The value of 2D speckle-tracking strain echocardiography in evaluating the relationship between carotid elasticity and left ventricular systolic function in patients with diabetic nephropathy

Abstract Objective To investigate the relationship between the elasticity of the carotid artery and the LV (left ventricle) systolic function in patients with diabetic nephropathy (DN) by using two-dimensional speckle-tracking strain echocardiography (2D-STE). Methods DN patients (n = 108) and contr...

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Main Authors: Xiuyun Li, Hongju Kou, Yanyan Dong, Chao Zheng, Pengfei Wang, Maosheng Xu, Chunpeng Zou, Liang Wang
Format: Article
Language:English
Published: SpringerOpen 2020-08-01
Series:Insights into Imaging
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13244-020-00897-0
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author Xiuyun Li
Hongju Kou
Yanyan Dong
Chao Zheng
Pengfei Wang
Maosheng Xu
Chunpeng Zou
Liang Wang
author_facet Xiuyun Li
Hongju Kou
Yanyan Dong
Chao Zheng
Pengfei Wang
Maosheng Xu
Chunpeng Zou
Liang Wang
author_sort Xiuyun Li
collection DOAJ
description Abstract Objective To investigate the relationship between the elasticity of the carotid artery and the LV (left ventricle) systolic function in patients with diabetic nephropathy (DN) by using two-dimensional speckle-tracking strain echocardiography (2D-STE). Methods DN patients (n = 108) and control subjects (n = 112), all of whom underwent echocardiography and carotid ultrasound. Analysis of LV GLS (global longitudinal strain) from the apical two-chamber (2C), three-chamber (3C), and four-chamber (4C) views. Meanwhile, the circumferential strain (CS) of the carotid artery was obtained from the view of the short-axis right common carotid artery. The differences between the two groups were compared, and a correlation analysis between CS and GLS was performed. Results The 4CGLS, 2CGLS, 3CGLS, and CS of the DN group were significantly lower at significant levels in contrast to the control group (p < 0.05). There was a significantly positive correlation of CS with 4CGLS, 2CGLS, and 3CGLS in all subjects (r = 0.809, p = 0.000; r = 0.830, p = 0.000; r = 0.830, p = 0.000, respectively). Conclusion 2D-STE is a relatively new technique for assessing the mechanical characteristics of the carotid artery in patients with DN. Reduced values of CS correlate with reduced LV systolic function as evaluated by strain measurements, which can predict the risk of systolic dysfunction of LV.
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spelling doaj.art-435f15ea664d4b2eb171b224b250a7292022-12-21T20:22:29ZengSpringerOpenInsights into Imaging1869-41012020-08-011111710.1186/s13244-020-00897-0The value of 2D speckle-tracking strain echocardiography in evaluating the relationship between carotid elasticity and left ventricular systolic function in patients with diabetic nephropathyXiuyun Li0Hongju Kou1Yanyan Dong2Chao Zheng3Pengfei Wang4Maosheng Xu5Chunpeng Zou6Liang Wang7Department of Ultrasonic Diagnosis, The Second Affiliated Hospital and Yuying Children’ s Hospital of Wenzhou Medical UniversityDepartment of Ultrasonic Diagnosis, The Second Affiliated Hospital and Yuying Children’ s Hospital of Wenzhou Medical UniversityDepartment of Ultrasonic Diagnosis, The Second Affiliated Hospital and Yuying Children’ s Hospital of Wenzhou Medical UniversityDepartment of Endocrinology, The Second Affiliated Hospital of Zhejiang University School of MedicineDepartment of Ultrasonic Diagnosis, The Second Affiliated Hospital and Yuying Children’ s Hospital of Wenzhou Medical UniversityDepartment of Ultrasonic Diagnosis, The Second Affiliated Hospital and Yuying Children’ s Hospital of Wenzhou Medical UniversityDepartment of Ultrasonic Diagnosis, The Second Affiliated Hospital and Yuying Children’ s Hospital of Wenzhou Medical UniversityDepartment of Ultrasonic Diagnosis, The Second Affiliated Hospital and Yuying Children’ s Hospital of Wenzhou Medical UniversityAbstract Objective To investigate the relationship between the elasticity of the carotid artery and the LV (left ventricle) systolic function in patients with diabetic nephropathy (DN) by using two-dimensional speckle-tracking strain echocardiography (2D-STE). Methods DN patients (n = 108) and control subjects (n = 112), all of whom underwent echocardiography and carotid ultrasound. Analysis of LV GLS (global longitudinal strain) from the apical two-chamber (2C), three-chamber (3C), and four-chamber (4C) views. Meanwhile, the circumferential strain (CS) of the carotid artery was obtained from the view of the short-axis right common carotid artery. The differences between the two groups were compared, and a correlation analysis between CS and GLS was performed. Results The 4CGLS, 2CGLS, 3CGLS, and CS of the DN group were significantly lower at significant levels in contrast to the control group (p < 0.05). There was a significantly positive correlation of CS with 4CGLS, 2CGLS, and 3CGLS in all subjects (r = 0.809, p = 0.000; r = 0.830, p = 0.000; r = 0.830, p = 0.000, respectively). Conclusion 2D-STE is a relatively new technique for assessing the mechanical characteristics of the carotid artery in patients with DN. Reduced values of CS correlate with reduced LV systolic function as evaluated by strain measurements, which can predict the risk of systolic dysfunction of LV.http://link.springer.com/article/10.1186/s13244-020-00897-0Diabetic nephropathyCommon carotid arteryUltrasoundLongitudinal strain2D speckle-tracking strain echocardiography
spellingShingle Xiuyun Li
Hongju Kou
Yanyan Dong
Chao Zheng
Pengfei Wang
Maosheng Xu
Chunpeng Zou
Liang Wang
The value of 2D speckle-tracking strain echocardiography in evaluating the relationship between carotid elasticity and left ventricular systolic function in patients with diabetic nephropathy
Insights into Imaging
Diabetic nephropathy
Common carotid artery
Ultrasound
Longitudinal strain
2D speckle-tracking strain echocardiography
title The value of 2D speckle-tracking strain echocardiography in evaluating the relationship between carotid elasticity and left ventricular systolic function in patients with diabetic nephropathy
title_full The value of 2D speckle-tracking strain echocardiography in evaluating the relationship between carotid elasticity and left ventricular systolic function in patients with diabetic nephropathy
title_fullStr The value of 2D speckle-tracking strain echocardiography in evaluating the relationship between carotid elasticity and left ventricular systolic function in patients with diabetic nephropathy
title_full_unstemmed The value of 2D speckle-tracking strain echocardiography in evaluating the relationship between carotid elasticity and left ventricular systolic function in patients with diabetic nephropathy
title_short The value of 2D speckle-tracking strain echocardiography in evaluating the relationship between carotid elasticity and left ventricular systolic function in patients with diabetic nephropathy
title_sort value of 2d speckle tracking strain echocardiography in evaluating the relationship between carotid elasticity and left ventricular systolic function in patients with diabetic nephropathy
topic Diabetic nephropathy
Common carotid artery
Ultrasound
Longitudinal strain
2D speckle-tracking strain echocardiography
url http://link.springer.com/article/10.1186/s13244-020-00897-0
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