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Impact of elective PCI on left intraventricular mechanical dyssynchrony in patients with chronic stable angina (tissue Doppler study)

egyptian heart journal • 2014
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Publication Information
Authors Shaimaa A. Mostafa *, Heba A. Mansour, Tarek H. Aboelazm, Khaled E. Elrabat, Shaimaa Sabry
Keywords Not Available
Journal egyptian heart journal
Publisher elsevier
Volume Not Available
Issue Not Available
Pages Not Available
publication.type International
Paper Link Open Link
Supplementary Materials Not Available
Abstract
Abstract Aim: To detect the impact of elective PCI on left intraventricular mechanical dyssynchrony
in patients with chronic stable angina.
Methods: 100 patients with chronic stable angina were included and divided into two groups
according to LV systolic and diastolic mechanical dyssynchrony measured by TSI 12-segments
SD and Te-SD. 24 h then 1 month after PCI, patients with dyssynchrony were reclassified into
improved vs persistent LV mechanical dyssynchrony.
Results: At baseline 72% had LV systolic mechanical dyssynchrony. Patients with LV systolic
mechanical dyssynchrony were significantly older (58.42± 4.617 vs. 54.64 ±3.456, respectively,
p< 0.001), diabetic (36.11% vs. 14.3% p value < 0.05), higher prevalence of pseudo-normal and
restrictive filling patterns (p value < 0.05), significantly larger LVESV (39.88 ± 13.67 vs.
32.93 ±9.79 ml, p< 0.05), lower EF% (54.13± 6.69% vs. 58.54± 6.4%, p value