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Early diastolic strain rate predicts response to heart failure therapy in patients with dilated cardiomyopathy

Overview of attention for article published in The International Journal of Cardiovascular Imaging, January 2014
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Title
Early diastolic strain rate predicts response to heart failure therapy in patients with dilated cardiomyopathy
Published in
The International Journal of Cardiovascular Imaging, January 2014
DOI 10.1007/s10554-014-0361-8
Pubmed ID
Authors

Björn Goebel, Kristina H. Haugaa, Kathleen Meyer, Sylvia Otto, Christian Jung, Alexander Lauten, Hans R. Figulla, Thor Edvardsen, Tudor C. Poerner

Abstract

The aim of this prospective study was to assess the value of speckle tracking echocardiographic (2D-STE) parameters to predict response to heart failure therapy in patients with dilated cardiomyopathy (DCM). Eighty-seven patients (mean age 51 ± 13 years) with DCM, defined as ejection fraction (EF) <45 %, left ventricular (LV) end-diastolic diameter >112 % of normal range derived from age and body surface area. Based on 2D-STE following parameters were extracted from three apical views of the LV: global longitudinal strain, systolic and diastolic strain rate (SRE). Mechanical dispersion was calculated as standard deviation of time-to-peak strain values including all LV segments. After receiving heart failure therapy (mean 39 ± 11 months, range 3-60 months) 50 patients reached combined endpoint defined as following: death, heart transplantation, rehospitalization due to heart failure, and absence of improvement in EF. On stepwise multivariate regression analysis, SRE was independently of EF and LV volumes predictive for combined endpoint (OR 0.44, 95 %CI 0.27-0.70, p = 0.001) with an area under the ROC-curve (AUC) of 0.91. In patients with cQRS duration ≤120 ms mechanical dispersion was predictive for combined endpoint with the highest AUC (OR 1.53, 95 %CI 1.08-2.16, p = 0.002; AUC = 0.94). In this study, SRE, a surrogate parameter of myocardial relaxation, was able to predict a response to heart failure therapy in patients with DCM. In patients with narrow QRS complex, mechanical dispersion yielded the highest predictive value. Parameters of 2D-STE may contribute to risk stratification in this patient population.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 39 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 39 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 6 15%
Student > Master 6 15%
Student > Doctoral Student 4 10%
Researcher 4 10%
Student > Bachelor 3 8%
Other 8 21%
Unknown 8 21%
Readers by discipline Count As %
Medicine and Dentistry 19 49%
Psychology 4 10%
Agricultural and Biological Sciences 2 5%
Nursing and Health Professions 2 5%
Social Sciences 1 3%
Other 1 3%
Unknown 10 26%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 February 2014.
All research outputs
#22,758,309
of 25,373,627 outputs
Outputs from The International Journal of Cardiovascular Imaging
#1,460
of 2,012 outputs
Outputs of similar age
#283,013
of 322,827 outputs
Outputs of similar age from The International Journal of Cardiovascular Imaging
#18
of 32 outputs
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