Parameters of left ventricular deformation in elderly and senile patients with aortic stenosis after transcatheter implantation of the aortic valve
https://doi.org/10.29001/2073-8552-2023-39-3-121-127
Abstract
Aim: To evaluate the parameters of left ventricle (LV) myocardial deformation (longitudinal, circular and radial) in patients with symptomatic severe aortic stenosis (AS) with preserved LV ejection fraction after transcatheter aortic implantation valve (TAVI) in the early postoperative period.
Material and Methods. The study included 31 patients after TAVI out of 69 with symptomatic severe AS. Echocardiography (EchoCG) using two-dimensional speckle tracking technology was performed before TAVI and in the early postoperative period (within 5 ± 1,7 days).
Results. There were no significant differences in the analysis of deformation parameters before TAVI and in the early postoperative period. There was a tendency to increase the longitudinal deformation of the LV, including the longitudinal deformation of the basal, middle and apical segments in individual patients. The longitudinal deformation of the left atrium did not change after TAVI.
Conclusion. There were no significant changes in deformation parameters in elderly and senile patients with severe AS and preserved LV ejection fraction and with reduced LV deformation (longitudinal, circular and radial) after minimally invasive TAVI in the early postoperative period. There is a tendency to increase the global longitudinal deformation of the LV.
About the Authors
M. G. Matveeva
Central Clinical Hospital with Outpatient Clinic of Department of Presidential Affairs
Russian Federation
Russian Federation
Marina G. Matveeva, Cand. Sci. (Med.), Doctor of Functional Diagnostics
15, Marshala Timoshenko str., Moscow, 121359, Russian Federation
A. V. Ter-Akopyan
Central Clinical Hospital with Outpatient Clinic of Department of Presidential Affairs
Russian Federation
Russian Federation
Armen V. Ter-Akopyan, Dr. Sci. (Med), Head of the Department of X-ray Surgical Methods of Diagnosis and Treatment
15, Marshala Timoshenko str., Moscow, 121359, Russian Federation
M. N. Alekhin
Central Clinical Hospital with Outpatient Clinic of Department of Presidential Affairs
Russian Federation
Russian Federation
Mikhail N. Alekhin, Dr. Sci. (Med), Professor, Head of the Department of Functional Diagnostics
15, Marshala Timoshenko str., Moscow, 121359, Russian Federation
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Review
For citations:
Matveeva M.G., Ter-Akopyan A.V., Alekhin M.N. Parameters of left ventricular deformation in elderly and senile patients with aortic stenosis after transcatheter implantation of the aortic valve. Siberian Journal of Clinical and Experimental Medicine. 2023;38(3):121-127. (In Russ.) https://doi.org/10.29001/2073-8552-2023-39-3-121-127
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