NT-proBNP correlated with strain and strain rate imaging of the right ventricle before and after transcatheter closure of atrial septal defects

BACKGROUND: Atrial septal defects (ASD) account for 10% of all congenital heart lesions and represent the third most congenital cardiac defect seen in adults

Bibliographische Detailangaben
Veröffentlicht in:Journal of the Saudi Heart Association. - 1999. - 25(2013), 1 vom: 12. Jan., Seite 3-8
1. Verfasser: Elsheikh, Raghda Ghonimy (VerfasserIn)
Weitere Verfasser: Hegab, Mohamed, Szatmari, Andras
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2013
Zugriff auf das übergeordnete Werk:Journal of the Saudi Heart Association
Schlagworte:Journal Article Atrial septal defect NT-proBNP Right ventricular function Strain and SRI
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245 1 0 |a NT-proBNP correlated with strain and strain rate imaging of the right ventricle before and after transcatheter closure of atrial septal defects 
264 1 |c 2013 
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500 |a Date Completed 31.10.2013 
500 |a Date Revised 18.05.2024 
500 |a published: Print-Electronic 
500 |a Citation Status PubMed-not-MEDLINE 
520 |a BACKGROUND: Atrial septal defects (ASD) account for 10% of all congenital heart lesions and represent the third most congenital cardiac defect seen in adults 
520 |a OBJECTIVES: Using strain and strain rate imaging (SRI) to assess right ventricular (RV) function in patients with ASD and correlate the results with the level of N-terminal pro-brain natriuretic peptide (NT-proBNP) before and after transcatheter closure 
520 |a METHODS: At the Hungarian Institute of Cardiology, 27 females and 18 males (mean age 21.53 years) were diagnosed with ASD and admitted for percutaneous closure. Echocardiography was done to assess theleft ventricular (LV), RV and left atrial (LA) diameters. For assessment of systolic RV function, we measured Tricuspid annular plane systolic excursion (TAPSE), strain, and SRI. Amplatzer ASD closure was done under general anesthesia. NT-proBNP levels were measured before and three months after closure 
520 |a RESULTS: ASD closure was achieved in all patients. The mean ASD diameter was 15.15 mm. The size of the occluder ranged from 10 to 24 mm. The mean LA diameter in the pre-closure group was significantly higher than the control; mean left ventricular end diastolic diameter (LVEDD) showed a non-significant difference from either the control group or the post-closure group, while the mean right ventricular end diastolic diameter (RVEDD) markedly reduced post-closure, and it was significantly higher than the control group. Global RV strain and peak systolic strain rate (PSSR) were significantly higher in ASD group than in the control. The NT-proBNP levels were found to be correlated with pulmonary arterial pressure (PAP), TAPSE, global RV strain and PSSR 
520 |a CONCLUSION: Volume overload induced by ASD is associated with increased strain values, which return to normal after closure. NT-proBNP is a parameter which correlates to RV pressure, PAP and the amount of shunt volume caused by an ASD 
650 4 |a Journal Article 
650 4 |a Atrial septal defect 
650 4 |a NT-proBNP 
650 4 |a Right ventricular function 
650 4 |a Strain and SRI 
700 1 |a Hegab, Mohamed  |e verfasserin  |4 aut 
700 1 |a Szatmari, Andras  |e verfasserin  |4 aut 
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773 1 8 |g volume:25  |g year:2013  |g number:1  |g day:12  |g month:01  |g pages:3-8 
856 4 0 |u http://dx.doi.org/10.1016/j.jsha.2012.08.003  |3 Volltext 
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