Dia: 17 de novembro de 2020

Cardiac Longitudinal Function: GLS vs. MAPSE

Value of mitral annular plane systolic excursion in the assessment of contractile reserve in patients with ischemic cardiomyopathy before cardiac revascularization

https://www.sciencedirect.com/science/article/pii/S0019483217303978

Conclusions

MAPSE is a rapid simple quantitative echocardiographic method that can asses contractile reserve in patients with ischemic cardiomyopathy before cardiac revascularization.

MAPSE é tão fácil de fazer no ecoestresse com esforço que dá até vontade de medir em todos!!!

Conclusions— This study suggests that the angle of ICA origin may be an independent risk factor for early atherosclerotic changes at the ICA bulb. This new hypothesis should be tested in prospective studies.

https://www.ahajournals.org/doi/full/10.1161/01.STR.0000060895.38298.C4

https://cardiovascularultrasound.biomedcentral.com/articles/10.1186/s12947-020-00204-3

Area strain is determined as the percentage decrease in the size of endocardial (or mid-myocardial) surface area, defined by vectors of longitudinal and circumferential deformation at end-systole from its original area at end-diastole [6]. Principal strain represents the major direction and magnitude of the deformation in which no shear strain occurs. It reflects longitudinal, circumferential, and torsional deformation; therefore, it can represent dynamic 3D movements of the left ventricle

https://www.ncbi.nlm.nih.gov/books/NBK459131/

Left ventricular ejection fraction is a powerful predictor of cardiac mortality.

Among heart failure patients, higher LVEFs were associated with a linear decrease in mortality up to an LVEF of 45%