August 14, 2012European Heart Journal - Cardiovascular Imaging
Incremental value of global longitudinal strain for predicting early outcome after cardiac surgery
Why the study?
Does global longitudinal strain assessment improve the prediction of early postoperative death in patients undergoing cardiac surgery?
Population
425 patients referred for cardiac surgery, mean age 67 ± 13 years, 69% male, mean LVEF 51 ± 13%.
Comparison
Global longitudinal strain assessment by… vs Standard risk stratification using LVEF and…
Design
Cohort
Follow-up
Early postoperative period
Authors
Discussion
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Member takes
Implication
Global longitudinal strain provides incremental prognostic value over LVEF and EuroSCORE for predicting early postoperative mortality in patients undergoing cardiac surgery, particularly identifying high risk among those with preserved LVEF.
Structured PICO
Does global longitudinal strain assessment improve the prediction of early postoperative death in patients undergoing cardiac surgery?
P
Population
425 patients referred for cardiac surgery (isolated CABG n=155, aortic valve surgery n=174, mitral surgery n=96), mean age 67 ± 13 years, 69% male, mean LVEF 51 ± 13%.
I
Intervention
Global longitudinal strain (GLS) assessment by two-dimensional speckle tracking echocardiography
C
Comparator
Standard risk stratification using LVEF and EuroSCORE
O
Outcome
Early postoperative deathhard clinical
Global longitudinal strain provides incremental prognostic value over LVEF and EuroSCORE for predicting early postoperative mortality in patients undergoing cardiac surgery, particularly identifying high risk among those with preserved LVEF.
Cite This Study
Ternacle et al. (2012) studied this question.