Rest 2D speckle tracking echocardiography may be a sensitive but nonspecific test for detection of significant coronary artery disease

Acta Biomed. 2018 Jan 16;88(4):457-461. doi: 10.23750/abm.v88i4.5445.

Abstract

Aims: To detect the significance of coronary artery disease in the patients, who are suspected, was assumed to be one of the advantages of 2D STE, as a novel non-invasive imaging modality with acceptable accuracy.

Methods: In this study, 216 patients who were suspected to have coronary artery disease and candidate for coronary angiography, underwent rest two-dimensional speckle tracking echocardiography (2D STE) and negative global systolic longitudinal strain was evaluated.

Results: Negative global systolic left ventricular longitudinal strain under 18% in rest 2D-STE was significantly prevalent in patients with significant CAD in coronary angiography (P value<0.0001).Our results revealed sensitivity of 91.1%, specificity of 63.0%, positive predictive value of 80.4%, negative predictive value of 81.0% and accuracy of 80.5% for rest 2D-STE in detection of significant CAD.

Conclusion: Here in we showed that rest Two-dimensional speckle tracking echocardiography could be a sensitive but nonspecific imaging modality to determine significant coronary artery disease. Future studies with large size will reveal more detailed findings.

Keywords: 2D speckle tracking echocardiography, coronary artery disease, coronary angiography.

MeSH terms

  • Aged
  • Coronary Angiography
  • Coronary Artery Disease / diagnostic imaging*
  • Echocardiography / methods*
  • Female
  • Humans
  • Male
  • Middle Aged