • Task Force Members, Montalescot G., Sechtem U., Achenbach S., Andreotti F., Arden C., Budaj A., et al. 2013 ESC guidelines on the management of stable coronary artery disease: the Task Force on the management of stable coronary artery disease of the European Society of Cardiology. Eur. Heart J. 2013;34(38):2949-3003.
  • DOI: 10.1093/eurheartj/eht296
  • Nq A.C., Sitges M., Pham P.N., da Tran T., Delgado V., Bertini M., et al. Incremental value of 2-dimentional speckle tracking strain imaging to wall motion analysis for detection of coronary artery disease in patients undergoing dobutamine stress echocardiography. Am. Heart J. 2009;158:836-844.
  • Yu Y., Villarraga H.R., Saleh H.K., Cha S.S., Pellikka P.A. Can ischemia and dyssynchrony be detected during early stages of dobutamine stress echocardiography by 2-dimensional speckle tracking echocardiography? Int. J. Cardiovasc. Imaging. 2013;29:95-102.
  • Aggeli C., Lagoudakou S., Felekos I., Panagopoulou V., Kastellanos S., Toutouzas K., et al. Two-dimensional speckle tracking for the assessment of coronary artery disease during dobutamine stress echo: clinical tool or merely research method. Cardiovasc. Ultrasound. 2015;13:43.
  • DOI: 10.1186/s12947-015-0038-z
  • Павлюкова Е.Н., Егорова В.Ю. Анализ деформации миокарда в режиме Strain и Strain Rate при стресс-эхокардиографии с добутамином в зависимости от степени стеноза коронарных артерий. Сибирский медицинский журнал. 2008;6:7-11.
  • Lee R., Haluska B., Leung D.Y., Case C., Mundy J., Marwick T.H. Functional and prognostic implications of left ventricular contractile reserve in patients with asymptomatic severe mitral regurgitation. Heart. 2005;91:1407-1412.
  • Pierard L.A., Lancellotti P. Stress testing in valve disease. Heart. 2007;93:766-772.
  • Magne J., Lancellotti P., Pierard L.A. Exercise-induced changes in degenerative mitral regurgitation. J. Am. Coll. Cardiol. 2010;56:300-309.
  • Magne J., Mahjoub H., Dulgheru R., Pibarot P., Pierard L.A., Lancellotti P. Left ventricular contractile reserve in asymptomatic primary mitral regurgitation. Eur. Heart J. 2014;35:1608-1616.
  • DOI: 10.1093/eurheartj/eht345
  • Donal E., Mascle S., Brunet A., Thebault C., Corbineau H., Laurent M., et al. Prediction of left ventricular ejection fraction 6 months after surgical correction of organic mitral regurgitation: the value of exercise echocardiography and deformation imaging. Eur. Heart J. Cardiovasc. Imaging. 2012;13:922-930.
  • Lancellotti P., Cosyns B., Zacharakis D., Attena E., Van Camp G., Gach O., et al. Importance of left ventricular longitudinal function and functional reserve in patients with degenerative mitral regurgitation: assessment by two-dimensional speckle tracking. J. Am. Soc. Echocardiogr. 2008;21:1331-1336.
  • DOI: 10.1016/j.echo.2008.09.023
  • Paraskevaidis I.A., Kyrzopoulos S., Tsiapras D., Iliodromitis E.K., Parissis J., Farmakis D., et al. The role of left ventricular long-axis contraction in patients with asymptomatic non-ischemic mitral valve regurgitation and normal systolic function. Int. J. Cardiol. 2008;124:64-71.
  • Аверина И.И., Бокерия О.Л., Мироненко М.Ю. Определение критериев миокардиального резерва и их прогностические возможности у пациентов с пороками сердца по данным стрессэхокардиографии и стресс-2D-speckle tracking (ST). Российский Национальный Конгресс Кардиологов 2018, сборник тезисов, 538.
  • Liu J.H., Chen Y., Yuen M., Zhen Z., Chan C.W., Lam K.S., et al. Incremental prognostic value of global longitudinal strain in patients with type 2 diabetes mellitus. Cardiovasc. Diabetol. 2016;15:22. Published 2016 Feb. 3.
  • DOI: 10.1186/s12933-016-0333-5
  • Wierzbowska-Drabik K., Trzos E., Kurpesa M., Rechcinski T., Miskowiec D., Cieslik-Guerra U., et al. Diabetes as an independent predictor of left ventricular longitudinal strain reduction at rest and during dobutamine stress test in patients with significant coronary artery disease. Eur. Heart J. Cardiovasc. Imaging. 2018 Nov. 1;19(11):1276-1286.
  • DOI: 10.1093/ehjci/jex315
  • Philouze C., Obert P., Nottin S., Benamor A., Barthez O., Aboukhoudir F. Dobutamine Stress Echocardiography Unmasks Early Left Ventricular Dysfunction in Asymptomatic Patients with Uncomplicated Type 2 Diabetes: A Comprehensive Two-Dimensional Speckle-Tracking Imaging Study. J. Am. Soc. Echocardiogr. 2018 May;31(5):587-597.
  • DOI: 10.1016/j.echo.2017.12.006
  • Ng A.C., Delgado V., Bertini M., van der Meer R.W., Rijzewijk L.J., ShanksM., Nucifora G., et al. Findings from left ventricular strain and strain rate imaging in asymptomatic patients with type 2 diabetes mellitus. Am. J. Cardiol. 2009;104:1398-1401.
  • DOI: 10.1016/j.amjcard.2009.06.063
  • Tadic M., Ilic S., Cuspidi C., Stojcevski B., Ivanovic B., Bukarica L., et al. Left ventricular mechanics in untreated normotensive patients with type 2 diabetes mellitus: a two- and three-dimensional speckle tracking study. Echocardiography. 2015;32:947-955.
  • DOI: 10.1111/echo.12790
  • Serrano-Ferrer J., Crendal E., Walther G., Vinet A., Dutheil F., Naughton G., et al. Effects of lifestyle intervention on left ventricular regional myocardial function in metabolic syndrome patients from the RESOLVE randomized trial. Metabolism. 2016;65:1350-1360. 10.1016/j. metabol.2016.05.006.
  • DOI: 10.1016/j.metabol.2016.05.006
  • Iacobellis G., Bianco A.C. Epicardial adipose tissue: emerging physiological, pathophysiological and clinical features. Trends Endocrinol. Metab. 2011;22:450-457.
  • DOI: 10.1016/j.tem.2011.07.003
  • Ouwens D.M., Sell H., Greulich S., Eckel J. The role of epicardial and perivascular adipose tissue in the pathophysiology of cardiovascular disease. J. Cell Mol. Med. 2010;14:2223-2234. 10.1111/j.1582- 4934.2010.01141.x.
  • DOI: 10.1111/j.1582-4934.2010.01141
  • Cognet T., Vervueren P.-L., Dercle L., Bastié D., Richaud R., Berry M., et al. New concept of myocardial longitudinal strain reserve assessed by a dipyridamole infusion using 2D-strain echocardiography: the impact of diabetes and age, and the prognostic value. Cardiovasc. Diabetol. 2013;12:84.
  • DOI: 10.1186/1475-2840-12-84
  • Michelsen M.M., Pena A., Mygind N.D. Coronary microvascular dysfunction and myocardial contractile reserve in women with angina and no obstructive coronary artery disease. Echocardiography. 2018;35(2):196-203.
  • DOI: 10.1111/echo.13767
  • Mandoli G.E., Cameli M., Minardi S., Crudele F., Lunghetti S., Mondillo S. Layer-specific strain in dipyridamole stress echo: A new tool for the diagnosis of microvascular angina. Echocardiography. 2018 Dec.;35(12):2005-2013.
  • DOI: 10.1111/echo.14180
Еще
Статья научная
QR-код для установки приложения SciUp Наведите камеру и скачайте бесплатное приложение SciUp