Left ventricular global longitudinal strain and acute myocardial injury in patients with sickle cell disease admitted to the intensive care unit for vaso-occlusive crisis

In patients with sickle cell disease (SCD), SCD-related cardiomyopathy may be partly due to repeated ischaemic events related to sickling during vaso-occlusive crises, but few clinical studies support this hypothesis. We evaluated the incidence of acute myocardial ischaemia during vaso-occlusive crises as assessed by the left ventricular global longitudinal strain (LVGLS) and high-sensitive cardiac troponin T (hs-cTnT). We included adult patients with SCD admitted to the intensive care unit (ICU) for vaso-occlusive crisis. We collected hs-cTnT and measured LVGLS with echocardiography at admission (day 1), day 2, day 3 and ICU discharge. Among 55 patients included, considering only the first hospitalization of patients admitted several times, 3 (5%) had elevated hs-cTnT at >= 1 time point of the ICU stay. It was <= 2 times the upper limit of normal in two of these patients. LVGLS was altered at >= 1 time point of the ICU stay in 13 (24%) patients. Both hs-cTnT and LVGLS were abnormal at >= 1 time point of the hospital stay in 2 (4%) patients. Acute myocardial injury as assessed by troponin elevation and LVGLS impairment was a rare event during vaso-occlusive crises. We included adult patients with sickle cell disease admitted to the ICU for vaso-occlusive crisis. We collected hs-cTnT and measured LVGLS with echocardiography at day 1, day 2, day 3 and ICU discharge. Among 55 patients included, 3 (5%) had elevated hs-cTnT at >= 1 time point of the ICU stay. LVGLS was altered at >= 1 time point of the ICU stay in 13 (24%) patients. Acute myocardial injury as assessed by troponin elevation and LVGLS impairment was a rare event during vaso-occlusive crises. GLS, global longitudinal strain; hs-cTnT, high-sensitive cardiac troponin T; ICU, intensive care unit; LV, left ventricular.image