دورية أكاديمية
Which is the best Myocardial Work index for the prediction of coronary artery disease? A data meta-analysis.
| العنوان: | Which is the best Myocardial Work index for the prediction of coronary artery disease? A data meta-analysis. |
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| المؤلفون: | Parlavecchio A; Department of Clinical and Experimental Medicine, Cardiology Unit, University of Messina, Messina, Italy., Vetta G; Department of Clinical and Experimental Medicine, Cardiology Unit, University of Messina, Messina, Italy., Caminiti R; Department of Clinical and Experimental Medicine, Cardiology Unit, University of Messina, Messina, Italy., Ajello M; Department of Clinical and Experimental Medicine, Cardiology Unit, University of Messina, Messina, Italy., Magnocavallo M; Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Policlinico Universitario Umberto I, Sapienza University of Rome, Rome, Italy., Vetta F; Arrhythmology Unit, Paideia Hospital, Rome, Italy., Foti R; San Vincenzo Hospital, Taormina, Italy., Crea P; Department of Clinical and Experimental Medicine, Cardiology Unit, University of Messina, Messina, Italy., Micari A; Department of Clinical and Experimental Medicine, Cardiology Unit, University of Messina, Messina, Italy., Carerj S; Department of Clinical and Experimental Medicine, Cardiology Unit, University of Messina, Messina, Italy., Della Rocca DG; Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, Texas, USA.; Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Brussels, Belgium., Di Bella G; Department of Clinical and Experimental Medicine, Cardiology Unit, University of Messina, Messina, Italy., Zito C; Department of Clinical and Experimental Medicine, Cardiology Unit, University of Messina, Messina, Italy. |
| المصدر: | Echocardiography (Mount Kisco, N.Y.) [Echocardiography] 2023 Mar; Vol. 40 (3), pp. 217-226. Date of Electronic Publication: 2023 Feb 07. |
| نوع المنشور: | Meta-Analysis; Journal Article; Comment |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8511187 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1540-8175 (Electronic) Linking ISSN: 07422822 NLM ISO Abbreviation: Echocardiography Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hoboken, NJ : Wiley-Blackwell Original Publication: Mount Kisco, N.Y. : Futura Pub. Co., [c1984- |
| مواضيع طبية MeSH: | Coronary Artery Disease* , Ventricular Dysfunction, Left*, Humans ; Reproducibility of Results ; Echocardiography ; Myocardium ; Ventricular Function, Left ; Stroke Volume |
| مستخلص: | Background: Early diagnosis of Coronary Artery Disease (CAD) plays a key role to prevent adverse cardiac events such as myocardial infarction and Left Ventricular (LV) dysfunction. Myocardial Work (MW) indices derived from echocardiographic speckle tracking data in combination with non-invasive blood pressure recordings seems promising to predict CAD even in the absence of impairments of standard echocardiographic parameters. Our aim was to compare the diagnostic accuracy of MW indices to predict CAD and to assess intra- and inter-observer variability of MW through a meta-analysis. Methods: Electronic databases were searched for observational studies evaluating the MW indices diagnostic accuracy for predicting CAD and intra- and inter-observer variability of MW indices. Pooled sensitivity, specificity, and Summary Receiver Operating Characteristic (SROC) curves were assessed. Results: Five studies enrolling 501 patients met inclusion criteria. Global Constructive Work (GCW) had the best pooled sensitivity (89%) followed by GLS (84%), Global Work Index (GWI) (82%), Global Work Efficiency (GWE) (80%), and Global Wasted Work (GWW) (75%). GWE had the best pooled specificity (78%) followed by GWI (75%), GCW (70%), GLS (68%), and GWW (61%). GCW had the best accuracy according to SROC curves, with an area under the curve of 0.86 compared to 0.84 for GWI, 0.83 for GWE, 0.79 for GLS, and 0.74 for GWW. All MW indices had an excellent intra- and inter-observer variability. Conclusions: GCW is the best MW index proving best diagnostic accuracy in the prediction of CAD with an excellent reproducibility. (© 2023 Wiley Periodicals LLC.) |
| التعليقات: | Comment on: Front Cardiovasc Med. 2021 Sep 28;8:711547. (PMID: 34651024) |
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| فهرسة مساهمة: | Keywords: coronary artery disease; echocardiography; myocardial work; speckle-tracking; strain |
| تواريخ الأحداث: | Date Created: 20230207 Date Completed: 20230314 Latest Revision: 20230329 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1111/echo.15537 |
| PMID: | 36748264 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1540-8175 |
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| DOI: | 10.1111/echo.15537 |