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Systolic function of the left and right ventricles and myocardial strain in young adults with metabolic syndrome
https://doi.org/10.33667/2078-5631-2023-22-50-55
Abstract
The purpose of this article is to evaluate the systolic function of the left and right ventricles and measure myocardial Strain in young people (from 18 to 44 years old) with a newly established clinical and laboratory diagnosis of metabolic syndrome (MS) according to the criteria of the International Diabetes Federation (IDF), to identify possible early markers of myocardial dysfunction. All patients underwent standard transthoracic echocardiography (EchoCG) with assessment of systolic function of the left and right ventricles (LV and RV). The work detects early markers of ventricular myocardial dysfunction using speckle tracking 2D and 4D EchoCG, and also investigates the relationship between the main components of MS and echocardiographic parameters. With the help of a comparative analysis, statistical data were revealed on the low global longitudinal strain of the left and right ventricle in 2D and 4D in the main group compared with the control group. In individuals with MS, the mean values of global circular strain (GCS), radial (GRS) strain and global area strain (GAS) of the left ventricle were also significantly lower than the control group. Indicators obesity diseases (body weight and waist circumference) had a negative correlation with the ejection fraction (EF) and parameters of ventricular strain.
About the Authors
S. Y. Bartosh-Zelenaya
North-Western State Medical University by I. I. Mechnikov
Russian Federation
Russian Federation
DMedSci, Professor
V. V. Stepanova
State hospital № 40
Russian Federation
Russian Federation
specialist of functional diagnostics department of City Hospital
N. E. Pavlova
State hospital № 40
Russian Federation
Russian Federation
specialist of functional diagnostics department of City Hospital
O. P. Mamaeva
State hospital № 40
Russian Federation
Russian Federation
Candidate of Medical Sciences, chief of functional diagnostics department of City Hospital
S. G. Sherbak
State hospital № 40
Russian Federation
Russian Federation
MD, PhD, DMedSci, Professor, head of Postgraduate Medical education at St.Petersburg State University, chief physician of City Hospital
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Review
For citations:
Bartosh-Zelenaya S.Y., Stepanova V.V., Pavlova N.E., Mamaeva O.P., Sherbak S.G. Systolic function of the left and right ventricles and myocardial strain in young adults with metabolic syndrome. Medical alphabet. 2023;1(22):50-55. (In Russ.) https://doi.org/10.33667/2078-5631-2023-22-50-55
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