[The myocardial performance index (Tei-Index): correlation with seric NTproBNP levels in patients with dilated
Stefana Miclăuş1, C Mornoş, Dana Maximov
1Clinica de Medicină internă - Imunologie, Facultatea de Medicină, Universitatea de Vest V. Goldiş Arad.
Insights
The Tei index, a measure of myocardial performance, strongly correlates with NTproBNP levels in dilated cardiomyopathy patients. This echocardiographic index can accurately predict NTproBNP levels, aiding in heart failure assessment.
Area of Science:
- Cardiology
- Echocardiography
- Biomarkers
Context:
- Dilated cardiomyopathy (DCM) is a significant cause of heart failure.
- N-terminal pro brain natriuretic peptide (NTproBNP) is a key prognostic marker in heart failure.
- Echocardiographic indices are crucial for assessing cardiac function.
Purpose:
- To evaluate the correlation between the Tei index and NTproBNP levels in DCM patients.
- To determine if the Tei index can predict elevated NTproBNP levels.
Summary:
- A study of 50 DCM patients in sinus rhythm found a strong linear correlation (r=0.70, p<0.001) between the Tei index and NTproBNP.
- The Tei index showed a stronger association with NTproBNP than other echocardiographic parameters.
- An optimal Tei index cut-off of 0.77 demonstrated 84% sensitivity and 82% specificity for predicting NTproBNP levels >900 pg/mL.
Impact:
- The Tei index serves as a simple, accurate, and non-invasive tool for predicting NTproBNP levels in DCM.
- This finding can enhance the prognostic evaluation and management of heart failure patients.
- Utilizing the Tei index may streamline the assessment process in clinical practice.
Unlabelled:
A combined myocardial performance index (isovolumic contraction time plus isovolumic relaxation time divided by ejection time, 'Tei-Index') has been applied in the echocardiographic evaluation of patients with dilated cardiomyopathy (DCM). N-terminal pro brain natriuretic peptide (NTproBNP) is released from the left ventricular (LV) in response tomyocite stretch and is a powerful prognostic marker for heart failure.
Aim:
To assess the correlation between Tei index and NTproBNP level in patients with DCM.
Methods:
Conventional echocardiography were performed in 50 consecutive patients with DCM, in sinus rhythm, concomitant with NTproBNP determination. Patients with paced rhythm and creatinine clearance < 40 mL/min were not included. Tei index was calculated.
Results:
Simple regression analysis demonstrated a statistically significant linear correlation between NTproBNP and Tei index (r = 0.70, p < 0,001). NTproBNP had weaker relationship with pulmonary artery systolic pressure, indexed left atrial (LA) volume, LA volume, LV ejection fraction, early diastolic transmitral velocity (E) and no relationship with LA diameter, mitral E deceleration time, LV end-diastolic diameter. The area under the ROC curve for prediction of NTproBNP levels > 900 pg/mL was maxinal (0.76) for Tei index. The optimal Tei index cut-off for prediction of NTproBNP levels > 900 pg/mL was 0.77 (sensitivity = 84%, specificity = 82%).
Conclusions:
Tei index strongly correlates with NTproBNP in patients with DCM in sinus rhythm, and can be a simple and accurate predictor of the serum NTproBNP level.
More Related Videos
10:01Improvement of a Closed Chest Porcine Myocardial Infarction Model by Standardization of Tissue and Blood Sampling Procedures
Published on: March 12, 2018
07:40Impact of High-intensity Interval Exercise and Moderate-Intensity Continuous Exercise on the Cardiac Troponin T Level at an Early Stage of Training
Published on: October 10, 2019
Related Concept Videos
Myocarditis II: Clinical Features and Diagnostic Tests
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
Pericarditis II: Clinical Features and Diagnostic Tests
Blood Studies for Cardiovascular System I: Cardiac Biomarkers
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
Cardiomyopathy II: Dilated Cardiomyopathy
Cardiomyopathy III: Hypertrophic Cardiomyopathy
