Assessment of Early Left Ventricular Diastolic Dysfunction in Patients with Metabolic Syndrome by 2D Speckle Tracking Echocardiography
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 72, Issue 3
Abstract
<span>Background: </span><span>Metabolic syndrome predisposes to left ventricular dysfunction and heart failure, early </span> <span>detection of associated subclinical cardiac changes has important diagnostic and prognostic values. 2D strain and strain rate allow detection of subtle abnormalities of global and regional left ventricular systolic and diastolic functions. </span> <span>Objectives: </span><span>To detect early diastolic dysfunction in the left ventricle in patients with metabolic syndrome by 2D speckle tracking echocardiography based on global longitudinal isovolumic relaxation strain rate. </span> <span>Subjects and Methods: </span><span>This prospective study included a total of 100 subjects divided in to 75 metabolic syndrome (MS) patients referred to Al-Azhar university hospital outpatient clinic for evaluation and treatment of hypertension and/or diabetes mellitus and 25 age and sex matched healthy volunteers as a control group. All subjects underwent conventional echocardiographic examination and assessment of diastolic dysfunction by speckle tracking. </span> <span>Results: </span><span>There were no statistically significant differences between MS and controls in all traditional parameters of LV systolic function. On the other hand, significant differences were observed between MS and the control group in most of the parameters of GLS and SR IVR.<br /> </span><span>Conclusion: </span><span>Impairment of diastolic function detected by speckle tracking based on global longitudinal isovolumic relaxation strain rate in metabolic syndrome patients. </span>
Authors and Affiliations
Eman Helal
Neuromuscular Ultrasound Versus Electrophysiological Studies in Assessment of Posterior Tibial Nerve Neuropathy in Rheumatoid Arthritis Patient
<span>Background: </span><span>Rheumatoid arthritis is a systemic rheumatic disease characterized by symmetrical, often erosive and deforming polyarthritis. Extra-articular manifestations occur in 10</span><span>–</span>...
Radiofrequency Management of Trigeminal Neuralgia
Background: Trigeminal neuralgia (TN) is a unique disease. The first line of management in TN is medical treatment using antiepileptic drugs, when drugs failed to control the pain or when there is intolerability to them,...
Systematic Review and Evidence Based Guidance on the Surgical Antibiotic Guidelines Adherence
Background: antibiotic administration is an essential element for any surgical operation success, even if a prior infection was not detected. This is due to the fact that antimicrobial agents do not onl...
The Introduction and Validation of Arabic Sino-Nasal Outcome
Background: the Sino Nasal Outcome Test questionnaire 22 (SNOT-22) is recommended among the validated and published instruments to assess the impact of CRS on the quality of life in adults. Aim of the work: is to perform...
Use of Drain in Laparoscopic Cholecystectomy
Background: laparoscopic cholecystectomy has become the procedure of choice for treatment of patients with gall stones. The routine placement of drains becomes a part of this operation for a long period of time. However,...