Valor pronóstico del speckle-tracking bidimensional en pacientes con sospecha de cardiopatía isquémica

Autores/as

  • Ángel Y. Rodríguez Navarro
  • Aylen Pérez Barreda
  • Ronald Aroche Aportela
  • Katia Ravelo Llanes
  • Idalys M. Román Fernández
  • Joanna de Zayas Galguera

Resumen

Introducción: El estudio ecocardiográfico mediante speckle-tracking ha emergido como un novedoso método para la evaluación cuantitativa de la función miocárdica y se ha correlacionado con la presencia de enfermedad coronaria.

Objetivo: Determinar el valor pronóstico de la deformación miocárdica (strain) por speckle-tracking bidimensional en la evolución de pacientes con sospecha de cardiopatía isquémica.

Método: Estudio longitudinal prospectivo analítico con 51 pacientes a los que se realizó ecocardiograma con evaluación de la deformación (strain) longitudinal global por speckle-tracking bidimensional y coronariografía en el CIMEQ entre 2016 y 2018. Se siguieron los eventos cardíacos graves (infarto de miocardio, muerte cardíaca y por otras causas, enfermedad cerebrovascular y necesidad de nueva revascularización).

Resultados: El 70,6% de los enfermos resultaron ser del sexo masculino, el 81,4% mayores de 50 años y 81,4%, fumadores. El 65,0% tenía enfermedad coronaria significativa y 55,0% de los casos fueron revascularizados. Se registraron 4 muertes (7,8%) y un infarto no fatal (2,0%). Los pacientes con deformación longitudinal global ≤ -15% (en valores absolutos) tuvieron mayor frecuencia de eventos cardíacos graves (p=0,02).

Conclusiones: La deformación longitudinal global medida por speckle-tracking bidimensional no pudo predecir la presencia de enfermedad coronaria, pero sí los eventos cardiovasculares graves en los enfermos con enfermedad coronaria significativa.

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Citas

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Publicado

2021-01-16

Cómo citar

1.
Rodríguez Navarro Ángel Y, Pérez Barreda A, Aroche Aportela R, Ravelo Llanes K, Román Fernández IM, de Zayas Galguera J. Valor pronóstico del speckle-tracking bidimensional en pacientes con sospecha de cardiopatía isquémica. CorSalud [Internet]. 16 de enero de 2021 [citado 12 de julio de 2025];13(1):19-31. Disponible en: https://revcorsalud.sld.cu/index.php/cors/article/view/801

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Vol. 13 Núm. 1 (2021)

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ARTÍCULOS ORIGINALES

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