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Evaluation of Left Ventricular Function by Three-Dimensional Speckle-Tracking Echocardiography in Patients with Chronic Kidney Failure

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Abstract

Objective

To establish a quantitative evaluation of the left ventricle’s systolic function in patients with chronic kidney failure (CKF) by three-dimensional speckle-tracking echocardiography.

Methods

Two-dimensional and three-dimensional transthoracic echocardiography was performed on 30 patients with CKF. The ejection fraction, mass and global peak longitudinal strain, global circumferential strain, global area strain, and global radial strain of the left ventricle were calculated.

Results

The ejection fraction, mass and global peak longitudinal strain (GLS), global circumferential strain (GCS), global area strain (GAS), and global radial strain (GRS) in the CKF group were significantly lower than those in the control group. Simultaneously, the GLS, GCS, GAS and GRS were well correlated with the ejection fraction. For patients with normal ejection fraction in the CKF group, the GLS, GCS, GAS and GRS were lower than those in the control group, while the left ventricular mass was significantly higher in CKF patients than in the control group. For patients with hypertension in the CKF group, ejection fraction, GLS, GCS, GAS and GRS calculated using three-dimensional echocardiography were significantly lower than those in patients with normal blood pressure; however, the myocardial mass was higher.

Conclusions

The parameters (GLS, GCS, GAS and GRS) calculated using three-dimensional speckle-tracking software were lower in the CKF group. Simultaneously, the left ventricular mass was higher in CFK patients than in the control group, thus showing that the myocardial contraction function was impaired and that myocardial remodeling had occurred.

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Authors and Affiliations

  1. Department of Ultrasound, Third People’s Hospital of Hubei Province, Jianghan University, Wuhan, 430033, China

    Yu-bo Wang, Hui Huang, Shan Lin, Mei-jia Hao, Lu-jiao He & Kun Liu

  2. Department of Ultrasound, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430070, China

    Yu-bo Wang

  3. Department of Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China

    Xiao-jun Bi

Authors
  1. Yu-bo Wang
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  2. Hui Huang
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  3. Shan Lin
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  4. Mei-jia Hao
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  5. Lu-jiao He
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  6. Kun Liu
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  7. Xiao-jun Bi
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Corresponding authors

Correspondence to Kun Liu or Xiao-jun Bi.

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The authors declare that they have no competing interests.

Additional information

The study was supported by grants from the Science and Technology Department of the Hubei Province Foundation (No. 2019CFC895) and 2016 Wuhan Young and Middle-Aged Talent Plan Foundation.

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Wang, Yb., Huang, H., Lin, S. et al. Evaluation of Left Ventricular Function by Three-Dimensional Speckle-Tracking Echocardiography in Patients with Chronic Kidney Failure. CURR MED SCI 42, 895–901 (2022). https://doi.org/10.1007/s11596-022-2553-0

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  • DOI: https://doi.org/10.1007/s11596-022-2553-0

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