SavedAdd your journal

Journals / Türk Kardiyoloji Derneği Arşivi / 2011 / Cilt: 39 - Sayı: 7

Sol ventrikül ejeksiyon fraksiyonu korunmuş olan metabolik sendromlu hastalarda bozulmuş sağ ventrikül fonksiyonları

Impaired right ventricular functions in metabolic syndrome patients with preserved left ventricular ejection fraction

Nuray YAZIHAN
Ramazan AKDEMİR
Özlem KARAKURT
Sanem ÖZTEKİN
Pages
549–556
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This was possibly due to significantly shortened right ventricular ejection time in MetS patients (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: Metabolic syndrome (MetS) has been shown to be independently associated with increased risk for incident heart failure and coronary artery disease.
📊
Key Findings & Data:Study design: The study included 192 consecutive patients (148 women, 44 men; mean age 54.3±8.5 years) with the diagnosis of MetS based on the NCEP-ATP III criteria and 20 healthy controls (12 women, 8 men; mean age 51.6±8.4 years).
💡
Conclusion & Impact:This was possibly due to significantly shortened right ventricular ejection time in MetS patients (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: Metabolic syndrome (MetS) has been shown to be independently associated with increased risk for incident heart failure and coronary artery disease. We investigated whether there was deterioration in right ventricular functions in MetS patients with preserved left ventricular functions and its association with the number of MetS components. Study design: The study included 192 consecutive patients (148 women, 44 men; mean age 54.3±8.5 years) with the diagnosis of MetS based on the NCEP-ATP III criteria and 20 healthy controls (12 women, 8 men; mean age 51.6±8.4 years). All subjects underwent conventional and tissue Doppler (TDI) echocardiography to assess left and right ventricular functions, including right ventricular myocardial performance index (MPI) and tricuspid annular plane systolic excursion (TAPSE). Results: The number of MetS components were three in 43.8%, four in 31.3%, and five in 25% of the patients. Right ventricular TDI-derived MPI was higher in patients with MetS compared to controls [median 0.5 (range 0.2- 3.3) vs. 0.3 (0.1-0.7), p=0.000]. This was possibly due to significantly shortened right ventricular ejection time in MetS patients (p

Özet

Amaç: Metabolik sendromun (MetS) kalp yetersizliği ve koroner arter hastalığının bağımsız risk faktörlerinden biri olduğu ortaya konmuştur. Bu çalışmada, sol ventrikül fonksiyonları korunmuş MetS hastalarında sağ ventrikül fonksiyonlarında bozulma olup olmadığı ve bu durumun MetS bileşeni sayısıyla ilişkisi araştırıldı. Çalışma planı: Çalışmaya NCEP-ATP III ölçütlerine göre MetS tanısı konan 192 hasta (148 kadın, 44 erkek; ort. yaş 54.3±8.5) ve kontrol grubu olarak 20 sağlıklı gönüllü (12 kadın, 8 erkek; ort. yaş 51.6±8.4) alındı. Tüm olgulara konvansiyonel ve doku Doppler ekokardiyografi yapılarak sol ve sağ ventrikül fonksiyonları incelendi ve sağ ventrikül miyokart performans indeksi (MPİ) ve triküspit halka düzleminde sistolik yer değiştirme (TAPSE) hesaplandı. Bulgular: H astaların % 43.8’inde ü ç, % 31.3’ünde d ört, %25’inde beş adet MetS b ileşeni vardı. Kontrol grubu ile karşılaştırıldığında, sağ ventrikül doku Doppler MPİ MetS grubunda daha yüksek bulundu [ortanca 0.5 (dağılım 0.2- 3.3) ve 0.3 (0.1-0.7), p=0.000]. Bu durumun MetS hastalarında sağ ventrikül doku Doppler ejeksiyon zamanındaki anlamlı azalmadan kaynaklandığı düşünüldü (p

🔖

Cite This Article

YAZIHAN, N., AKDEMİR, R., KARAKURT, Ö., ÖZTEKİN, S. (2022). Sol ventrikül ejeksiyon fraksiyonu korunmuş olan metabolik sendromlu hastalarda bozulmuş sağ ventrikül fonksiyonları. Türk Kardiyoloji Derneği Arşivi, Cilt: 39 - Sayı: 7, 549–556. https://ajindex.com/articles/633129

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Chinali M, Devereux RB, Howard BV, Roman MJ, Bella JN, Liu JE, et al. Comparison of cardiac structure and function in American Indians with and without the metabolic syndrome (the Strong Heart Study). Am J Cardiol 2004;93:40-4
  2. Voulgari C, Moyssakis I, Papazafiropoulou A, Perrea D, Kyriaki D, Katsilambros N, et al. The impact of metabolic syndrome on left ventricular myocardial performance. Diabetes Metab Res Rev 2010;26:121-7
  3. Wang J, Sarnola K, Ruotsalainen S, Moilanen L, Lepistö P, Laakso M, et al. The metabolic syndrome predicts incident congestive heart failure: a 20-year follow-up study of elderly Finns. Atherosclerosis 2010;210:237-42
  4. Tei C, Nishimura RA, Seward JB, Tajik AJ. Noninvasive Doppler-derived myocardial performance index: correlation with simultaneous measurements of cardiac catheterization measurements. J Am Soc Echocardiogr 1997;10:169-78
  5. Bruch C, Schmermund A, Marin D, Katz M, Bartel T, Schaar J, et al. Tei-index in patients with mild-to-moderate congestive heart failure. Eur Heart J 2000;21:1888-95
  6. Tei C, Dujardin KS, Hodge DO, Kyle RA, Tajik AJ, Seward JB. Doppler index combining systolic and diastolic myocardial performance: clinical value in cardiac amyloidosis. J Am Coll Cardiol 1996;28:658-64
  7. Kim WH, Otsuji Y, Seward JB, Tei C. Estimation of left ventricular function in right ventricular volume and pressure overload. Detection of early left ventricular dysfunction by Tei index. Jpn Heart J 1999;40:145-54
  8. Ishii M, Eto G, Tei C, Tsutsumi T, Hashino K, Sugahara Y, et al. Quantitation of the global right ventricular function in children with normal heart and congenital heart disease: a right ventricular myocardial performance index. Pediatr Cardiol 2000;21:416-21
  9. Eidem BW, Tei C, O’Leary PW, Cetta F, Seward JB. Nongeometric quantitative assessment of right and left ventricular function: myocardial performance index in normal children and patients with Ebstein anomaly. J Am Soc Echocardiogr 1998;11:849-56
  10. Eidem BW, O’Leary PW, Tei C, Seward JB. Usefulness of the myocardial performance index for assessing right ventricular function in congenital heart disease. Am J Cardiol 2000;86:654-8
  11. Møller JE, Egstrup K, Køber L, Poulsen SH, Nyvad O, Torp-Pedersen C. Prognostic importance of systolic and diastolic function after acute myocardial infarction. Am Heart J 2003;145:147-53
  12. Uzunhasan I, Bader K, Okçun B, Hatemi AC, Mutlu H. Correlation of the Tei index with left ventricular dilatation and mo