1. Alterations in multi-layer strain in AL amyloidosis
- Author
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Shanthosh Sivapathan, Paul Geenty, Tejas Deshmukh, Anita Boyd, David Richards, Graeme Stewart, Mark S. Taylor, Fiona Kwok, and Liza Thomas
- Subjects
Echocardiography ,Myocardium ,Internal Medicine ,Humans ,Immunoglobulin Light-chain Amyloidosis ,Amyloidosis ,Ventricular Function, Left - Abstract
Cardiac involvement in AL amyloidosis portends a poor prognosis. 2D-speckle tracking echocardiography (2D-STE) strain can identify subclinical cardiac involvement. This study performed multilayer and multiplanar 2D-STE myocardial strain analysis.We compared 75 AL amyloidosis patients to 49 hypertensive patients and 49 healthy controls. Longitudinal strain was obtained from epicardial, mid-myocardial and endocardial layers; segmental strain was measured from mid-myocardial basal, mid and apical segments.Global longitudinal strain was reduced in epicardial (-14.3 ± -4.0% vs. -17.4 ± 2.2% vs. -17.5 ± -2.0%,Strain demonstrated myocardial involvement in all layers in AL amyloidosis, with reduced basal segmental longitudinal strain a likely marker of early disease.
- Published
- 2022
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