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dc.contributor.authorShiino, Kenji
dc.contributor.authorYamada, Akira
dc.contributor.authorScalia, Gregory M
dc.contributor.authorPutrino, Anthony
dc.contributor.authorChamberlain, Robert
dc.contributor.authorPoon, Karl
dc.contributor.authorWalters, Darren L
dc.contributor.authorChan, Jonathan
dc.date.accessioned2019-05-29T12:42:14Z
dc.date.available2019-05-29T12:42:14Z
dc.date.issued2019
dc.identifier.issn0002-9149
dc.identifier.doi10.1016/j.amjcard.2018.12.008
dc.identifier.urihttp://hdl.handle.net/10072/382352
dc.description.abstractTranscatheter aortic valve implantation (TAVI) is an effective therapeutic option for severe symptomatic aortic valve stenosis (AS) with intermediate or high surgical risk. The purpose of this study was to examine the effects of TAVI on left ventricular (LV) mechanics using multilayer global longitudinal strain (GLS) by 2D speckle-tracking echocardiography. A total of 119 patients (mean age 83 ± 7.0 years, male 54%) with severe symptomatic AS and normal LV ejection fraction (LVEF) underwent echocardiography at baseline and 1 month after TAVI. Global longitudinal strain was measured from the endocardial layer (GLSendo), mid-ventricular layer (GLSmyo), epicardial layer (GLSepi) and full thickness of myocardium (GLSwhole). There was significant improvement in all 3 layers of GLS after TAVI compared with baseline, but there was no significant change in LVEF. The relative % increment in GLS in each layer strain were 11.2 ± 23.4% (GLSendo), 13.4 ± 33.0% (GLSmyo) and 18.0 ± 46.6% (GLSepi) with significant difference between GLSendo and GLSepi (p < 0.05). In conclusion, multilayer GLS is more sensitive than conventional LVEF to detect early improvement in LV systolic function after TAVI in patients with severe AS. There is a disproportional improvement in different layers with least improvement in the endocardium. Multilayer strain analysis may provide new insights into understanding mechanics of AS.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherElsevier
dc.publisher.placeUnited States
dc.relation.ispartofpagefrom1
dc.relation.ispartofpageto5
dc.relation.ispartofjournalAmerican Journal of Cardiology
dc.subject.fieldofresearchCardiology (incl. Cardiovascular Diseases)
dc.subject.fieldofresearchCardiorespiratory Medicine and Haematology
dc.subject.fieldofresearchcode110201
dc.subject.fieldofresearchcode1102
dc.titleEarly Changes of Myocardial Function After Transcatheter Aortic Valve Implantation Using Multilayer Strain Speckle Tracking Echocardiography
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyAn Unassigned Group, An Unassigned Department
gro.description.notepublicThis publication has been entered into Griffith Research Online as an Advanced Online Version.
gro.hasfulltextNo Full Text
gro.griffith.authorYamada, Akira
gro.griffith.authorChan, Jonathan H.
gro.griffith.authorShiino, Kenji
gro.griffith.authorChamberlain, Rob


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