Echocardiographic Assessment of Left Ventricular Function in Type 1 Gaucher's Disease

There is predominate opinion among physicians managing type 1 Gauchers' disease (GD) that cardiac involvement is not an issue in these patients. In order to follow this hypothesis, we prospectively investigated 15 adult imiglucerase-treated type 1 GD patients by echocardiography, Doppler, and tissue Doppler echocardiography. This was a case-controlled study with 18 matched healthy volunteers. The obtained data was correlated with the levels of NT-proBNP (brain natriuretic peptide). None of the GD patients had clinical signs of heart disease. In 3 of the 15 patients, we observed echocardiographic signs of aortic and mitral valve calcification. The left ventricular systolic function was within normal limits. Compared to the control group, there was no statistically significant difference observed in the most sensitive indices of left ventricular diastolic function, parameterEm(P=.095), andE/Emratio (P=.097), as demonstrated by tissue Doppler echocardiography. However, there was a positive correlation between theE/Emratio and NT-proBNP plasma levels (P=.009). In conclusion, the prospective echocardiographic study of type 1 GD patients did not validate any left ventricular dysfunction. But, theE/Emratio showed a strong statistical correlation with the most sensitive indicators of heart failure, NT-proBNP. Research on larger groups of patients and the usage of even more sensitive methods as strain-rate imaging will be necessary to confirm eventual myocardial involvement in GD patients.

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Assessment of cardiac function and electrocardiographic findings in patients with Wilson’s disease

Cardiology in the Young ◽

10.1017/s104795111900180x ◽

2019 ◽

Vol 29 (09) ◽

pp. 1183-1188

Author(s):

Asuman N. Karhan ◽

Hayrettin H. Aykan ◽

Ersin Gümüş ◽

Yasemin Dönmez ◽

Dursun Alehan ◽

...

Keyword(s):

Patient Group ◽

Doppler Echocardiography ◽

Wilson’S Disease ◽

Tissue Doppler ◽

Wilson's Disease ◽

Left Ventricular ◽

P Wave ◽

Tissue Doppler Echocardiography ◽

Control Group ◽

P Wave Dispersion

AbstractBackground:This study evaluated cardiac function using tissue Doppler echocardiography and assessed electrocardiographic findings in children diagnosed with Wilson’s disease.Method:Asymptomatic patients with a diagnosis of Wilson’s disease (n = 43) were compared to healthy controls (n = 37) that were age and gender matched.Results:The standard electrocardiographic and conventional echocardiographic examinations were similar in both groups. The left ventricular ejection fraction, shortening fraction, and diastolic function were not significantly different between the two groups. The Tei index for mitral lateral, mitral septal, tricuspid lateral, tricuspid septal, and inter-ventricular septum on tissue Doppler echocardiography was higher in the patient group, yet it did not reach statistical significance. Mitral lateral and septal systolic annular velocity values were significantly lower in the patient group when compared to the control group (p = 0.02 and 0.04, respectively). Also, mitral lateral and septal isovolumetric contraction time values were higher in the patient group (p = 0.04). Although the left ventricular values were not significantly different, relative left ventricular wall thickness was higher in the patient group when compared to the control group, and concentric remodelling in the left ventricle was found in 7 (16%) of 42 patients. QT interval (p = 0.02) and P-wave dispersion values (p = 0.04) were significantly higher in the patient group compared to the control group, and these tend to predict arrhythmias.Conclusion:Our study based on the tissue Doppler echocardiography assessment indicated a subclinical systolic, rather than diastolic, dysfunction in the myocardium with increased QT interval and P-wave dispersion, despite the young age of the patients and short disease duration.

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Tissue Doppler Echocardiography and Myocardial Performance Index in Patients with Scleroderma

Journal of International Medical Research ◽

10.1177/147323000503300407 ◽

2005 ◽

Vol 33 (4) ◽

pp. 417-425 ◽

Cited By ~ 5

Author(s):

S Güllülü ◽

AA Kaderli ◽

A Ekbul ◽

B Özdemir ◽

İ Baran ◽

...

Keyword(s):

Doppler Echocardiography ◽

Performance Index ◽

Tissue Doppler ◽

Left Ventricular ◽

Myocardial Performance Index ◽

Tissue Doppler Echocardiography ◽

Doppler Imaging ◽

Control Group ◽

Myocardial Performance ◽

Ventricular Functions

In this study, left and right ventricular functions were examined echocardiographically in 22 patients with scleroderma and 22 healthy volunteers. Conventional and tissue Doppler echocardiography and myocardial performance indexes were used as measures of right and left ventricular global functions. Mitral early diastolic E wave deceleration time, isovolumetric contraction time and left ventricular myocardial performance index and peak tricuspid A wave velocity were significantly higher in the scleroderma group compared with the control group. Mitral and tricuspid E/A ratios were significantly lower in patients with scleroderma. In addition, mitral annular and tricuspid annular isovolumetric relaxation times and the tricuspid E/E' ratio were significantly increased in scleroderma patients compared with the control group. In conclusion, in scleroderma patients the global left ventricular functions were depressed and diastolic function abnormalities were seen in both right and left ventricles. In addition, longitudinal muscle functions of the ventricles were depressed in scleroderma patients, as shown by tissue Doppler imaging parameters.

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Effect of cardiovascular autonomic neuropathy (CAN) on left ventricular function in normotensive type 1 diabetic patients: A study by pulsed wave tissue Doppler echocardiography

The Egyptian Heart Journal ◽

10.1016/j.ehj.2011.08.007 ◽

2012 ◽

Vol 64 (1) ◽

pp. 7-13

Author(s):

Mohamed Ghonem ◽

Ahmed A. Wafa ◽

Azza Al Biomy

Keyword(s):

Left Ventricular Function ◽

Ventricular Function ◽

Autonomic Neuropathy ◽

Doppler Echocardiography ◽

Tissue Doppler ◽

Left Ventricular ◽

Tissue Doppler Echocardiography ◽

Diabetic Patients ◽

Type 1 Diabetic Patients

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Role of Tissue Doppler Echocardiography in the Diagnosis of Early Left Ventricular Dysfunction in Rheumatoid Arthritis

Indian Journal of Cardiovascular Disease in Women WINCARS ◽

10.1055/s-0038-1656399 ◽

2016 ◽

Vol 01 (02) ◽

pp. 017-021

Author(s):

Ashok Arigondam ◽

Vara Prasad ◽

Liza Rajasekhar

Keyword(s):

Rheumatoid Arthritis ◽

Cardiac Disease ◽

Doppler Echocardiography ◽

Tissue Doppler ◽

Left Ventricular ◽

Tissue Doppler Echocardiography ◽

Cardiac Symptom ◽

Diastolic Velocity ◽

Organ Systems ◽

Significant Difference

AbstractObjective: Rheumatoid arthritis (RA) is a systemic disease involving many organ systems and is frequently accompanied by cardiac alterations. The purpose of our study is the usefulness of Tissue Doppler echocardiography to detect the nature and extent of cardiac involvement in RA patients with no symptoms of cardiac disease, in comparison with a control sample.Methods: We selected 21 patients affected by rheumatoid arthritis. No patient had any symptoms of cardiac disease. As a control group we studied 21 volunteers, randomly selected among a larger group of subjects who had come for routine check-up. All were in sinus rhythm and without any cardiac symptom. Standard two-dimensional, M-mode and Doppler echocardiographic examination was carried out on each subject.Results: out of 21 RA patients, 16 females 5 males with an average age of 38±9 years. Both the study group and control were matched with respect to age and sex. In RA patients we found a higher prevalence of several tissue Doppler parameters abnormalities. Patients with RA showed significantly higher tricuspid annular plane systolic ejection (TAPSE) 2.49±0.19 vs. 2.36±0.22 (p= 0.04), isovolumetric contraction time (IVCT) 48.8±11.7 vs. 41.2±7.7 msec, (p=0.02), isovolumetric velocity (IVV) 12.26±2.23 vs. 15.71±1.89 m/sec ( p = 0.00) acceleration time (AT) 0.43±0.05 vs. 0.35+0.05 msec (p = 0.00) lower isovolumetric acceleration (IVA) 28.68±6.57 vs. 45.8±10.1 m/sec2 (p = 0.00) early diastolic velocity (E)′ 10.48±1.99 vs. 13.02±1.54 cm/sec (p = 0.00). No significant difference was noted with IVRT (isovolumetric relaxation time) and A′ (late diastolic velocity). Duration of RA did not affect the significance of these parameters.Conclusion: There was subclinical LV systolic and diastolic dysfunction with normal EF, detected by tissue Doppler imaging in Rheumatoid arthritis patients.

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