Left Ventricular Twist Mechanics Are Impaired in Patients with Coronary Slow Flow

dc.contributor.authorBarutcu, Ahmet
dc.contributor.authorBekler, Adem
dc.contributor.authorTemiz, Ahmet
dc.contributor.authorKirilmaz, Bahadir
dc.contributor.authorYener, Ali UEmit
dc.contributor.authorTan, Yusuf Ziya
dc.contributor.authorGazi, Emine
dc.date.accessioned2025-01-27T20:59:51Z
dc.date.available2025-01-27T20:59:51Z
dc.date.issued2015
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractPurposeCoronary slow flow (CSF) is a rare condition described as the delayed angiographic passage of a contrast agent in the absence of stenosis in epicardial coronary arteries. Left ventricular (LV) systolic and diastolic dysfunctions have been described in the presence of CSF. However, the effect of CSF on LV twist functions has not been assessed. We aimed to evaluate the effects of CSF on LV twist mechanics using speckle tracking echocardiography (STE). MethodsTwenty CSF patients (24-60years) were enrolled according to the exclusion criteria. Twenty subjects with similar demographic characteristics and normal coronary arteries were the controls. Participants were evaluated with conventional echocardiography and STE. ResultsThe general characteristics of the two groups were similar. LV twist, LV torsion, and apical rotation were impaired in the CSF group (P=0.015, P=0.012, and P<0.001, respectively). Time to peak twist (TPT) and time to peak untwisting (TPU) were prolonged in CSF patients (P<0.001 and P<0.001, respectively). In the CSF group, rotation-deformation delay was shortened (P<0.001) and global longitudinal strain (GLS) was lower (P<0.001). The thrombolysis in myocardial infarction (TIMI) frame count was negatively correlated with LV twist, LV torsion and apical rotation (P=0.002, r=-0.624; P=0.002, r=-0.624; and P=0.002, r=-0.632, respectively). ConclusionsWe demonstrated that LV twist mechanics are impaired in CSF patients. Worse LV twist parameters were associated with greater TIMI frame count.
dc.identifier.doi10.1111/echo.12918
dc.identifier.endpage1654
dc.identifier.issn0742-2822
dc.identifier.issn1540-8175
dc.identifier.issue11
dc.identifier.pmid25739451
dc.identifier.scopus2-s2.0-84946494587
dc.identifier.scopusqualityQ3
dc.identifier.startpage1647
dc.identifier.urihttps://doi.org/10.1111/echo.12918
dc.identifier.urihttps://hdl.handle.net/20.500.12428/26853
dc.identifier.volume32
dc.identifier.wosWOS:000363740600006
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofEchocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectcoronary slow flow
dc.subjectleft ventricle torsion
dc.subjectleft ventricle twist
dc.subjectspeckle-tracking echocardiography
dc.titleLeft Ventricular Twist Mechanics Are Impaired in Patients with Coronary Slow Flow
dc.typeArticle

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