Journal of Cardiovascular Echography

ORIGINAL ARTICLE
Year
: 2021  |  Volume : 31  |  Issue : 3  |  Page : 137--143

Left ventricular twist and untwist in patients undergoing elective percutaneous coronary intervention


Ali A Elzieny1, Said S Montaser2, Ahmed M Emara2, Mahmoud K Ahmed2 
1 Department of Cardiology, Sharm International Hospital, Sharm El Sheikh, Al Minufiyah, Egypt
2 Department of Cardiology, Menoufia Faculty of Medicine, Menoufia University, Shibin Al Kawm, Al Minufiyah, Egypt

Correspondence Address:
Ali A Elzieny
Department of Cardiology, Menoufia Faculty of Medicine, Menoufia University, Shibin Al Kawm, Al Minufiyah
Egypt

Background: Left ventricular (LV) twist and untwist plays important roles in physiological adaptation and development of clinically relevant cardiac diseases. Aims: To assess LV twist and untwist in patients undergoing elective percutaneous coronary intervention (PCI) by two-dimensional (2D) speckle tracking echocardiography (STE). Subjects and Methods: Fifty patients who had stable angina pectoris and/or abnormal result from noninvasive stress tests were enrolled after undergoing elective PCI. Conventional and 2D STE were performed before elective PCI and after 3 months. Results: There was no significant systolic improvement in conventional echocardiography. However, there was a significant diastolic improvement after elective PCI as higher E, E/A, e' and lower E/e' (P < 0.034, <0.042, 0.015, and 0.033, respectively). In addition, there was a statistically significant improvement of STE-derived systolic parameters as regard higher global longitudinal strain, peak twist, and torsion (P value 0.009, 0.009, and < 0.001, respectively). Furthermore, there was significant improvement of STE-derived diastolic parameters as higher peak untwist, recoil, and lower time to peak untwist (P value 0.013, 0.001, and 0.004, respectively). Conclusions: LV and untwist parameters were improved before most of conventional echocardiographic parameters in postrevascularization of stable coronary artery disease.


How to cite this article:
Elzieny AA, Montaser SS, Emara AM, Ahmed MK. Left ventricular twist and untwist in patients undergoing elective percutaneous coronary intervention.J Cardiovasc Echography 2021;31:137-143


How to cite this URL:
Elzieny AA, Montaser SS, Emara AM, Ahmed MK. Left ventricular twist and untwist in patients undergoing elective percutaneous coronary intervention. J Cardiovasc Echography [serial online] 2021 [cited 2021 Nov 29 ];31:137-143
Available from: https://www.jcecho.org/article.asp?issn=2211-4122;year=2021;volume=31;issue=3;spage=137;epage=143;aulast=Elzieny;type=0