Speckle-tracking Echocardiography in Early Diagnosis of Myocardial Dysfunctions of Women with Hypertension in the Perimenopausal Period

Zhanar Balmukhamedova; Gulmira Derbissalina; Natalya Zemlyanskaya; Aliya  Dzholdasbekova; Dariga Blyalova

doi:10.3889/oamjms.2022.9027

Authors

Zhanar Balmukhamedova Department of General Medical Practice with a Course of Evidence-Based Medicine, NJSC “Astana Medical University”, Astana, Kazakhstan https://orcid.org/0000-0003-2626-0591
Gulmira Derbissalina Department of General Medical Practice with a Course of Evidence-Based Medicine, NJSC “Astana Medical University”, Astana, Kazakhstan https://orcid.org/0000-0003-3704-5061
Natalya Zemlyanskaya Department of General Medical Practice with a Course of Evidence-Based Medicine, NJSC “Astana Medical University”, Astana, Kazakhstan https://orcid.org/0000-0003-1968-3246
Aliya Dzholdasbekova Department of General Medical Practice with a Course of Evidence-Based Medicine, NJSC “Astana Medical University”, Astana, Kazakhstan
Dariga Blyalova Department of General Medical Practice with a Course of Evidence-Based Medicine, NJSC “Astana Medical University”, Astana, Kazakhstan

DOI:

https://doi.org/10.3889/oamjms.2022.9027

Keywords:

Speckle-tracking echocardiography, Arterial hypertension, Perimenopause

Abstract

Абстрактный

Цель исследования: оценить роль спекл-трекинговой эхокардиографии в выявлении ранней дисфункции миокарда у женщин с артериальной гипертензией в перименопаузальном периоде.

Материал и методы. В исследовании приняли участие 50 женщин перименопаузального периода в возрасте от 45 до 55 лет. Перименопауза диагностировалась на основании клинического осмотра, включающего осмотр у гинеколога и исследования гормонального статуса женщины. Выборка женщин была разделена на две группы в зависимости от наличия артериальной гипертензии. В основную группу вошли 24 пациентки с артериальной гипертензией, диагностированной в перименопаузальном периоде. Перечисленные выше методы обследования также включали электрокардиографию, эхокардиографию и спекл-трекинговую эхокардиографию.

Результаты. По данным спекл-трекинговой эхокардиографии выявлены статистически значимые показатели в базально-антеропостероидном и нижнебазальном сегментах (р = 0,016; 0,001). Разница индекса массы миокарда левого желудочка была статистически значимой в сравниваемых группах (р = 0,038). ROC-анализ использовался для оценки качества полученной модели логистической регрессии. Площадь под ROC-кривой составила 0,806 ± 0,065 (95% ДИ: 0,679–0,933, p <0,001). Это указывает на «очень хорошее» прогностическое качество модели.

Заключение: в группе больных с артериальной гипертензией более чувствительны показатели базального переднеперегородочного и базально-нижнего сегментов, что может быть использовано как значимый показатель дисфункции при неизменных показателях стандартной эхокардиографии.

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References

Hodzic A, Chayer B, Wang D, Porée J, Cloutier G, et al. Accuracy of speckle tracking in the context of stress echocardiography in short axis view: An in vitro validation study. PLoS One. 2018;13(3):0193805. https://doi.org/10.1371/journal.pone.0193805 PMid:29584751 DOI: https://doi.org/10.1371/journal.pone.0193805

Collier P, Phelan D, Klein A. A test in context: Myocardial strain measured by speckle-tracking echocardiography. J Am Coll Cardiol. 2017;69(8):1043-56. https://doi.org/10.1016/j.jacc.2016.12.012 PMid:28231932 DOI: https://doi.org/10.1016/j.jacc.2016.12.012

Bhambhani A, Mathew A. Comparison of three-dimensional echocardiography and speckle tracking echocardiography in quantification and mapping of intraventricular mechanical dyssynchrony. Indian Heart J. 2019;71(3):256-62. https://doi.org/10.1016/j.ihj.2019.04.006 PMid:31543199 DOI: https://doi.org/10.1016/j.ihj.2019.04.006

Lang RM, Badano LP, 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):1-39.e14. https://doi.org/10.1016/j.echo.2014.10.003 PMid:25559473 DOI: https://doi.org/10.1016/j.echo.2014.10.003

Luke P, Eggett C, Spyridopoulos I, Irvine T. A comparative analysis of British and American society of echocardiography recommendations for the assessment of left ventricular diastolic function. Echo Res Pract. 2018;5(4):139-47. https://doi.org/10.1530/erp-18-0024 PMid:30400022 DOI: https://doi.org/10.1530/ERP-18-0024

Galderisi M, Cosyns B, Edvardsen T, Cardim N, Delgado V, Di Salvo G, et al. Standardization of adult transthoracic echocardiography reporting in agreement with recent chamber quantification, diastolic function, and heart valve disease recommendations: An expert consensus document of the European association of cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2017;18(12):1301-10. https://doi.org/10.1093/ehjci/jex244 DOI: https://doi.org/10.1093/ehjci/jex244

Bakris G, Ali W, Parati G. ACC/AHA Versus ESC/ESH on hypertension guidelines: JACC guideline comparison. J Am Coll Cardiol. 2019;73(23):3018-26. https://doi.org/10.1016/j.jacc.2019.03.507 PMid:31196460 DOI: https://doi.org/10.1016/j.jacc.2019.03.507

Vdovenko DV, Libis RA. The myocardial deformation and diastolic function of the left ventricle in patients with heart failure with preserved left ventricular ejection fraction. Arter Hypertens. 2018;24(10):74-80. https://doi.org/10.18705/1607-419x-2018-24-1-74-80 DOI: https://doi.org/10.18705/1607-419X-2018-24-1-74-80

Vachalcova M, Valočik G, Kurečko M, Grapsa J, Ali Taha V, Michalek P, et al. The three-dimensional speckle tracking echocardiography in distinguishing between ischaemic and non-ischaemic aetiology of heart failure. ESC Heart Fail. 2020;7(5):2297-04. https://doi.org/10.1002/ehf2.12766 PMid:32558395 DOI: https://doi.org/10.1002/ehf2.12766

Baumgartner H, Hung J, Bermejo J, Chambers JB, Edvardsen T, Goldstein S, et al. Recommendations on the echocardiographic assessment of aortic valve stenosis: A focused update from the European association of cardiovascular imaging and the American society of echocardiography. Eur Heart J Cardiovasc Imaging. 2017;18(3):254-75. https://doi.org/10.1093/ehjci/jew335 PMid:28363204 DOI: https://doi.org/10.1093/ehjci/jew335

Quintana RA, Bui LP, Moudgil R, Palaskas N, Hassan S, Abe JI, et al. Speckle-tracking echocardiography in cardio-oncology and beyond. Tex Heart Inst J. 2020;47(2):96-107. https://doi.org/10.14503/THIJ-18-6736 PMid:32603473 DOI: https://doi.org/10.14503/THIJ-18-6736

Neisius U, Myerson L, Fahmy AS, Nakamori S, El-Rewaidy H, Joshi G, et al. Cardiovascular magnetic resonance feature tracking strain analysis for discrimination between hypertensive heart disease and hypertrophic cardiomyopathy. PLoS One. 2019;14(8):0221061. https://doi.org/10.1371/journal.pone.0221061 PMid:31433823 DOI: https://doi.org/10.1371/journal.pone.0221061

Shavarova EK, Kobalava ZD, Yezhova NE, Khomova IA, Bazdyreva EI, et al. Early structural and functional left ventricular disorders in young patients with hypertension: A role of insulin resistance. Russ J Cardiol. 2020;25(3):33-41. https://doi.org/10.15829/1560-4071-2020-3-3774 DOI: https://doi.org/10.15829/1560-4071-2020-3-3774

Teixeira R. Three-dimensional speckle tracking echocardiography: The future is now. Rev Port Cardiol. 2018;37(4):339-40. https://doi.org/10.1016/j.repc.2018.03.008 PMid:29685849 DOI: https://doi.org/10.1016/j.repc.2018.03.008

Williams B, Mancia G, Spiering W, Rosei EA, Azizi M, Burnier M, et al. 2018 ESC/ESH guidelines for the management of arterial hypertension. Eur Heart J. 2018;39(33):3021-104. https://doi.org/10.1093/eurheartj/ehy339 PMid:30165516 DOI: https://doi.org/10.1093/eurheartj/ehy439

Bekbergenova ZH, Derbissalina G, Umbetzhanova A, Koikov V, Bedelbayeva G. Evaluating the effectiveness of a screening program for cardiovascular diseases in Kazakhstan. Eur J Public Health. 2019;29(Suppl 4):299. https://doi.org/10.1093/eurpub/ckz186.229 DOI: https://doi.org/10.1093/eurpub/ckz186.229

Wenger NK, Arnold A, Merz CN, Cooper-DeHoff RM, Ferdinand KC, Fleg JL, et al. Hypertension across a woman’s life cycle. J Am Coll Cardiol. 2018;71(16):1797-813. https://doi.org/10.1016/j.jacc.2018.02.033 PMid:29673470 DOI: https://doi.org/10.1016/j.jacc.2018.02.033

Pollow DP, Romero-Aleshire MJ, Sanchez JN, Konhilas JP, Brooks HL, et al. ANG II-induced hypertension in the VCD mouse model of menopause is prevented by estrogen replacement during perimenopause. Am J Physiol Regul Integr Comp Physiol. 2015;9(12):1546-52. https://doi.org/10.1152/ajpregu.00170.2015 PMid:26491098 DOI: https://doi.org/10.1152/ajpregu.00170.2015

Harvey RE, Coffman KE, Miller VM. Women-specific factors to consider in risk, diagnosis and treatment of cardiovascular disease. Womens Health (Lond). 2015;11(2):239-57. https://doi.org/10.2217/whe.14.64 PMid:25776297 DOI: https://doi.org/10.2217/WHE.14.64

Inwald EC, Albring C, Baum E, Beckermann M, Bühling KJ, Emons G, et al. Perimenopause and postmenopause-diagnosis and interventions. Guideline of the DGGG and OEGGG (S3-Level, AWMF registry number 015-062, September 2020. Geburtshilfe Frauenheilkd. 2021;81(6):612-36. https://doi.org/10.1055/a-1361-1948 PMid:34168377 DOI: https://doi.org/10.1055/a-1361-1948

Jafary FH. Devereux formula for left ventricular mass-be careful to use the right units of measurement. J Am Soc Echocardiogr. 2007;20(6):783. https://doi.org/10.1016/j.echo.2007.02.034 PMid:17543757 DOI: https://doi.org/10.1016/j.echo.2007.02.034

Nagueh F, Smiseth OA, Appleton CP, Byrd 3rd BF, Dokainish H, Edvardsen T, et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography: An update from the American society of echocardiography and the European association of cardiovascular imaging. J Am Soc Echocardiogr. 2016;29(4):277-314. https://doi.org/10.1016/j.echo.2016.01.011 PMid:27037982 DOI: https://doi.org/10.1016/j.echo.2016.01.011

Davis AM, Adams D, Venkateshvaran A, Alenezi F. Speckle tracking strain echocardiography: What sonographers need to know. J Indian Acad Echocardiogr Cardiovasc Imaging. 2017;1(2):133-9.

Breetveld NM, Alers RJ, Geerts L, Van Kuijk SM, Van Dijk AP, Van der Vlugt MJ, et al. Low plasma volume and increased pressure load relate to concentric left ventricular remodeling after preeclampsia: A longitudinal study. J Am Heart Assoc. 2020;9(19):015043. https://doi.org/10.1161/JAHA.119.015043 PMid:32924785 DOI: https://doi.org/10.1161/JAHA.119.015043

Hensel KO, Jenke A, Leischik R. Speckle-tracking and tissue-Doppler stress echocardiography in arterial hypertension: A sensitive tool for detection of subclinical LV impairment. Biomed Res Int. 2014;2014:472562. https://doi.org/10.1155/2014/472562 PMid:25389528 DOI: https://doi.org/10.1155/2014/472562

Tanaka H. Efficacy of echocardiography for differential diagnosis of left ventricular hypertrophy: Special focus on speckle-tracking longitudinal strain. J Echocardiogr. 2021;19(2):71-9. https://doi.org/10.1007/s12574-020-00508-3 PMid:33460030 DOI: https://doi.org/10.1007/s12574-020-00508-3

Xu L, Wang N, Chen X, Liang Y, Zhou H, et al. Quantitative evaluation of myocardial layer-specific strain using two-dimensional speckle tracking echocardiography among young adults with essential hypertension in China. Medicine. 2018;97(39):12448. https://doi.org/10.1097/MD.0000000000012448 PMid:30278524 DOI: https://doi.org/10.1097/MD.0000000000012448