Strain indicators in the assessment of systolic myocardial function in aboy with hypertrophic cardiomyopathy: a case report

Indikatorji strain pri oceni sistolične miokardialnefunkcije pri fantku s hipertrofično kardiomiopatijo: opis primera

  • Nadezhda Chernykh University of Maribor, Faculty of Medicine
  • Alla Tarasova Russian Medical Academy Continuous Professional Education Ministry of Health of the Russian Federation
  • Olga Groznova Academician Yu. E. Veltishchev Research Clinical Institute of Pediatrics, N. I. Pirogov Russian National Research Medical University, Ministry of Health of the Russian Federation
DOI: https://doi.org/10.18690/actabiomed.197
Keywords: 2D speckle-tracking, strain, early treatment, children

Abstract

Purpose: This article is about an unusual clinical case of a 14-year-old boy with hypertrophic cardiomyopathy (HCM).Ejection fraction (EF) and shortening fraction (FS) of the left ventricle in children with HCM remain within a normal range for an extended period of time. Therefore, detection of a decrease in segmental myocardial contractility at the initial stage of the disease presents a diagnostic problem.

Methods: The clinical characteristics of the patient, study results, and analysis of the left ventricular myocardial strain using 2D speckle-tracking mode in an echocardiographic examination are presented.

Results: A decrease in strain indicators in the anterioseptal, anterior, and anterolateral segments of the left ventricular myocardium and a compensatory increase in the contralateral segments were revealed. This served as an indication to start treatment.

Conclusions: A decrease in strain indicators in the 2D speckle- tracking mode is most informatively represented by changes in segmental systolic function of the left ventricle at the initial stage of HCM.

Downloads

Download data is not yet available.

Author Biographies

Nadezhda Chernykh, University of Maribor, Faculty of Medicine

Eraz+smus student on MF UM in year 2018, E-mail chernykh-nauka@mail.ru

Alla Tarasova, Russian Medical Academy Continuous Professional Education Ministry of Health of the Russian Federation

Moscow, Russia.

Olga Groznova, Academician Yu. E. Veltishchev Research Clinical Institute of Pediatrics, N. I. Pirogov Russian National Research Medical University, Ministry of Health of the Russian Federation

Moscow, Russia.

Published
2021-11-29
How to Cite
Chernykh N., Tarasova A., & Groznova O. (2021). Strain indicators in the assessment of systolic myocardial function in aboy with hypertrophic cardiomyopathy: a case report. Acta Medico-Biotechnica, 13(1), 64-68. https://doi.org/10.18690/actabiomed.197
Issue
Vol 13 No 1 (2020)
Section
Articles