Myocardial deformation indices for detection of the functional significance of intermediate left anterior descending coronary artery stenosis: FFR guided study

• Published in: The international journal of cardiovascular imaging 2022-12, Vol.38 (12), p.2625-2633
• Main Authors: Shereef, Ahmed Shawky, Mosbah, Suaad Abdallah Ali, Ghoniem, Salwa Mohamed, Shehata, Islam Elsayed
• Format: Article
• Language: English
• Subjects: Angiography; Aorta; Aortic valve; Cardiac Imaging; Cardiology; Coronary artery; Coronary vessels; Deformation; Diagnostic systems; Echocardiography; Heart valves; Imaging; Lesions; Medicine; Medicine & Public Health; Original Paper; Radiology; Sensitivity; Stenosis
• ISSN: 1875-8312; 1569-5794; 1875-8312; 1573-0743
• DOI: 10.1007/s10554-022-02668-y

This study aimed to investigate the diagnostic performance of non-invasive resting myocardial deformation indices in identifying functional significance of intermediate stenosis of the left anterior descending (LAD) artery. Patients with 50–70% LAD stenosis upon coronary angiography were enrolled and divided into group I with fractional flow reserve (FFR) > 0.8 and group II with FFR ≤ 0.8. Patients were subjected to conventional and speckle tracking echocardiography with measurement of myocardial deformation indices including regional peak longitudinal strain (PLS), global longitudinal strain (GLS), Post-systolic strain index (PSI), and time interval between Aortic valve closure (AVC) and PLS. The current study included 200 patients. Group II patients had significantly lower absolute mean values of regional (PLS) and (GLS) compared to group I (− 14.98 ± 5.05 and − 18.73 ± 3.92 vs. − 17.59 ± 3.62 and − 19.20 ± 2.61, p = 0.001 and 0.02, respectively). The FFR values of LAD correlated significantly and negatively with the time interval between AVC and regional PLS (r = − 0.201, p = 0.004) as well as PSI (r = − 0.257, p