Performance of the left ventricular myocardium in patients with a negative test result during exercise stress echocardiography
- 作者: Alekhin M.1,2, Radova N.1,2, Leshchinskaia S.3, Ivanov S.4
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隶属关系:
- Central State Medical Academy of the President of the Russian Federation
- Central Clinical Hospital with Clinic of the President of the Russian Federation
- Russian University of Medicine
- Clinical Hospital of the President of the Russian Federation
- 期: 卷 96, 编号 4 (2024)
- 页面: 349-355
- 栏目: Original articles
- URL: https://journals.rcsi.science/0040-3660/article/view/255112
- DOI: https://doi.org/10.26442/00403660.2024.04.202681
- ID: 255112
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Aim. To determine the possibility of identifying patients with significant coronary artery disease (CAD) by evaluation of the left ventricular (LV) myocardial work indicators by constructing pressure-strain loops despite a negative test result during exercise stress echocardiography.
Materials and methods. The study included 79 patients with suspected or previously confirmed CAD, of which 47 (59%) men, who had a negative test result during exercise stress echocardiography on the treadmill. Global work index (GWI), global constructive work (GCW), global wasted work (GWW) and global work efficiency (GWE) were evaluated using the technique of constructing pressure-strain loops at rest and at peak exercise.
Results. With similar systolic blood pressure and LV ejection fraction at peak exercise between the control group and the group of patients with single-vessel CAD, there was revealed significant difference in GWI, GCW and GWE at peak exercise. In patients with multi-vessel CAD, GWI and GCW also significantly differed from the control group at peak exercise.
Conclusion. The evaluation of LV myocardial work indicators may be recommended for a more accurate diagnosis of CAD in negative or unreliable test results during exercise stress echocardiography.
作者简介
Mikhail Alekhin
Central State Medical Academy of the President of the Russian Federation; Central Clinical Hospital with Clinic of the President of the Russian Federation
编辑信件的主要联系方式.
Email: mike.nikolaich@yandex.ru
ORCID iD: 0000-0002-9725-7528
д-р мед. наук, проф. каф. терапии, кардиологии и функциональной диагностики с курсом нефрологии, зав. отд-нием функциональной диагностики
俄罗斯联邦, Moscow; MoscowNatalya Radova
Central State Medical Academy of the President of the Russian Federation; Central Clinical Hospital with Clinic of the President of the Russian Federation
Email: mike.nikolaich@yandex.ru
ORCID iD: 0000-0001-8085-3166
канд. мед. наук, доц. каф. терапии, кардиологии и функциональной диагностики с курсом нефрологии, врач отд-ния функциональной диагностики
俄罗斯联邦, Moscow; MoscowSvetlana Leshchinskaia
Russian University of Medicine
Email: mike.nikolaich@yandex.ru
ORCID iD: 0009-0004-4482-990X
студентка
俄罗斯联邦, MoscowSergey Ivanov
Clinical Hospital of the President of the Russian Federation
Email: mike.nikolaich@yandex.ru
ORCID iD: 0000-0002-6768-1045
канд. мед. наук, врач отд-ния кардиологии
俄罗斯联邦, Moscow参考
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