Alterations in right ventricular mechanics in patients with Behcet's disease

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Date

2022

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Springer

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Abstract

Manifest myocardial involvement is somewhat rare in patients with Behcet's disease (BD), although echocardiographic studies suggest that subclinical alterations in left ventricular (LV) contractility is rather common. Data on right ventricular (RV) involvement in BD is rather scarce. This study aims to determine whether RV systolic performance is affected in BD patients, and to understand the clinical and echocardiographic correlates of RV contractility in these patients. Forty-five patients who fulfilled criteria for BD and 45 age and gender matched controls were enrolled. All participants underwent a comprehensive echocardiographic examination, including deformation imaging, to characterize RV mechanics. Conventional morphologic and echocardiographic indicators of RV morphology and function were not different between groups, but RV apical strain and RV free wall strain (FWS) were significantly lower in BD patients as compared to the controls (P < 0.001 and P = 0.02, respectively). The only significant correlates of FWS were tricuspid regurgitation velocity and related indices in healthy controls, while FWS correlated with LV global longitudinal strain (GLS), morphologic measures of left and right atria and ventricles, and with conventional measures of right ventricular contractility. The relationship between FWS and GLS remained statistically significant after adjusting for other clinical and echocardiographic parameters (beta = 0.379, P = 0.01). In patients with BD, there is a subclinical alteration in RV contractility and the degree of alteration in the RV systolic performance paralleled that of LV. Thus, present results support the presence of RV involvement in these patients.

Description

Güvenç, Tolga Sinan/0000-0002-6738-266X; DINC ASARCIKLI, LALE/0000-0002-7828-9487; Saritas, Fatih/0000-0001-9968-3283; Poyraz, Esra/0000-0003-0010-6545; sert, sena/0000-0002-3735-1053

Keywords

Behcet's disease, Echocardiography, Left ventricle, Longitudinal strain, Right ventricle

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1

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Volume

38

Issue

11

Start Page

2333

End Page

2343