Contrast-enhanced echocardiography in left ventricle wall motion abnormalities assessment in patient with left bundle branch block
https://doi.org/10.24835/1607-0771-2017-6-59-65
Abstract
A patient with a new-onset complete left bundle branch block was investigated using contrast-enhanced echocardiography (SonoVue contrast agent). Routine two-dimensional echocardiography showed decreasing amplitude of endocardium movement in midventricular septum segments. Regional wall motion abnormalities were suspected. Contrast-enhanced echocardiography allowed to visualize clearly endocardial and epicardial surfaces and, on the basis of myocardial systolic thickening analysis, to exclude the presence of left ventricle regional wall motion abnormality.
Keywords
эхокардиография,
эхокардиография с контрастным усилением,
внутривенные ультразвуковые контрастные препараты,
блокада левой ножки пучка Гиса,
нарушения локальной сократимости,
echocardiography,
contrast-enhanced echocardiography,
intravenous ultrasound contrast agents,
left bundle branch block,
regional wall motion abnormality
About the Authors
A. V. Skripnikova
Central Clinical Hospital of the Presidential Administration of Russian Federation
Russian Federation
Russian Federation
N. F. Radova
Central Clinical Hospital of the Presidential Administration of Russian Federation
Russian Federation
Russian Federation
Yu. A. Yadrova
Central Clinical Hospital of the Presidential Administration of Russian Federation
Russian Federation
Russian Federation
M. N. Alekhin
Central Clinical Hospital of the Presidential Administration of Russian Federation
Russian Federation
Russian Federation
References
1. Wang J.G., Fang W., Yang M.F., Tian Y.Q., Zhang X.L., Shen R., Sun X.X., Guo F., Wang D.Y., He Z.X. Septal and anterior reverse mismatch of myocardial perfusion and metabolism in patients with coronary artery disease and left bundle branch block // Medicine (Baltimore). 2015. V. 94. No. 20. P. e772. Doi: 10.1097/MD.0000000000000772.
2. Wegmann C., Pfister R., Scholz S., Markhof A., Wanke S., Kuhr K., Rudolph T., Baldus S., Reuter H. Diagnostic value of left bundle branch block in patients with acute myocardial infarction. A prospective analysis // Herz. 2015. V. 40. No. 8. P. 1107-1114. Doi: 10.1007/s00059-015-4326-z.
3. Neeland I.J., Kontos M.C., de Lemos J.A. Evolving considerations in the management of patients with left bundle branch block and suspected myocardial infarction // J. Am. Coll. Cardiol. 2012. V. 60. No. 2. P. 96-105. Doi: 10.1016/j.jacc.2012.02.054.
4. Jain S., Ting H.T., Bell M., Bjerke C.M., Lennon R.J., Gersh B.J., Rihal C.S., Prasad A. Utility of left bundle branch block as a diagnostic criterion for acute myocardial infarction // Am. J. Cardiol. 2011. V. 107. No. 8. P. 1111-1116. Doi: 10.1016/j.amjcard.2010.12.007.
5. Melgarejo-Moreno A., Galcera-Tomas J., Consuegra-Sanchez L., Alonso-Fernandez N., Diaz-Pastor A., Escudero-Garcia G., Jaulent-Huertas L., Vicente-Gilabert M., Galcera-Jornet E., Padilla-Serrano A., de Gea-Garcia J., Pinar-Bermudez E. Relation of new permanent right or left bundle branch block on short- and long-term mortality in acute myocardial infarction bundle branch block and myocardial infarction // Am. J. Cardiol. 2015. V. 116. No. 7. P. 1003-1009. Doi: 10.1016/j.amjcard.2015.07.019.
6. Эрлих А.Д., Джинибалаева Ж.В., Киселев А.Р., Посненкова О.М., Дупляков Д.В. Инфаркт миокарда на фоне блокады левой ножки пучка Гиса в регистре РЕКОРД-3: особенности ведения и прогноз // Кардиология. 2017. Т. 57. № 7. C. 20-26.
7. Vamvakidou A., Karogiannis N., Tzalamouras V., Parsons G., Young G., Gurunathan S., Senior R. Prognostic usefulness of contemporary stress echocardiography in patients with left bundle branch block and impact of contrast use in improving prediction of outcome // Eur. Heart J. Cardiovasc. Imaging. 2017. V. 18. No. 4. P. 415-421. Doi: 10.1093/ehjci/jew211.
8. Seo Y., Ishizu T., Sakamaki F., Yamamoto M., Aonuma K. Left bundle branch block and echocardiography in the era of CRT // J. Echocardiogr. 2015. V. 13. No. 1. P. 6-14. Doi: 10.1007/s12574-014-0233-1.
9. Plana J.C., Mikati I.A., Dokainish H., Lakkis N., Abukhalil J., Davis R., Hetzell B.C., Zoghbi W.A. A randomized cross-over study for evaluation of the effect of image optimization with contrast on the diagnostic accuracy of dobutamine echocardiography in coronary artery disease. The OPTIMIZE Trial // JACC. Cardiovasc. Imaging. 2008. V. 1. No. 2. P. 145-152. Doi: 10.1016/j.jcmg.2007.10.014.
10. Senior R., Becher H., Monaghan M., Agati L., Zamorano J., Vanoverschelde J.L., Nihoyannopoulos P., Edvardsen T., Lancellotti P.; EACVI Scientific Documents Committee for 2014-16 and 2016-18; EACVI Scientific Documents Committee for 2014-16 and 2016-18. Clinical practice of contrast echocardiography: recommendation by the European Association of Cardiovascular Imaging (EACVI) 2017 // Eur. Heart J. Cardiovasc. Imaging. 2017. V. 18. No. 11. P. 1205-1205af. Doi: 10.1093/ehjci/jex182.
Review
For citations:
Skripnikova A.V., Radova N.F., Yadrova Yu.A., Alekhin M.N. Contrast-enhanced echocardiography in left ventricle wall motion abnormalities assessment in patient with left bundle branch block. Ultrasound & Functional Diagnostics. 2017;(6):59-65. (In Russ.) https://doi.org/10.24835/1607-0771-2017-6-59-65
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