Three and two-dimensional cardiac mechanics by speckle tracking are predictors of outcomes in chagas heart disease

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorHOTTA, Viviane Tiemi
dc.contributor.authorABDUCH, Maria Cristina Donadio
dc.contributor.authorVIEIRA, Marcelo Luiz Campos
dc.contributor.authorVILELA, Andrea de Andrade
dc.contributor.authorBOCCHI, Edimar Alcides
dc.date.accessioned2022-08-12T17:05:44Z
dc.date.available2022-08-12T17:05:44Z
dc.date.issued2022
dc.description.abstractChagas disease (CD) is a neglected infectious disease associated with early mortality and substantial disability. Three-dimensional speckle tracking (3D STE) may play a role in the evaluation of CD. We aim to characterize new echocardiographic variables in patients with CD and to assess the hypothesis that 3D STE may predict outcomes. Seventy-two patients with CD were included. Clinical and conventional 2D and 3D STE analysis were performed. Patients were followed up for 60 months. Clinical events were defined as hospitalization for heart failure, complex ventricular arrhythmias, heart transplant and all-cause death. Seventy-two patients were recruited and enrolled in three groups: left ventricular ejection fraction (LVEF) < 0.40 (N = 22; reduced LVEF or rLVEF); 0.40 <= LVEF <= 0.50 (N = 10; mildly reduced LVEF or mrLVEF) and LVEF > 0.50 (N = 30; preserved LVEF or pLVEF). After a Cox model analysis, the top predictors of composite endpoints were 2D LV global longitudinal strain (GLS) <= - 11.3% (AUC = 0.87), 2D LV global circumferential strain (GCS) <= - 10.1% (AUC = 0.79), 3D LV GLS <= - 13% (AUC = 0.82), 3D LV area strain <= - 16% (AUC = 0.81) and right ventricle (RV) GLS <= - 17.2% (AUC = 0.78). Patients with CD and mrLVEF were morphologically similar to the rLVEF patients despite the benign evolution as the pLVEF group. RV GLS, 2D LV GLS, 2D LV GCS, 3D LV GLS, and 3D LV area strain are strong predictors of 60 months outcomes in patients with CD.eng
dc.description.indexMEDLINEeng
dc.identifier.citationSCIENTIFIC REPORTS, v.12, n.1, article ID 12237, 12p, 2022
dc.identifier.doi10.1038/s41598-022-16379-w
dc.identifier.issn2045-2322
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/48322
dc.language.isoeng
dc.publisherNATURE PORTFOLIOeng
dc.relation.ispartofScientific Reports
dc.rightsopenAccesseng
dc.rights.holderCopyright NATURE PORTFOLIOeng
dc.subject.othermyocardial deformationeng
dc.subject.otheramerican societyeng
dc.subject.otherechocardiographyeng
dc.subject.otherstraineng
dc.subject.othercardiomyopathyeng
dc.subject.otherassociationeng
dc.subject.otherfibrosiseng
dc.subject.otherrecommendationseng
dc.subject.otherarrhythmiaseng
dc.subject.othervalidationeng
dc.subject.wosMultidisciplinary Scienceseng
dc.titleThree and two-dimensional cardiac mechanics by speckle tracking are predictors of outcomes in chagas heart diseaseeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalVILELA, Andrea de Andrade:Fleury Med & Saude, Echocardiog Sect, Sao Paulo, Brazil; Inst Dante Pazzanese Cardiol, Echocardiog Sect, Sao Paulo, Brazil
hcfmusp.citation.scopus1
hcfmusp.contributor.author-fmusphcVIVIANE TIEMI HOTTA
hcfmusp.contributor.author-fmusphcMARIA CRISTINA DONADIO ABDUCH
hcfmusp.contributor.author-fmusphcMARCELO LUIZ CAMPOS VIEIRA
hcfmusp.contributor.author-fmusphcEDIMAR ALCIDES BOCCHI
hcfmusp.description.articlenumber12237
hcfmusp.description.issue1
hcfmusp.description.volume12
hcfmusp.origemWOS
hcfmusp.origem.pubmed35856087
hcfmusp.origem.scopus2-s2.0-85134390310
hcfmusp.origem.wosWOS:000827160000029
hcfmusp.publisher.cityBERLINeng
hcfmusp.publisher.countryGERMANYeng
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