A Comparison of Three-Dimensional Speckle Tracking Echocardiography Parameters in Predicting Left Ventricular Remodeling

Joint Authors

Huang, Jianyu
Huang, Xiaomin
Ruan, Zheng
Zhong, Junda
Zhang, Qunhui
Chen, Meixiang
Qin, Changyu
Xu, Lin
Liu, Peng
Guo, Yan
Li, Shuang

Source

Journal of Healthcare Engineering

Issue

Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-9, 9 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2020-08-01

Country of Publication

Egypt

No. of Pages

9

Main Subjects

Public Health
Medicine

Abstract EN

Three-dimensional speckle tracking echocardiography (3D STE) is an emerging noninvasive method for predicting left ventricular remodeling (LVR) after acute myocardial infarction (AMI).

Previous studies analyzed the predictive value of 3D STE with traditional models.

However, no models that contain comprehensive risk factors were assessed, and there are limited data on the comparison of different 3D STE parameters.

In this study, we sought to build a machine learning model for predicting LVR in AMI patients after effective percutaneous coronary intervention (PCI) that contains the majority of the clinical risk factors and compare 3D STE parameters values for LVR prediction.

We enrolled 135 first-onset AMI patients (120 males, mean age 54 ± 9 years).

All patients went through a 3D STE and a traditional transthoracic echocardiography 24 hours after reperfusion.

A second echocardiography was repeated at the three-month follow-up to detect LVR (defined as a 20 percent increase in left ventricular end-diastolic volume).

Six models were constructed using 15 risk factors.

A receiver operator characteristic curve and four performance measurements were used as evaluation methods.

Feature importance was used to compare 3D STE parameters.

26 patients (19.3%) had LVR.

Our evaluation showed that RF can best predict LVR with the best AUC of 0.96.

3D GLS was the most valuable 3D STE parameters, followed by GCS, global area strain, and global radial strain (feature importance 0.146, 0.089, 0.087, and 0.069, respectively).

To sum up, RF models can accurately predict the LVR after AMI, and 3D GLS was the best 3D STE parameters in predicting the LVR.

American Psychological Association (APA)

Zhong, Junda& Liu, Peng& Li, Shuang& Huang, Xiaomin& Zhang, Qunhui& Huang, Jianyu…[et al.]. 2020. A Comparison of Three-Dimensional Speckle Tracking Echocardiography Parameters in Predicting Left Ventricular Remodeling. Journal of Healthcare Engineering،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1186534

Modern Language Association (MLA)

Zhong, Junda…[et al.]. A Comparison of Three-Dimensional Speckle Tracking Echocardiography Parameters in Predicting Left Ventricular Remodeling. Journal of Healthcare Engineering No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1186534

American Medical Association (AMA)

Zhong, Junda& Liu, Peng& Li, Shuang& Huang, Xiaomin& Zhang, Qunhui& Huang, Jianyu…[et al.]. A Comparison of Three-Dimensional Speckle Tracking Echocardiography Parameters in Predicting Left Ventricular Remodeling. Journal of Healthcare Engineering. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1186534

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1186534