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Regional diastolic function by tissue Doppler echocardiography in systemic sclerosis: correlation with clinical variables
Authors:Edoardo Rosato  Stefania Maione  Antonio Vitarelli  Anna Giunta  Luca Fontanella  Laura Tanturri de Horatio  Francesco Cacciatore  Michele Proietti  Simonetta Pisarri  Felice Salsano
Affiliation:(1) Departments of Clinical Immunology and Allergy, Sapienza University of Rome, Viale dell’Università 37, 00185 Rome, Italy;(2) Department of Clinical Medicine and Cardiovascular and Immunological Sciences, University “Federico II”, Naples, Italy;(3) Department of Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy
Abstract:The incidence of left ventricular (LV) diastolic dysfunction is increased in systemic sclerosis (SSc), while systolic dysfunction is present in a small percentage of patients. The aim of this study was to asses the LV “regional” diastolic abnormalities in SSc patients by the mean of Doppler tissue imaging (DTI). Echocardiographic echo-Doppler (DE) and DTI parameters were analyzed for 67 SSc patients: abnormal E/A ratio at DE was detected in 24, while abnormal e/a at DTI was observed in 41. A significant prevalence of DTI diastolic abnormalities in the segments reflecting longitudinal versus those reflecting radial LV motion was found. The segments of the basal regions of LV myocardium were significantly more involved than those of the middle portion. Linear correlation was observed between the extent of the diastolic abnormalities and the duration of disease. Longitudinal myocardial systolic velocities were significantly reduced in patients with abnormal e/a DTI.
Keywords:Systemic sclerosis  Doppler tissue imaging  Regional left ventricular systolic and diastolic function  Doppler tissue imaging
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