DOI QR코드

DOI QR Code

Accuracy Evaluation of Regional Wall Motion Abnormality in Echocardiography and Cardiac Enzymes in the Diagnosis of Ischemic Heart Disease

허혈성심장질환 진단에서 심장초음파의 국소벽운동이상과 심장효소의 정확성 평가

  • Kim, Hee-Young (Department of Radiological Science, Kaya University) ;
  • Ji, Tae-Jeong (Department of Radiological Science, Kaya University)
  • 김희영 (가야대학교 방사선학과) ;
  • 지태정 (가야대학교 방사선학과)
  • Received : 2022.07.19
  • Accepted : 2022.08.12
  • Published : 2022.08.31

Abstract

Echocardiography and cardiac enzymes test are the tests to assess ischemic heart disease. The purpose of this study was to verify the accuracy by comparing and analyzing two tests for the diagnosis of ischemic heart disease. A retrospective study was conducted on 393 study subjects who underwent echocardiography and cardiac enzymes test. As a result of the study, regional wall motion abnormality (RWMA) increased as the age of the study subjects increased. As a result of ROC analysis, RWMA showed a larger area under the curve (AUC) than cardiac enzymes. RWMA showed the highest accuracy with 81.1% of all cardiac enzymes. Among cardiac enzymes, cTnI showed the highest accuracy. Thus, It was confirmed that RWMA of echocardiography is more accurate than cardiac enzyme is in diagnosing ischemic heart disease.

Keywords

References

  1. Doopedia. Ischemic heart disease. https://www.doopedia.co.kr/doopedia/master/master.do?_method=view&MAS_IDX=101013000874142. Accessed on June 6, 2022.
  2. Lee GY. Human Physiology. Revision 4th ed. Hyunmoonsa; 2009:176.
  3. Choe JH. Coronary artery disease (angina pectoris and myocardial infarction). Bulletin of Korea Environmental Preservation Association. 2007;29(369):36-7.
  4. Statistical Office. Statistical Yearbook of Causes of Death in 2020.
  5. Korean Society of Echo Cardiography. KSE Textbook of Echocardiography. Revision 4th ed. Daehan Medical; 2021:265.
  6. Oh JK, Kane GC, Seward JB, et al. The ECHO Manual. Revision 4th ed. Daehan Medical; 2021:431.
  7. Kim AJ. The Usefulness of Emergency Echocardiography in Patients with Acute Myocardial Infarction [master's thesis]. Incheon: University of Inha; 2001.
  8. Adams JE, Sicard GA, Allen BT, Bridwell KH, Lenke LG, Davila-Roman VG, Bodor GS, et al. Diagnosis of perioperative myocardial infarction with measurement of cardiac troponin I. New England Journal of Medicine. 1994;330(10):670-4. https://doi.org/10.1056/NEJM199403103301003
  9. Adams JE, Bodor GS, Davila-Roman VG, Delmez JA, Apple FS, Ladenson JH, Jaffe AS. Cardiac troponin I. A marker with high specificity for cardiac injury. Circulation. 1993;88(1):101-6. https://doi.org/10.1161/01.CIR.88.1.101
  10. Hong TJ. Diagnosis of coronary artery disease. Journal of the Korean Medical Association. 2004;47(8):714-25. https://doi.org/10.5124/jkma.2004.47.8.714
  11. Korean Society for Laboratory Medicine. Common disease-specific testing guide. https://www.kslm.org/. Accessed on March 5, 2022.
  12. Peela J, Jarari A, Abdul Hai, Rawal A, Kolla S, Sreekumar S, Khurana L, Sidhanathi N. Cardiac biomarkers: The troponins and CK-MB. Ibnosina Journal of Medicine and Biomedical Sciences. 2010;2(5):190-7. https://doi.org/10.4103/1947-489X.210998
  13. Lab Testing Online. CK. https://www.testing.com/. Accessed on March 6, 2022.
  14. Lab Testing Online. CK-MB. https://www.testing.com/. Accessed on March 6, 2022.
  15. Babuin L, Jaffe AS. Troponin: The biomarker of choice for the detection of cardiac injury. CMAJ. 2005;173(10):1191-202. https://doi.org/10.1503/cmaj/051291
  16. Fan J, Ma J, Xia N, Sun L, Li B, Liu H. Clinical value of combined detection of CK-MB, MYO, cTnI and plasma NT-proBNP in diagnosis of acute myocardial infarction. Clinical Laboratory. 2017;63(3):427-33.
  17. Kusunose K, Abe T, Haga A, Fukuda D, Yamada H, Harada M, et al. A deep learning approach for assessment of regional wall motion abnormality from echocardiographic images. Cardiovascular Imaging. 2020;13(2)Part 1:374-81.
  18. Romano S, Varveri A, Aurigemma G, Dagianti A, Vitarelli A, Sciomer S, et al. Echocardiography in the coronary care unit: Diagnostic and prognostic impact in comparison with clinical and other indicators. The American Journal of Cardiology. 1998;81(12):13G-16G. https://doi.org/10.1016/S0002-9149(98)00047-2
  19. Manuel DC, Neil JW, Vasken D, Alice KJ, Sanjiv K, Warren KL, et al. Standardized myocardial segmentation and nomenclature for tomographic imaging of the heart: A statement for healthcare professionals from the Cardiac Imaging Committee of the Council on Clinical Cardiology of the American Heart Association. Circulation. 2002;105(4):539-42. https://doi.org/10.1161/hc0402.102975
  20. Oh JK, Kane GC, Seward JB, et al. The ECHO Manual. Revision 4th ed. Daehan Medical; 2021:156.
  21. Korean Society of Interventional Cardiology. Guideline for PCI or coronary revascularization. 2014.
  22. Seung KB. Diagnosis of Coronary Artery Disease. Medical Postgraduates. 2003;31(4):201-6.
  23. Mollema SA, Nucifora G, Bax JJ. Prognostic value of echocardiography after acute myocardial infarction. Heart. 2009;95(21):1732-45. https://doi.org/10.1136/hrt.2008.161836
  24. Otterstad JE, St. John Sutton MG, Froeland GS, Holme I, Skjaerpe T, Hall C. Prognostic value of two-dimensional echocardiography and N-terminal proatrial natriuretic peptide following an acute myocardial infarction. Assessment of baseline values (2-7 days) and changes at 3 months in patients with a preserved systolic function. European Heart Journal. 2002;23(13):1011-20. https://doi.org/10.1053/euhj.2001.2969
  25. Seoul National University Hospital Medical Information. Atherosclerosis. http://www.snuh.org/health/nMedInfo/nView.do?category=DIS&medid=AA000338. Accessed on June 17, 2022.
  26. Kim GJ, Cho SH, Cho NS. Availability of Troponin I & T and CK-MB for Diagnosis of Acute Myocardial Infarction in Patients of Renal Failure Admitted to an Emergency Medical Center. Journal of the Korean Society of Emergency Medicine. 2002;13(4):485-8.
  27. Lab Testing Online. cTnI. https://www.testing.com. Accessed on June 6, 2022.
  28. Kim GH, Ji TJ. Analysis of the Influential Factors for Metabolic Syndrome on Stenosis after Coronary Angiography. Journal of Radiological Science and Technology. 2022;45(1):19-29. https://doi.org/10.17946/JRST.2022.45.1.19
  29. Bae HJ, Kim Mj, Kim JK. Correlation of Left Atrial Enlargement and Metabolic Syndrome Risk Factors in Echocardiography. Journal of Radiological Science and Technology. 2020;43(3):177-85. https://doi.org/10.17946/JRST.2020.43.3.177