E-ISSN 0976-2833 | ISSN 0975-3583
 

Original Research 


Detection of Coronary Artery Disease Using 2D- Speckle tracking Comparing with Coronary Angiography in Patient with Acute Coronary Syndrome in Baghdad Teaching Hospital

Ghazi Farhan Haji, Emad Mahmood Hussian, Nagham Kareem Mualla.

Abstract
Background: Speckle-tracking echocardiography is a noninvasive ultrasound imaging technique that allows for an objective and quantitative evaluation of global and regional myocardial function.

Objective: To evaluate the accuracy of 2D speckle tracking trans thoracic echocardiography for detection of culprit coronary artery lesion severity confirmed by coronary angiography in patients with acute coronary syndrome.

Patients and Methods: A cross sectional study was held in Baghdad teaching hospital from March 2017 to March 2018, consisted of patients with acute coronary syndrome ,underwent 2D speckle tracking TTE for left ventricular immediately before invasive coronary angiography.

Results: Fifty patients who fulfilled the inclusive criteria were enrolled in the current study. The mean age 57.2 ( 7.9) years; and male:female ratio 1.9:1.For the stenosis in LAD, the current study showed that the Regional longitudinal strain was a good predictor with a sensitivity of 69 %, specificity 76.2 % and accuracy 72 % compared with coronary angiography, with good performance of the test between tests, good predictive value and accuracy of the test. The performance and validity of 2D LV longitudinal strain in detection of RCA stenosis in comparison with angiography, it had a sensitivity of 72.4 %, specificity of 71.4 % and accuracy of 72 %.

Conclusion: The current study revealed that (RLS) Speckle-tracking echocardiography technique has high sensitivity but with low specificity in diagnosis of culprit of coronary artery disease.

Key words: Coronary Artery Disease, Speckle-tracking echocardiography, coronary angiograph.


 
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How to Cite this Article
Pubmed Style

Ghazi Farhan Haji, Emad Mahmood Hussian, Nagham Kareem Mualla. Detection of Coronary Artery Disease Using 2D- Speckle tracking Comparing with Coronary Angiography in Patient with Acute Coronary Syndrome in Baghdad Teaching Hospital. doi:10.31838/jcdr.2020.11.04.10


Web Style

Ghazi Farhan Haji, Emad Mahmood Hussian, Nagham Kareem Mualla. Detection of Coronary Artery Disease Using 2D- Speckle tracking Comparing with Coronary Angiography in Patient with Acute Coronary Syndrome in Baghdad Teaching Hospital. http://www.jcdronline.org//?mno=137302 [Access: September 24, 2020]. doi:10.31838/jcdr.2020.11.04.10


AMA (American Medical Association) Style

Ghazi Farhan Haji, Emad Mahmood Hussian, Nagham Kareem Mualla. Detection of Coronary Artery Disease Using 2D- Speckle tracking Comparing with Coronary Angiography in Patient with Acute Coronary Syndrome in Baghdad Teaching Hospital. doi:10.31838/jcdr.2020.11.04.10



Vancouver/ICMJE Style

Ghazi Farhan Haji, Emad Mahmood Hussian, Nagham Kareem Mualla. Detection of Coronary Artery Disease Using 2D- Speckle tracking Comparing with Coronary Angiography in Patient with Acute Coronary Syndrome in Baghdad Teaching Hospital. doi:10.31838/jcdr.2020.11.04.10



Harvard Style

Ghazi Farhan Haji, Emad Mahmood Hussian, Nagham Kareem Mualla (2020) Detection of Coronary Artery Disease Using 2D- Speckle tracking Comparing with Coronary Angiography in Patient with Acute Coronary Syndrome in Baghdad Teaching Hospital. doi:10.31838/jcdr.2020.11.04.10



Turabian Style

Ghazi Farhan Haji, Emad Mahmood Hussian, Nagham Kareem Mualla. 2020. Detection of Coronary Artery Disease Using 2D- Speckle tracking Comparing with Coronary Angiography in Patient with Acute Coronary Syndrome in Baghdad Teaching Hospital. doi:10.31838/jcdr.2020.11.04.10



Chicago Style

Ghazi Farhan Haji, Emad Mahmood Hussian, Nagham Kareem Mualla. "Detection of Coronary Artery Disease Using 2D- Speckle tracking Comparing with Coronary Angiography in Patient with Acute Coronary Syndrome in Baghdad Teaching Hospital." doi:10.31838/jcdr.2020.11.04.10



MLA (The Modern Language Association) Style

Ghazi Farhan Haji, Emad Mahmood Hussian, Nagham Kareem Mualla. "Detection of Coronary Artery Disease Using 2D- Speckle tracking Comparing with Coronary Angiography in Patient with Acute Coronary Syndrome in Baghdad Teaching Hospital." doi:10.31838/jcdr.2020.11.04.10



APA (American Psychological Association) Style

Ghazi Farhan Haji, Emad Mahmood Hussian, Nagham Kareem Mualla (2020) Detection of Coronary Artery Disease Using 2D- Speckle tracking Comparing with Coronary Angiography in Patient with Acute Coronary Syndrome in Baghdad Teaching Hospital. doi:10.31838/jcdr.2020.11.04.10





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