The Role of Global Longitudinal Strain in Predicting Left Ventricular Reverse Remodeling After Mitral Valve Replacement Surgery in Patients With Primary Mitral Regurgitation.
Objectives: This study aimed to identify the utility of global longitudinal strain (GLS) as a reliable parameter that can accurately forecast left ventricle reverse remodeling (LVRR) in patients undergoing valve replacement surgery for severe chronic primary mitral regurgitation (MR), thereby aiding...
| Published in: | Echocardiography Vol. 41; no. 11; pp. 1 - 9 |
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| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Nov2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181057904&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181057904 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07422822 GSE jtl: Echocardiography issn: 07422822 maglogo: Y pubinfo: dt: Nov2024 vid: 41 iid: 11 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 181057904 181057904 181057904 10.1111/echo.15950 181057904 ppf: 1 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: The Role of Global Longitudinal Strain in Predicting Left Ventricular Reverse Remodeling After Mitral Valve Replacement Surgery in Patients With Primary Mitral Regurgitation. aug: au: Natalino, Liem Audi Marsam, Real Kusumanjaya Dinarti, Lucia Kris Mumpuni, Hasanah Anggrahini, Dyah Wulan affil: Division of Cardiology and Vascular Medicine, National Hospital Surabaya, Wiyung, Indonesia sug: subj: Mitral Valve Insufficiency Surgery Heart Valve Prosthesis Ventricular Remodeling Forecasting Global Longitudinal Strain Predictive Value of Tests Evaluation Mitral Valve Insufficiency Mortality Risk Assessment Human Adolescence Adult Middle Age Aged Retrospective Design Record Review Nonexperimental Studies Echocardiography Heart Ventricle, Left Physiology Severity of Illness Descriptive Statistics Bivariate Statistics Multivariate Analysis Sensitivity and Specificity Odds Ratio Confidence Intervals Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years ab: Objectives: This study aimed to identify the utility of global longitudinal strain (GLS) as a reliable parameter that can accurately forecast left ventricle reverse remodeling (LVRR) in patients undergoing valve replacement surgery for severe chronic primary mitral regurgitation (MR), thereby aiding in assessing mortality and morbidity risk. Methods: This retrospective observational study involved severe primary MR patients who underwent valve replacement surgery between 2018 and 2023. Pre‐ and postsurgery echocardiography data were collected, with GLS measurements utilized to assess left ventricular function. Various echocardiography parameters, including MR severity and LV dimensions, were analyzed. Bivariate and multivariate analyses were performed to explore relationships between GLS and LVRR. Results: This study enrolled 103 patients (54.4% male; mean age 45.4 ± 13.6 years). Statistical analyses revealed GLS to be an independent predictor of LVRR, with a threshold of −16.25% showing 89% sensitivity and 50% specificity. Each 1% increase in GLS corresponded to a 1.14‐fold (odds ratio [OR]: 1.14; 95% confidence interval [CI]: 1.01–1.31; p < 0.05) increased likelihood of LVRR. Conclusion: These findings highlight GLS's potential as a prognostic marker for postsurgical outcomes in severe MR patients. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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