Evaluation of Subendocardial and Subepicardial Left Ventricular Functions Using Tissue Doppler Imaging after Complete Revascularization

dc.authorwosidAKTOZ, MERYEM/M-9023-2018
dc.contributor.authorSueruecue, Hueseyin
dc.contributor.authorTatli, Ersan
dc.contributor.authorOkudan, Selnur
dc.contributor.authorAktoz, Meryem
dc.date.accessioned2024-06-12T11:12:17Z
dc.date.available2024-06-12T11:12:17Z
dc.date.issued2009
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective: We aim to evaluate subepicardial and subendocardial left ventricular (LV) functions in patient single coronary artery lesion at early stage after percutaneous coronary intervention (PCI). Additionally, a comparison of LV functions between patients and control cases was aimed. Method: Patients with culprit left anterior descending (LAD) lesion (n = 25) and subjects with normal coronary angiography (n = 25) were evaluated. Patients underwent PCI and at least one coronary stent was placed. After PCI, the pulsed-wave tissue Doppler imaging (pw-TDI) parameters taken from subepicardial and subepicardial layers were compared among the patients. Results: Left atrium (P = 0.050), LV end-diastolic (P = 0.049), and end-systolic (P = 0.006) diameters were larger compared to the control group. LV inflow velocities were not different between the patient and the control group. But, the myocardial performance index was different (P = 0.049). The systolic and diastolic pw-TDI parameters were apparently different between the patient and the control group. While the systolic pw-TDI parameters did not change, the diastolic pw-TDI parameters taken from both subepicardial (circumferential contraction) and subendocardial layers (longitudinal contraction) improved after PCI. After PCI, it was shown that while Ea velocity (P = 0.012) taken from the subendocardial layer increased, IVRa velocity (P < 0.001) taken from the subepicardial layer decreased. Conclusion: In our study, it could be said that LV, left atrium, and aortic valve diameter increase in patients with coronary artery disease. The systolic and diastolic functions were impaired at subendocardial and subepicardial layers. These dysfunctions can be easily presented with pw-TDI. Although systolic dysfunction persists, diastolic dysfunction improves at early stage after PCI. (ECHOCARDIOGRAPHY, Volume 26, February 2009).en_US
dc.identifier.doi10.1111/j.1540-8175.2008.00765.x
dc.identifier.endpage210en_US
dc.identifier.issn0742-2822
dc.identifier.issn1540-8175
dc.identifier.issue2en_US
dc.identifier.pmid19054027en_US
dc.identifier.scopus2-s2.0-58649091110en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage203en_US
dc.identifier.urihttps://doi.org/10.1111/j.1540-8175.2008.00765.x
dc.identifier.urihttps://hdl.handle.net/20.500.14551/23096
dc.identifier.volume26en_US
dc.identifier.wosWOS:000262638100012en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofEchocardiography-A Journal Of Cardiovascular Ultrasound And Allied Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPercutaneous Coronary Interventionen_US
dc.subjectTissue Doppler Imagingen_US
dc.subjectAcute Myocardial-Infarctionen_US
dc.subjectCoronary-Artery Diseaseen_US
dc.subjectDiastolic Functionen_US
dc.subjectAngioplastyen_US
dc.subjectEchocardiographyen_US
dc.subjectHypertrophyen_US
dc.subjectIschemiaen_US
dc.subjectAxisen_US
dc.subjectReperfusionen_US
dc.subjectVelocitiesen_US
dc.titleEvaluation of Subendocardial and Subepicardial Left Ventricular Functions Using Tissue Doppler Imaging after Complete Revascularizationen_US
dc.typeArticleen_US

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