Ischemic heart disease and early diagnosis. Study on the predictive value of 2D strain

Dattilo, Giuseppe; Imbalzano, Egidio; Lamari, Annalisa; Casale, Matteo; Paunovic, Nevena; Busacca, Paolo; Bella, Gianluca Di

doi:10.1016/j.ijcard.2016.04.035

Cited by 34 publications

(31 citation statements)

References 33 publications

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“…[14][15] In this subclinical stage of LV systolic dysfunction, mesocardium and epicardium fibers could be involved in a compensation mechanism, resulting in normal circumferential mechanics and pump function and, therefore, in normal GCS and EF. [14][15][16][17] In this study, we found that LV dysfunction correlated with the duration of the disease. A possible explanation is that patients with longer disease duration could have developed more inflammatory damage than those ones with a shorter duration.…”

Section: Discussionsupporting

confidence: 54%

“…Cardiac function abnormalities were observed by 2D-SE, a technique that can detect minimal abnormalities in systolic and regional LV function. 17,[37][38][39] In our patients, the GLS values were significantly lower compared to controls, suggesting subclinical reductions in longitudinal function. Furthermore, a recent study demonstrated (using 2D strain imaging) that patients with psoriasis have lower LV function.…”

Section: Discussionmentioning

confidence: 99%

“…Two-dimensional strain echocardiography (2D-SE) is a valid tool to quantify both left ventricular (LV) longitudinal and circumferential deformations, allowing the detection of subclinical changes in systolic function and providing a quantitative assessment of regional LV function. [13][14][15][16][17] Arterial stiffness has been identified as an independent prognostic factor for patients with CV disease (CVD). [18][19][20][21] An increased pulse wave velocity (PWV), a noninvasive index of arterial stiffness, predicts CV events in different clinical conditions.…”

Section: Introductionmentioning

confidence: 99%

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Psoriasis and Cardiovascular Risk: Correlation Between Psoriasis and Cardiovascular Functional Indices

et al. 2017

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Evidence suggests that psoriasis together with other cardiovascular (CV) risk factors is associated with increased vascular morbidity, but it is not clear whether psoriasis is an independent risk factor. Consecutive patients (n = 33; 35.6 ± 5.7 years; 13 females) with mild psoriasis (Psoriasis Area and Severity Index <10) without comorbidities and 33 healthy participants (36.3 ± 5.9 years; 15 females) were enrolled. Both groups underwent echocardiography, speckle tracking (2-dimensional strain echocardiography [2D-SE]), and pulse wave velocity (PWV) testing. Clinical and conventional echocardiographic characteristics were comparable between both groups. Global longitudinal strain (GLS) was significantly lower ( P = .002) in the psoriasis group (22.39% ± 2.28%) than in controls (24.15% ± 2.17%). The PWV was significantly lower ( P = .004) in controls (8.06 ± 1.68 m/s) than in the psoriasis group (9.23 ± 1.53 m/s). Significant correlations between GLS and disease duration ( r = -.66, P < .0001) and between GLS and patient age at diagnosis ( r = .48, P = .0043) were found. Psoriasis may be an independent CV risk factor, causing cardiac and vascular impairment. Both 2D-SE and PWV may be useful tools for the screening of CV risk in these patients.

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Section: Discussionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Psoriasis and Cardiovascular Risk: Correlation Between Psoriasis and Cardiovascular Functional Indices

et al. 2017

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“…The patient's medical history revealed systemic arterial hyper-tension, rheumatic disease in infancy, psoriasis, diabetes and episodes of atrial fi brillation in treatment with oral anticoagulant therapy. [12][13][14][15][16] There were diabetic ulcers in the lower limbs, apparently not infected (Fig. 1A).…”

Section: Case Presentationmentioning

confidence: 99%

Cardiology Rehabilitation wards: Isolation of Staphylococcus capitis. A risk of infection to be kept under control

2019

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Oddělení kardiovaskulární rehabilitace se specializují na rehabilitaci nemocných po kardiochirurgickém výkonu nebo po akutním infarktu myokardu. Nemocniční infekce jsou velmi častou a závažnou komplikací prováděné léčby. V posledních dvou desetiletích se nicméně ukázalo, že hlavní příčinou případů infekce a sepse na jednotkách kardiologické péče jsou koaguláza-negativní stafylokoky (CoNS), mezi nimiž významné místo zaujímá bakterie Staphylococcus capitis. Popisujeme naše zkušenosti z izoláty S. capitis od pacienta, který byl hospitalizován s kardiovaskulárním onemocněním a s bércovými vředy.

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“…The transthoracic echocardiogram (TTE) showed a slightly reduced left ventricle ejection fraction (48%) and a lateral wall hypokinesia. Before discharge, the patient refused coronary angiography and he underwent dipyridamole stress echocardiography, resulted negative for myocardial ischemia [4][5][6][7]. Three months after, because of the second episode of exertional syncope, he was referred to our Emergency Department again.…”

Section: Case Presentationmentioning

confidence: 99%

Arrhythmogenic cardiomyopathy of left ventricle. A rare event, but possible

Scarano¹,

Gizzi²,

Mantini

2018

Cor Vasa

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Please cite this article as: M. Scarano, et al., Arrhythmogenic cardiomyopathy of left ventricle. A rare event, but possible, Cor et Vasa 60 (2018) e508-e511 as published in the online version of Cor et SOUHRN Arytmogenní dyplazie pravé komory (arrhythmogenic right ventricular dysplasia, ARVD) je formou dědičné kardiomyopatie charakterizované nahrazováním svaloviny převážně pravé komory fi brózní a tukovou tkání. U osob s tímto postižením může dojít k rozvoji život ohrožujících komorových arytmií a srdečnímu selhání. Ještě častěji se s ní lze setkat u sportovců, kteří prodělají náhlou srdeční smrt. Postižena však může být nejen pravá, ale i levá komora. Popisujeme případ 38letého muže se dvěma epizodami synkop v anamnéze. Po echokardiografi ckém vyšetření byl pacient odeslán na vyšetření srdce magnetickou rezonancí. Morfologické zobrazení srdce prokázalo tukovou infi ltraci epikardu postranní stěny levé komory (střední a apikální segmenty). Byla stanovena diagnóza izolované levostranné formy arytmogenní kardiomyopatie. Po implantaci kardioverteru-defi brilátoru byla zahájena farmakoterapie enalaprilem a bisoprololem.ABSTRACT Arrhythmogenic right ventricular dysplasia (ARVD) is a form of inherited cardiomyopathy characterized by fi bro-fatty substitution mainly right ventricular (RV). Affected patients may succumb to life-threatening ventricular arrhythmias and heart failure. It is even more common among athletes who experience sudden cardiac death (SCD). The disease involvement is not limited only to the RV, but the left ventricle (LV) can also be involved. We have reported a case of a 38-year-old man, with two episodes of syncope in his history. After echocardiographic investigations, the patient was referred to cardiac magnetic resonance (CMR). Morphological images showed fatty infi ltration of the epicardial layer of LV lateral wall (mid and apical segment).

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Ischemic heart disease and early diagnosis. Study on the predictive value of 2D strain

Cited by 34 publications

References 33 publications

Psoriasis and Cardiovascular Risk: Correlation Between Psoriasis and Cardiovascular Functional Indices

Psoriasis and Cardiovascular Risk: Correlation Between Psoriasis and Cardiovascular Functional Indices

Cardiology Rehabilitation wards: Isolation of Staphylococcus capitis. A risk of infection to be kept under control

Arrhythmogenic cardiomyopathy of left ventricle. A rare event, but possible

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