Diagnostic value of myocardial strain using two‐dimensional speckle‐tracking echocardiography in acute cardiac allograft rejection: A systematic review and meta‐analysis.
Background: Two‐dimensional speckle‐tracking echocardiography (2D STE) has been demonstrated to have certain diagnostic utility in heart transplantation (HTX) patients with acute cardiac allograft rejection (ACAR). The aim of the systematic review and meta‐analysis was to evaluate the diagnostic val...
| Publicado en: | Echocardiography Vol. 37; no. 4; pp. 561 - 570 |
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| Autores principales: | , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142949165&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 142949165 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07422822 GSE jtl: Echocardiography issn: 07422822 maglogo: Y pubinfo: dt: Apr2020 vid: 37 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 142949165 142949165 145812866 142949165 10.1111/echo.14637 142949165 ppf: 561 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Diagnostic value of myocardial strain using two‐dimensional speckle‐tracking echocardiography in acute cardiac allograft rejection: A systematic review and meta‐analysis. aug: au: Zhu, Shuangshuang Li, Meng Tian, Fangyan Wang, Shuyuan Li, Yuman Yin, Ping Zhang, Li Xie, Mingxing affil: Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China sug: subj: Heart Transplantation Allografts Graft Rejection Evaluation Myocardium Ultrasonography Echocardiography Methods Sensitivity and Specificity Human Systematic Review Meta Analysis Ventricular Function, Left Endocardium Ultrasonography Biopsy Methods Confidence Intervals ab: Background: Two‐dimensional speckle‐tracking echocardiography (2D STE) has been demonstrated to have certain diagnostic utility in heart transplantation (HTX) patients with acute cardiac allograft rejection (ACAR). The aim of the systematic review and meta‐analysis was to evaluate the diagnostic value of common strain parameters for ACAR in HTX patients. Methods: After conducting a database search, we selected studies evaluating left ventricular global longitudinal strain (GLS), circumferential strain (CS), radial strain (RS), and free wall right ventricular longitudinal strain (RV FW) in rejection group vs rejection‐free group. Results: After reviewing 886 publications, seven studies were finally included in the meta‐analysis, representing the data of 1173 pairs of endomyocardial biopsy and echocardiographic examination. Heart transplantation patients with rejection had significantly lower GLS than rejection‐free subjects (weighted mean difference −2.32 (95% CI, −3.41 to −1.23; P <.001). Heart transplantation patients with rejection had significantly lower CS than rejection‐free subjects (weighted mean difference −2.49 (95% CI, −4.05 to −0.91; P =.0019). In addition, HTX patients with rejection also had significantly lower RV FW (weighted mean difference −4.90 (95% CI, −6.15 to −3.65; P <.001). Conclusions: The meta‐analysis and systematic review demonstrate that myocardial strain parameters derived from 2D STE may be useful in detecting ACAR in HTX patients. The present results provide encouraging evidence to consider the routine use of GLS, CS, and RV FW as markers of graft function involvement during ACAR. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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