Right ventricular systolic strain is altered in children with sickle cell disease

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
Julie BlancYounes Boudjemline

Abstract

Several adult studies have shown that sickle cell disease is associated with cardiac abnormalities and premature death. The aim of this study was to use speckle-tracking strain, a relatively load independent parameter, to evaluate systolic left ventricular (LV) and right ventricular (RV) function in a pediatric sickle cell disease population. Twenty-eight patients with sickle cell disease (mean age, 10.0 ± 3.6 years; mean body surface area, 1.14 ± 0.27 m(2)) and 29 controls matched for age and body surface area were compared. Cardiac output, LV dimension, wall thickness and circumferential strain, LV and RV longitudinal systolic strain, conventional and tissue Doppler parameters, and pulmonary pressure were assessed. LV cardiac output was significantly higher in patients, as were indexed LV systolic diameter, indexed LV mass, and E/E' septal ratio. Indexed LV diastolic diameter, wall thickness, LV shortening fraction, and global LV longitudinal and circumferential strains were similar in patients and controls. However, their global RV longitudinal strain was significantly lower, although tricuspid annular plane systolic excursion and color-coded tricuspid S-wave velocity were similar. Among patients, 21% had tricuspid regurgita...Continue Reading

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Citations

Jun 24, 2014·The International Journal of Cardiovascular Imaging·Nadjib HammoudiFrançois Lionnet
Sep 7, 2014·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Marcia M BarbosaMaria Carmo P Nunes
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Mar 21, 2021·Pediatric Blood & Cancer·Nicholas S WhippleJane S Hankins

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