Vol. 7 (09) pp. 954-962 DOI: 10.21474/IJAR01/9742

EVALUATION DES PARAMETRES ECHOCARDIOGRAPHIQUES DE LA FONCTION VENTRICULAIRE GAUCHE AVANT ET APRES ANGIOPLASTIE CHEZ LE CORONARIEN STABLE.

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  • Service De Cardiologie Du Chu Med VI, Marrakech ;Maroc.
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Abstract

Angioplasty is an excellent therapy for coronary artery disease. Theaimofthestudy:analyzing some echocardiographic parameters before and after revascularization. Materialsandmethods:Thisisaprospectiveobservationalstudyover14months,involving100 cases with stable coronary artery disease with known coronary anatomy, admitted to the cardiology department Mohammed VI of Marrakech for a planned coronary angioplasty. An echocardiogramwasperformedtoevaluatecertainparametersofmyocardialfunctionforthese patientsbeforeangioplasty,7daysand3monthsaftertheintervention. Results:The average age was 59, 45 +/- 8 years. Echocardiographywasperformedforallourpatientsbeforeandaftersevendaysofangioplasty and for 93 patients 3 months after angioplasty. The mean EF was 49.12% +/- 11, 86 vs54.97 +/- 11.26 (p = 0.001) after 7 days and 55, 41 +/- 11.86 (p = 0, 001) after three months. Analysisofsegmentalwallmotionshowedhypokinesiain55%ofcasesvs51%and50.53%after 3months,akinesiain24%vs9%after7days(p=0.001)and 7.52%after3months(p=0.001), earlydiastolicmitralannularvelocityisimprovedafterangioplasty;(p = 0.03 after 7 days and p = 0.001) after 3 months. Conclusion: The improvement of echocardiographic parameters studying myocardial left ventricularfunctionwasdemonstratedinthis study.

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References

  1. Site de la Haute Autorit? de Sant? consult? le 23 D?cembre 2017 https://www.has-sante.fr/portail/jcms/c_1761792/fr/guide-parcours-de-soins-maladie-coronarienne-stable
  2. Stephan Windecker et Al 2014 ESC/EACTS Guidelines on myocardial revascularization The Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)EuropeanHeart Journal.2014 :35 ,2541?2619
  3. DouardAngor stable : quoi de neuf ?R?alit?s Cardiologiques 277_Mai 2011
  4. Norton C, Georgiopoulou V, Kalogeropoulos A, Butler J.Chronic stable angina: pathophysiology and innovations in treatment.J. Cardiovasc.Med. Hagerstown Md. 2011; 12:218?219.
  5. Parker JD, Parker JO.Stable angina pectoris: the medical management of symptomatic myocardial ischemia.Can. J. Cardiol. 2012; 28 Suppl A: S70?80.
  6. Joaquın J. Alonso, Javier Muiz, Juan Jose Gomez-Doblas, Gustavo Rodrıguez-Roca, Jose? Marıa Lobos, GaietaPermanyer-Miralda, Manuel Anguita, Francisco Javier Chorro and Eulalia RoigiPrevalence of Stable Angina in Spain. Results of the OFRECE StudyRev EspCardiol. 2015;68(8):691?699
 
  1. Bayata?, I. Susam, A. Pinar, M. H. Din?kal, N. Postaci and M. YesilNew Doppler Echocardiographic Applications for the Evaluation of Early Alterations in Left Ventricular Diastolic Function After Coronary AngioplastyEur J Echocardiography (2000) 1, 105?108
  2. Wing-Hung Leung, and Chu-Pak Lau.Correlation of Quantitative Angiographic Parameters with Changes in Left Ventricular Diastolic Function After Angioplasty of the Left Anterior Descending Coronary ArteryTHE American Journal Of Cardiology 67, 1991
  3. Seyed Reza Hashemi, Mohammad rezaMotamedi, Mohammad Khani, ManouchehrHekmat, Latif Gachkar, AtiehRezaeefar.Evaluation of the Effect of Elective Percutaneous Coronary Intervention as a Treatment Method on the Left Ventricular Diastolic Dysfunction in Patients with Coronary Artery Disease The Journal of Tehran University Heart Center 4 2010 194-198
  4. Jose L. Zamorano, Xavier Garcıa-Moll,b Roberto Ferrari and Nicola GreenlawdDemographic and Clinical Characteristics of Patients With Stable Coronary Artery Disease: Results From the CLARIFY Registry in SpainRev EspCardiol. 2014;67(7):538?544
  5. Gerhard-Paul Diller, Balvinder S. Wasan, Simon A. McG Thom, Rodney A. Foale, Alun D. Hughes, Darrel P. Francis and Jamil Mayet.
  6. Evidence of Improved Regional Myocardial Function in Patients With Chronic Stable Angina and??????????????????? Apparent Normal Ventricular Function?A Tissue Doppler Study Before and?? After? Percutaneous Coronary Intervention Journal of the American Society of Echocardiography 2009; 22:177-182.
  7. Rasha Al-Lamee, David Thompson, Hakim-MoulayDehbi, Sayan Sen, Kare Tang, John Davies et alPercutaneous coronary intervention in stable angina (ORBITA): a double-blind, randomised controlled trial Lancet 2018; 391: 31?40
  8. Kannel WB et Al.Cardioprotection and antihypertensive therapy: the key importance of addressing the associated coronary risk factors (the Framingham experience).Am J Cardiol.1996; 77:6B-11B.
  9. Poirier, P., T. D. Giles, and al.Obesity and cardiovascular disease: pathophysiology, evaluation, and effect of weight loss.Arteriosclerosis, thrombosis, and vascular biology 2006;26(5):968-976.
  10. Barlow et al.
  11. ?Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity:? summary? "? Pediatrics2007;120: S164-192.
  12. Despres, J. P., S. Moorjani, and al.Regional distribution of body fat, plasma lipoproteins, and cardiovascular disease.Arteriosclerosis1990;10:497-511.
  13. Yusuf, S., S. Hawken, and al.Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study.Lancet2004; 364:937-952.
  14. Asmar R, Pannier B, Vol S, TichetT J, El hassnaoui A.Facteurs de risque cardio-vasculaire en France. Pr?valence et association.Arch Mal CoeurVaiss 2002;95:97-112.
  15. Ounpuu S, Negassa A, Yusuf S.A global study of risk factors for acute myocardial infarction.Am Heart J2001;21:141-711.
  16. Jaehuk Choi et ALower diastolic wall strain is associated with coronary revascularization in patients with stable anginaBMC cardiovascular disorders (2017) 17 :301
  17. Pascal Motreff.Facteurs de risque cardio-vasculaire : Service de cardiologie et maladies vasculaires, CHU Clermont-FerrandJourn?es d??tudes de l?ADLF2005; 2:01-02
  18. Montalescot, Gilles, et al.2013 ESC guidelines on the management of stable coronary artery disease.Eur Heart J. 2013;34(38):2949-3003.
  19. Hultgren HN, Peduzzi P.Relation of severity of symptoms to prognosis in stableangina pectoris.Am. J. Cardiol. 1984; 54:988?993.160
  20. Cohn PF, Harris P, Barry WH, Rosati RA, Rosenbaum P, Waternaux C.Prognosticimportance of anginal symptoms in angiographically defined coronary artery disease.Am. J. Cardiol. 1981; 47:233?237.
  21. Thaulow E, Erikssen J.Prognostic implications of asymptomatic cardiac ischemia.Cardiology. 1994; 85 Suppl 2:11?15.
  22. Site du Journ?es Europ?ennes de la Soci?t? Fran?aise de Cardiologie Du 17 au 20 janvier 2018http://www.cardio-paramed.com/fr/2018.html
  23. DelahayeRecommandations de la Soci?t? europ?enne de cardiologie sur la coronaropathie stable l?European Heart Journal (2013 ESC guidelines on the management of stable coronary artery disease.Eur Heart J, 2013 ; 34: 2949-3003
  24. Robert OImproved left ventricular diastolic filling in patients with coronary artery disease after percutaneous transluminal coronary angioplastyVol 66 No6 december 1982
  25. Parisi AF, Folland ED, Hartigan P.A comparison of angioplasty with medical therapy in the treatment of single vessel coronary artery disease.Veterans Affairs ACME Investigators N Engl J Med 1992;326:10?6.
 
  1. Boden WE, O?Rourke RA, Teo KK, et al.Optimal medical therapy with or without PCI for stable angina.N Engl J Med 2007;356:1503?16.
  2. Rappery et alCoronary angioplasty in Unstable angina and stable angina : a comparaison of success and complicationsBr Heart J 1988-68:367-72
  3. Palmerini T et AlStent thrombosis with??????? everolimus-eluting?????????????? stents:??? Meta-analysisof comparative randomized controlled trials.
  4. Cardiovascular interventions. 2012;5:357-364
  5. Bangalore S et Al.Short- and long-term outcomes with drug-eluting and bare-metal coronary stents: A mixed-treatment comparison analysis of 117 762 patient-years of follow-up from randomized trials.Circulation. 2012;125:2873-2891.

How to Cite This Article

Imane Oughazzou, A.Hadi, I.Sellam, D.Benzeroual , M.Elhattaoui. (2019); EVALUATION DES PARAMETRES ECHOCARDIOGRAPHIQUES DE LA FONCTION VENTRICULAIRE GAUCHE AVANT ET APRES ANGIOPLASTIE CHEZ LE CORONARIEN STABLE., Int. J. of Adv. Res., 7 (09), 954-962, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/9742

Corresponding Author

imane oughazzou
service de cardiologie; CHU Marrakech ; Maroc
Creative Commons Attribution 4.0 This work is licensed under a Creative Commons Attribution 4.0 International License.