Comprehensive left ventricular mechanics analysis by speckle tracking echocardiography in Chagas disease

Autor(es)

Miguel Lima, Marcio Silva ^[1] ; Villarraga, Hector R. ^[2] ; Donadio Abduch, Maria Cristina ^[1] ; Lima, Marta Fernandes ^[1] ; Bittencourt Viana Cruz, Cecilia Beatriz ^[1] ; Bittencourt, Marcio Sommer ^[1] ; Voos, Mariana Callil ^[1] ; Nunes Sbano, Joao Cesar ^[1] ; Mathias, Jr., Wilson ^[1] ; Tsutsui, Jeane Mike ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Sch Med, Inst Coracao InCor, Serv Ecocardiog, Ave Dr Eneas de Carvalho Aguiar 44, BR-05403000 Sao Paulo, SP - Brazil

^[2] Mayo Clin & Mayo Fdn, 200 1st St SW, Rochester, MN 55905 - USA

• Tipo de documento: Artigo Científico
• Fonte: CARDIOVASCULAR ULTRASOUND; v. 14, MAY 27 2016.
• Citações Web of Science: 2

Resumo

Background: Chagas disease (CD) is a frequent cause of dilated cardiomyopathy (CMP) in developing countries, leading to clinical heart failure and worse prognosis. Therefore, the development and evolution of this CMP has always been a major topic in numbers of previous studies. A comprehensive echocardiographic study of left ventricular (LV) mechanics, fully assessing myocardial contraction, has never been done before. This could help characterize and improve the understanding of the evolution of this prevalent CMP. Methods: A total of 47 chagasic and 84 control patients were included in this study and allocated in groups according to LV ejection fraction. 2D-Echocardiogram was acquired for LV mechanics analysis by speckle tracking echocardiography. Results: Mean age of chagasic individuals was 55y and 16 (34 %) were men. Significant difference was found in global longitudinal velocity analysis, with lower values in indeterminate form. In the group with severe systolic dysfunction, a paradoxical increase in longitudinal and apical radial displacements were demonstrated. In parallel, segmental analyzes highlighted lower values of radial displacement, strain and strain rate into inferior and inferolateral walls, with increase of these values in septal and anterior walls. Conclusion: Chagasic CMP has a vicarious pattern of contraction in the course of its evolution, defined by reduced displacement and strain into inferior and posterior walls with paradoxical increase in septal and anterior segments. Also, lower longitudinal velocities were demonstrated in CD indeterminate form, which may indicate an incipient myocardial injury. (AU)

• Processo FAPESP: 09/52689-7 - Estudo da dinamica de contracao do ventriculo esquerdo pela tecnica de speckle tracking em pacientes portadores de doenca de chagas
• Beneficiário: Jeane Mike Tsutsui
• Modalidade de apoio: Auxílio à Pesquisa - Regular