Evaluation of aortic stiffness by echocardiography in tympanosclerosis patients

Background and Aims. Tympanosclerosis (TS) is a scarring process that may occur during otitis media. Aortic stiffness (AS) is a significant predictor for the development of heart diseases due to its close relationship with atherosclerosis. Similar pathophysiological processes based on inflammation m...

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Main Authors: Hikmet Hamur, Oruc Alper Onk, Resit Coskun, Muharrem Said Cosgun, Ismail Salcan, Izzet Emir
Format: Article
Language:English
Published: Palacký University Olomouc, Faculty of Medicine and Dentistry 2023-12-01
Series:Biomedical Papers
Subjects:
Online Access:https://biomed.papers.upol.cz/artkey/bio-202304-0006_evaluation-of-aortic-stiffness-by-echocardiography-in-tympanosclerosis-patients.php
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author Hikmet Hamur
Oruc Alper Onk
Resit Coskun
Muharrem Said Cosgun
Ismail Salcan
Izzet Emir
author_facet Hikmet Hamur
Oruc Alper Onk
Resit Coskun
Muharrem Said Cosgun
Ismail Salcan
Izzet Emir
author_sort Hikmet Hamur
collection DOAJ
description Background and Aims. Tympanosclerosis (TS) is a scarring process that may occur during otitis media. Aortic stiffness (AS) is a significant predictor for the development of heart diseases due to its close relationship with atherosclerosis. Similar pathophysiological processes based on inflammation may explain both TS and AS formation. This study aimed to determine echocardiographically whether aortic elasticity is impaired in TS-detected patients and to correlate blood inflammatory parameters with TS and aortic elasticity. Methods. Ninety-eight participants diagnosed with chronic otitis media were enrolled in the study. TS-detected 42 participants were assigned to the study group, while 56 without TS constituted the control group. The two groups' demographic, clinical, echocardiographic, and laboratory characteristics were comparable. Results. Demographic, clinical, and laboratory parameter differences were insignificant. Hs-CRP, neutrophil-to-lymphocyte ratio, and systemic immune-inflammation index were significantly higher in the study group than in the control group (P=0.018, P=0.003, P=0.019, respectively). The study group had significantly lower aortic strain (11.80 ± 4.84 vs. 16.30 ± 3.91; P<0.001) and distensibility (5.23 ± 2.68 vs. 7.24 ± 2.89; P=0.001) values than the control group. The AS index was significantly higher in the study group than in the control group (4.81 ± 2.41 vs. 3.12 ± 1.02; P<0.001). Conclusion. In TS-detected patients, AS parameters were found to be impaired. Aortic elasticity parameters measured by echocardiography, a non-invasive and easily accessible method, may signify early cardiovascular involvement in TS-developed patients.
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spelling doaj.art-4b2c3d78fbbb4d37b39a95ab3ca344132023-12-11T12:59:47ZengPalacký University Olomouc, Faculty of Medicine and DentistryBiomedical Papers1213-81181804-75212023-12-01167434735110.5507/bp.2022.031bio-202304-0006Evaluation of aortic stiffness by echocardiography in tympanosclerosis patientsHikmet Hamur0Oruc Alper Onk1Resit Coskun2Muharrem Said Cosgun3Ismail Salcan4Izzet Emir5Department of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, TurkeyDepartment of Cardiovascular Surgery, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan,TurkeyDepartment of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, TurkeyDepartment of Cardiology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, TurkeyDepartment of Otorhinolaryngology, Faculty of Medicine , Erzincan Binali Yildirim University, Erzincan, TurkeyDepartment of Cardiovascular Surgery, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan,TurkeyBackground and Aims. Tympanosclerosis (TS) is a scarring process that may occur during otitis media. Aortic stiffness (AS) is a significant predictor for the development of heart diseases due to its close relationship with atherosclerosis. Similar pathophysiological processes based on inflammation may explain both TS and AS formation. This study aimed to determine echocardiographically whether aortic elasticity is impaired in TS-detected patients and to correlate blood inflammatory parameters with TS and aortic elasticity. Methods. Ninety-eight participants diagnosed with chronic otitis media were enrolled in the study. TS-detected 42 participants were assigned to the study group, while 56 without TS constituted the control group. The two groups' demographic, clinical, echocardiographic, and laboratory characteristics were comparable. Results. Demographic, clinical, and laboratory parameter differences were insignificant. Hs-CRP, neutrophil-to-lymphocyte ratio, and systemic immune-inflammation index were significantly higher in the study group than in the control group (P=0.018, P=0.003, P=0.019, respectively). The study group had significantly lower aortic strain (11.80 ± 4.84 vs. 16.30 ± 3.91; P<0.001) and distensibility (5.23 ± 2.68 vs. 7.24 ± 2.89; P=0.001) values than the control group. The AS index was significantly higher in the study group than in the control group (4.81 ± 2.41 vs. 3.12 ± 1.02; P<0.001). Conclusion. In TS-detected patients, AS parameters were found to be impaired. Aortic elasticity parameters measured by echocardiography, a non-invasive and easily accessible method, may signify early cardiovascular involvement in TS-developed patients.https://biomed.papers.upol.cz/artkey/bio-202304-0006_evaluation-of-aortic-stiffness-by-echocardiography-in-tympanosclerosis-patients.phpaortic stiffnesstympanosclerosisinflammationechocardiography
spellingShingle Hikmet Hamur
Oruc Alper Onk
Resit Coskun
Muharrem Said Cosgun
Ismail Salcan
Izzet Emir
Evaluation of aortic stiffness by echocardiography in tympanosclerosis patients
Biomedical Papers
aortic stiffness
tympanosclerosis
inflammation
echocardiography
title Evaluation of aortic stiffness by echocardiography in tympanosclerosis patients
title_full Evaluation of aortic stiffness by echocardiography in tympanosclerosis patients
title_fullStr Evaluation of aortic stiffness by echocardiography in tympanosclerosis patients
title_full_unstemmed Evaluation of aortic stiffness by echocardiography in tympanosclerosis patients
title_short Evaluation of aortic stiffness by echocardiography in tympanosclerosis patients
title_sort evaluation of aortic stiffness by echocardiography in tympanosclerosis patients
topic aortic stiffness
tympanosclerosis
inflammation
echocardiography
url https://biomed.papers.upol.cz/artkey/bio-202304-0006_evaluation-of-aortic-stiffness-by-echocardiography-in-tympanosclerosis-patients.php
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AT muharremsaidcosgun evaluationofaorticstiffnessbyechocardiographyintympanosclerosispatients
AT ismailsalcan evaluationofaorticstiffnessbyechocardiographyintympanosclerosispatients
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