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Transthoracic echocardiography compared with coronary angiography for patients with cardiogenic shock: A prospective

Jianmei Chen1, Yanping He2, Yuanyuan Hao3

  • 1Department of Cardiology, The Fourth Medical Center of PLA General Hospital, Beijing 100853, P.R. China.

Experimental and Therapeutic Medicine
|November 28, 2019
PubMed

Insights

This study found significant correlations between diagnostic parameters and ejection fraction in cardiogenic shock patients. Angiography and echocardiography showed similar results for culprit vessels and mitral regurgitation, despite procedural differences.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Acute Heart Failure

Background:

  • Cardiogenic shock represents the most severe manifestation of acute heart failure.
  • Accurate assessment of cardiac function is crucial for managing patients with cardiogenic shock.

Purpose of the Study:

  • To investigate the correlations between diagnostic parameters and estimated ejection fraction in patients experiencing cardiogenic shock.
  • To compare diagnostic parameters derived from coronary angiography and 2D transthoracic echocardiography.

Main Methods:

  • Utilized Spearman's correlation test to analyze data from 2,445 patients with acute myocardial infarction.
  • Collected information on culprit vessels and mitral regurgitation from coronary angiograms and echocardiograms.
  • Assessed correlations at a 95% confidence level.

Main Results:

  • A significant correlation was observed between angiographically-derived culprit vessels and mitral regurgitation (r=0.907; P=0.034).
  • Echocardiographically-derived mitral regurgitation also significantly correlated with culprit vessels (r=0.896; P=0.04).
  • A positive correlation was found between angiographic and echocardiographic left ventricular ejection fraction measurements (r=0.356; P=0.045).

Conclusions:

  • Both echocardiography and angiography-derived results correlate with ejection fractions in cardiogenic shock patients.
  • Despite procedural differences, both imaging modalities provide comparable data on key diagnostic parameters.
  • Further research may explore optimizing the combined use of these techniques.

Keywords:
angiographycardiogenic shockechocardiographyejection fractionmitral regurgitation

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