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2021, Número 4

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Cardiovasc Metab Sci 2021; 32 (4)


Impacto de la disfunción diastólica en el strain de la aurícula izquierda en pacientes con cardiopatía isquémica. Un estudio transversal

Miranda-Aquino T, Hernández-del RJE, Pérez-Topete SE, González-Padilla C, Lomelí-Sánchez ÓS, Cid-Porras C, Machuca-Hernández M, Esturau-Santaló RM

Idioma: Inglés [English version]
Referencias bibliográficas: 35
Paginas: 170-178
Archivo PDF: 432.55 Kb.


RESUMEN

Introducción: El strain de aurícula izquierda se ha relacionado con el grado de disfunción diastólica, sin embargo, sólo pocos estudios existen de su relación en pacientes con cardiopatía isquémica. Objetivo: Comparar el valor del strain de aurícula izquierda en pacientes con función diastólica normal y anormal. Material y métodos: Estudio transversal, retrospectivo, observacional, analítico, unicéntrico (Hospital Civil de Guadalajara). Se incluyeron todos los pacientes con diagnóstico de cardiopatía isquémica aguda o crónica, en el periodo de junio 2017 a julio 2019. Resultados: Doscientos cuarenta y ocho pacientes fueron incluidos. El 58% de los pacientes tuvieron disfunción diastólica. El strain de aurícula izquierda fue menor en el grupo de disfunción diastólica en la fase de reservorio (39 vs 23%), conducto (22 vs 11%) y de bomba (16 vs 23%). Conforme progresó la disfunción diastólica, la fase de reservorio (39 vs 30% vs 22 vs 16%) y la de conducto (22 vs 12% vs 12 vs 9%) del strain de la aurícula izquierda fueron descendiendo; en la fase de bomba hubo un incremento en la disfunción diastólica grado 1 en comparación con función diastólica normal (16 vs 18% vs 11 vs 6%). El valor de corte del strain de reservorio para predecir disfunción diastólica fue de < 31.6%, utilizando curvas ROC. El strain de aurícula izquierda se correlacionó con las concentraciones de proBNP. Conclusión: Conforme la disfunción diastólica progresa, las tres fases del strain de la aurícula izquierda presentaron declive lineal en pacientes con cardiopatía isquémica.


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