scholarly journals P1593 Myocardial work in a cohort of systemic sclerosis patients

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
S L Magda ◽  
E C Popa ◽  
R Rimbas ◽  
A M Gheorghiu ◽  
A C Ciobanu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Systemic Sclerosis ◽  
Cardiovascular Risk Factors ◽  
Systolic Function ◽  
Strain Analysis ◽  
Constructive Work ◽  
Global Work ◽  
Lv Systolic Function ◽  
Mean Time

Abstract Funding Acknowledgements Grants 83/2018 and TE49/2018 Context Myocardial strain analysis provides important information on cardiac performance adding to standard parameters of left ventricular (LV) systolic function. Myocardial work (MW) is emerging as an alternative tool for studying LV systolic function, because it isn’t influenced by changes in afterload that could alterate strain analysis. Systemic sclerosis (SSc) is an autoimmune disease frequently associated with myocardial fibrosis determining diastolic and subclinical systolic dysfunction. Aim to assess parameters of myocardial work in patients with SSc and in age and cardiovascular risk factors matched controls. Methods 60 subjects (51 ± 9 years, 53 women) were studied: 40 patients with SSc (75% limited, 25% generalized form, mean time since onset 5 ± 4 yrs, mean time since treatment start 2.5 ± 0.5 yrs), and 20 age and cardiovascular risk factors matched controls. A comprehensive echocardiographic examination was performed using EACVI recommended protocols. Myocardial work parameters were calculated during mechanical systole and isovolumetric relaxation (IVR), by 2DSTE: global constructive work (GCW), performed during shortening in systole adding negative work during lengthening in IVR; global wasted work (GWW), performed during lengthening in systole adding work performed during shortening in IVR; global work efficiency (GWE), as the constructive work divided by the sum of constructive and wasted work and global work index (GWI), as the GCW added to GWW. Results 2DEF, 2D longitudinal strain, GWW, GWE and GWI were similar in both groups, with values expected for sex and age. GCW was significantly lower in SSc patients (Table). Conclusion Patients with treated SSc have lower myocardial constructive work (GCW) compared to matched controls, probably due to subtle myocardial fibrosis, persisting under adequate treatment. Longer follow up and larger cohorts are needed in order to establish the role of MW analysis in the serial assessment of patients with SSc at risk of developing overt cardiovascular disease. Parameter Systemic sclerosis Controls p GCW (mmHg%) 2124.2 ± 449.5 3102.8 ± 337.5 0.02 GWW (mmHg%) 81.0 ± 51.3 73.5 ± 38.9 NS GWE (mmHg%) 95.0 ± 2.8 95.9 ± 2.1 NS GWI (mmHg%) 1869.9 ± 410.9 2023.2 ± 321.7 NS EF (%) 61.3 ± 6.5 60.4 ± 8.7 NS 2DLS (%) 22.9 ± 3.4 22.4 ± 4.1 NS

Disease activity is associated with reduced left ventricular systolic myocardial function in patients with rheumatoid arthritis

2016 ◽  
Vol 76 (2) ◽  
pp. 371-376 ◽  
Author(s):  
Helga Midtbø ◽  
Anne Grete Semb ◽  
Knut Matre ◽  
Tore K Kvien ◽  
Eva Gerdts
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Ejection Fraction ◽  
Disease Activity ◽  
Cardiovascular Risk Factors ◽  
Myocardial Function ◽  
Systolic Function ◽  
Left Ventricular ◽  
Lv Ejection Fraction ◽  
Lv Systolic Function

ObjectivesDisease activity has emerged as a new, independent risk factor for cardiovascular disease in patients with rheumatoid arthritis (RA). We tested if disease activity in RA was associated with lower left ventricular (LV) systolic function independent of traditional cardiovascular risk factors.MethodsEchocardiographic assessment was performed in 78 patients with RA having low, moderate or high disease activity (Simplified Disease Activity Index (SDAI) >3.3), 41 patients in remission (SDAI ≤3.3) and 46 controls, all without known cardiac disease. LV systolic function was assessed by biplane Simpson ejection fraction, stress-corrected midwall shortening (scMWS) and global longitudinal strain (GLS).ResultsPatients with active RA had higher prevalence of hypertension and diabetes compared with patients in remission and controls (both p<0.05). LV ejection fraction (endocardial function) was normal in all three groups, while mean scMWS and GLS (myocardial function) were reduced in patients with RA with active disease compared with patients with RA in remission (95±18% vs 105±17% and −18.9±3.1% vs −20.6±3.5%, respectively, both p<0.01). Patients with RA in remission had similar scMWS and GLS as the controls. In multivariable analyses, having active RA was associated with lower GLS (β=0.21) and scMWS (β=−0.22, both p<0.05), both reflecting lower LV systolic myocardial function, independent of cardiovascular risk factors and LV ejection fraction. Classification of RA disease activity by other disease activity composite scores yielded similar results.ConclusionsActive RA is associated with lower LV systolic myocardial function despite normal ejection fraction and independent of traditional cardiovascular risk factors.

Relationship between body composition and both cardiovascular risk factors and lung function in systemic sclerosis

2013 ◽  
Vol 33 (1) ◽  
pp. 77-82 ◽  
Author(s):  
Paola Caramaschi ◽  
Domenico Biasi ◽  
Cristian Caimmi ◽  
Giovanni Barausse ◽  
Davide Gatti ◽  
...  
Keyword(s):  
Risk Factors ◽  
Body Composition ◽  
Cardiovascular Risk ◽  
Systemic Sclerosis ◽  
Lung Function ◽  
Cardiovascular Risk Factors

scholarly journals The effect of left ventricular remodeling on the longitudinal myocardial kinetics of both heart ventricles in patients with arterial hypertension and cardiovascular risk factors

2019 ◽  
Vol 26 (3) ◽  
pp. 27-34
Author(s):  
O. S. Barabash ◽  
Yu. A. Ivaniv ◽  
I. M. Tumak ◽  
Y. R. Barabash
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Systolic Function ◽  
Left Ventricular ◽  
Concentric Hypertrophy ◽  
Diastolic Velocity ◽  
Eccentric Hypertrophy ◽  
The Right ◽  
Kinetics Of

The aim – to study the longitudinal kinetics of the left, right ventricles and interventricular septum (IVS), depending on the type of left ventricular (LV) remodeling in patients with arterial hypertension (AH) in combination with additional cardiovascular risk factors with preserved LV contractility, as well as to determine the correlation of changes in the right ventricular systolic and diastolic parameters estimated with the tissue pulsed-wave Doppler imaging (TDI) with the same indices of the LV and IVS. Materials and methods. The study included 71 patients (average age – 54) with essential AH (68 % men) with a normal LV ejection fraction. The patients had the obese stage 1, combined hyperlipidemia, 29.6 % of patients had type II diabetes, 33.8 % were smokers. The patients were distributed into 4 groups depending on the types of remodeling: 1 – normal geometry (12.7 %); 2 – concentric remodeling (47.9 %); 3 – concentric hypertrophy (35.2 %); 4 – eccentric hypertrophy (4.2 %). TDI of the left and right ventricles and IVS was performed, systolic and diastolic TDI indices were determined, and the index of isovolumic myocardial acceleration (IVA) was calculated for the right ventricle (RV). Results and discussion. The type of LV concentric hypertrophy negatively affects the longitudinal myocardial kinetics of LV and IVS in the study group. The early diastolic velocity Em and the systolic velocity Sm were significantly decreased for the LV and IVS, the late diastolic velocity Am was decreased for the IVS and the E/Em for LV ratio was notably increased. Among the diastolic RV TDI indices only the deceleration time DTEm was significantly longer in LV concentric remodeling and concentric hypertrophy, than in its normal geometry. The IVA index was decreased in changing the type of LV geometry from normal to eccentric hypertrophy, indicating worsening of the RV longitudinal myocardial systolic function. There was a close correlation between diastolic and systolic TDI indices of the RV and IVS, which potentially indicated the importance of IVS in the mechanism of interventricular interaction and its effect on the RV function. The reliable dependence of systolic and diastolic RV TDI indices on the LV contractility was established. Conclusions. The type of LV remodeling, especially concentric hypertrophy, negatively affects the longitudinal myocardial kinetics of both ventricles in patients with AH in combination with additional cardiovascular risk factors. IVA can be a sensitive diagnostic criterion in the detection of early myocardial disorders of the RV systolic function with the changes of the LV geometry in this category of patients. Indices of RV longitudinal myocardial kinetics are closely dependent on changes in the function of IVS, which has a leading role in the formation of interventricular interaction.

Lack of association of a 9 bp insertion/deletion polymorphism within the bradykinin 2 receptor gene with myocardial infarction

2004 ◽  
Vol 107 (5) ◽  
pp. 505-511 ◽  
Author(s):  
Marcus FISCHER ◽  
Wolfgang LIEB ◽  
Daniel MAROLD ◽  
Matthias BERTHOLD ◽  
Andrea BAESSLER ◽  
...  
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Cardiovascular Risk ◽  
Left Ventricular Function ◽  
Cardiovascular Risk Factors ◽  
Ventricular Function ◽  
Systolic Function ◽  
Receptor Gene ◽  
Left Ventricular ◽  
Deletion Polymorphism

The BK (bradykinin) B2 receptor is the major cellular mediator of the effects of BK. A 9 bp deletion in the promoter of the receptor gene represents an allelic variant that is associated with enhanced mRNA expression levels. We tested whether this polymorphism is associated with the prevalence of MI (myocardial infarction) or with echocardiographically determined left ventricular function in post-MI patients. Patients with documented MI (n=484), matched controls and controls without evidence of coronary heart disease (n=1363) constituted cases and controls. MI patients and controls were carefully matched for age, gender and cardiovascular risk factors. Genotype distributions of the 9 bp insertion/deletion polymorphism were similar across the groups: −9/−9, −9/+9 and +9/+9 were 22.1, 49.5 and 28.5% in MI patients, and 23.0, 44.6 and 32.5% in matched control subjects respectively. The lack of association was also observed in selected subgroups, stratified by age, gender and cardiovascular risk factors. Furthermore, there was no relation between this polymorphism and left ventricular systolic function in post-MI patients. These findings indicate that the 9 bp insertion/deletion polymorphism of the BK B2 receptor gene is neither related to the prevalence of MI nor to left ventricular function after MI.

scholarly journals AB0697D CARDIOVASCULAR RISK FACTORS ARE HIGHER IN MALNOURISHED PATIENTS WITH SYSTEMIC SCLEROSIS

2019 ◽  
Author(s):  
Anna Wojteczek ◽  
Marcin Ziętkiewicz ◽  
Zbigniew Zdrojewski ◽  
Sylwia Małgorzewicz
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Systemic Sclerosis ◽  
Cardiovascular Risk Factors

AB0811 Atherosclerosis assessment in systemic sclerosis patients without cardiovascular risk factors

2013 ◽  
Vol 71 (Suppl 3) ◽  
pp. 685.1-685
Author(s):  
J.L. Rosales Alexander ◽  
B. Joven ◽  
J. Salvatierra ◽  
J. Cantero Hinojosa ◽  
P.E. Carreira
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Systemic Sclerosis ◽  
Cardiovascular Risk Factors
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