Subclinical left and right ventricular systolic dysfunction in behcet's disease: A combined tissue doppler and velocity vector imaging study

Yurdakul, Selen; Erdemir, Vefa Aslı; Tayyareci, Yelda; Yıldırımtürk, Özlem; Gürel, Mehmet Salih; Aytekin, Saide

doi:10.1002/jcu.21985

Cited by 7 publications

(4 citation statements)

References 37 publications

(39 reference statements)

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“…Tissue Doppler imaging (TDI) can be used to assess segmental and global ventricular function (5). Systolic excursion of the mitral annulus, which has a complex shape and motion, has been correlated with LV longitudinal function.…”

Section: Introductionmentioning

confidence: 99%

Mitral annular plane systolic excursion in the assessment of left ventricular diastolic dysfunction in obese adults

Taşolar

Mete

Çetın³

et al. 2015

Anatol J Cardiol

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Objective:Mitral annular plane systolic excursion (MAPSE) is a simple way to assess left ventricle (LV) function. MAPSE is also correlated to parameters, illustrating the close relation between systolic and diastolic function of LV. In this study, we evaluated whether MAPSE could help us in the determination the LV diastolic dysfunction (DD) in obese adults.Methods:Our study was a prospective cross-sectional study. Obese patients who were referred from the endocrinology clinic were enrolled into this study. The participants included 40 obese patients with early-stage DD (grade I and II) and 40 obese patients with normal diastolic function, with an equal number of males and females. The patients with DD were further divided into Obese DD+I, who had grade I DD, and Obese DD+II, who had grade II DD. Student t-test, Mann-Whitney U test, one-way analysis of variance, ROC curve analysis, and pairwise comparisons of the ROC curves were used for statistical analysis.Results:MAPSE was different in all groups, with the lowest value in the Obese DD+II group (p<0.001). E/Em ratio was also different among all groups and was highest in the Obese DD+II group (p<0.001). Furthermore, MAPSE was negatively correlated with E/Em ratio (r=-0.368, p=0.020). The optimal threshold point of MAPSE in the diagnosis of left ventricle diastolic dysfunction (LVDD) was ≥1.45 cm, with 92.5% sensitivity (95% CI 79.6-98.4) and 77.5% specificity (95% CI 61.5-89.2) in the ROC curve analysis. There was no difference in the pairwise comparisons of the ROC curves of MAPSE and E/Em ratio in the diagnosis of DD [area under the ROC curve 0.902 (0.033) vs. 0.927 (0.027); p=0.54].Conclusion:Consequently, we found significantly a close relationship between MAPSE with conventional echocardiographic parameters, especially with E/Em, in the detection of left ventricle diastolic dysfunction (LVDD) in obese adults with normal LV ejection fraction. We think that MAPSE is a simple, easily acquired and less time consuming measurement and may help us in the stratification of LVDD in obese adults.

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Section: Introductionmentioning

confidence: 99%

Mitral annular plane systolic excursion in the assessment of left ventricular diastolic dysfunction in obese adults

Taşolar

Mete

Çetın³

et al. 2015

Anatol J Cardiol

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“…It reduces the dependence on angle and limitations of the section and aids in automatically tracing the trajectory of the endocardium. ere are several studies using VVI for the human apical four-chamber view, although animal studies are limited to the short aorta or left ventricular long axis view [19][20][21][22][23]. Owing to the small size of the rat heart, conventional ultrasound scanning is difficult, and not many studies have been performed on the four-chamber view of rats.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Effects of Schisandra chinensis on the Myocardium of Rats with Hyperthyroid Heart Disease by Using Velocity Vector Imaging Combined with the Estimation of p53 Expression and Calmodulin Activity

Huang

Jin

Gao

et al. 2020

Evidence-Based Complementary and Alternative Medicine

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Schisandra chinensis (SC) is reported to improve myocardial ischemia. Velocity vector imaging (VVI) is a noninvasive technique for evaluating myocardial function in humans, while few reported on the application in animals. In this study, we aimed to evaluate the improved effects of SC on the myocardium of Sprague Dawley rats having hyperthyroid heart disease (HHD) using VVI technique. HHD models were established by injecting daily with subcutaneous levothyroxine (0.5 mg/kg). Then, the SC group was administered the aqueous extract of SC (2 g/kg) once daily, while the HHD and control (CON) groups were administered the same amount of distilled water daily. All the rats were provided the same amount of food and water daily, and the intervention was stopped after 28 days. The efficacy of SC in HHD rats was evaluated by ultrasound VVI. The serum total triiodothyronine level, total thyroxine level, N-terminal pro-brain natriuretic peptide expression, p53 expression, and calmodulin (CaM) activity were assessed by western blotting, Hematoxylin-Eosin and Masson staining, and electron microscopy. The results indicated that SC significantly improved the systolic velocity, diastolic velocity, strain, systolic strain rate, and diastolic strain rate of the heart by significantly reducing p53 expression and CaM activity (P<0.05), improving myocardial fibrosis in HHD rats. Also, VVI can be a valuable tool for the evaluation of myocardial function in HHD rats.

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“…Transthoracic echocardiography (TTE) plays an important role in the assessment of suspected cardiac dysfunction, including AM setting. [21][22][23][24][25] Patients with clinically suspected myocarditis should undergo a standard TTE in clinical routine. 26 Moreover, TTE should be repeated during hospitalization to evaluate cardiac volumes, wall thickness, ventricular function, and pericardial effusion, especially when worsening of hemodynamics are present, since cardiac function may evolve rapidly during AM.…”

Section: Echocardiographymentioning

confidence: 99%

“…AM is characterized by a large variety of myocardial damage, so the optimal diagnostic method is often difficult to choose. Transthoracic echocardiography (TTE) plays an important role in the assessment of suspected cardiac dysfunction, including AM setting 21–25 . Patients with clinically suspected myocarditis should undergo a standard TTE in clinical routine 26 .…”

Section: Imaging Techniquesmentioning

confidence: 99%

Multimodality imaging in acute myocarditis

Muscogiuri

Guaricci

Cau

et al. 2022

J of Clinical Ultrasound

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The diagnosis of acute myocarditis often involves several noninvasive techniques that can provide information regarding volumes, ejection fraction, and tissue characterization. In particular, echocardiography is extremely helpful for the evaluation of biventricular volumes, strain and ejection fraction. Cardiac magnetic resonance, beyond biventricular volumes, strain, and ejection fraction allows to characterize myocardial tissue providing information regarding edema, hyperemia, and fibrosis. Contemporary cardiac computed tomography angiography (CCTA) can not only be extremely important for the assessment of coronary arteries, pulmonary arteries and aorta but also tissue characterization using CCTA can be an additional tool that can explain chest pain with a diagnosis of myocarditis.

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Subclinical left and right ventricular systolic dysfunction in behcet's disease: A combined tissue doppler and velocity vector imaging study

Abstract: Ventricular long-axis functions are important markers of myocardial contractility. Novel echocardiographic techniques may provide additional data for detecting early deterioration in ventricular systolic function in patients with BD.

Cited by 7 publications

References 37 publications

Mitral annular plane systolic excursion in the assessment of left ventricular diastolic dysfunction in obese adults

Mitral annular plane systolic excursion in the assessment of left ventricular diastolic dysfunction in obese adults

Evaluation of the Effects of Schisandra chinensis on the Myocardium of Rats with Hyperthyroid Heart Disease by Using Velocity Vector Imaging Combined with the Estimation of p53 Expression and Calmodulin Activity

Multimodality imaging in acute myocarditis

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