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Left ventricular global longitudinal strain can detect subclinical left ventricular systolic dysfunction in adult patients with primary nephrotic syndrome

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Abstract

It has been shown that there is an increased risk of cardiovascular events such as heart failure and death in nephrotic syndrome. Left ventricle global longitudinal strain (LVGLS) is a more sensitive measure of assessing myocardial dysfunction and is more reproducible than left ventricle ejection fraction (LVEF%). LVGLS can detectsubclinical deterioration in the left ventricle early. In this study, we aimed to investigate LVGLS in Primary Nephrotic Syndrome (PNS) patients with normal LVEF%. Patients with histopathologically confirmed PNS were evaluated for this prospective single-center study. Patients with similar age and gender characteristics without nephrotic syndrome were included as the control group. LVGLS measurements were performed by 2D speckle tracking echocardiography. A total of 171 patients, 57 with PNS and 114 in the control group, were included in the study. The mean age was 38±12 years in the study population, and 95(56%) of the patients were women. LVEF% was 60.2±4.2 in the PNS group and 61.1±3.2 in the control group, and there was no significant difference between the two groups (p=0.111). LVGLS was found to be significantly lower in the PNS group (-19.3±2.3% vs.-20.8±1.5 %, p<0.001). A significant relationship was observed between PNS and LVGLS in the multivariable linear regression analysis (β= 4.428, CI 95% =0.57?1.48, p<0.001). A significant relationship was observed between PNS and LVGLS, and LVGLS was found to be lower in PNS patients. In patients with PNS, subclinical left ventricular systolic dysfunction may be detected in the early period by measuring LVGLS.

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Authors and Affiliations

  1. Department of Internal Medicine, Dicle University School of Medicine, Diyarbakır, Turkey

    Neşe Kanbal Çap & Fatma Yılmaz Aydın

  2. Department of Nephrology, Dicle University School of Medicine, Sur, Dicle, Diyarbakır, 21280, Turkey

    Emre Aydın, Ali Kemal Kadiroğlu, Yaşar Yıldırım & Zülfikar Yılmaz

  3. Department of Cardiology, Dicle University School of Medicine, Diyarbakır, Turkey

    Mehmet Özbek

  4. Department of Cardiology, University of Health Sciences Diyarbakır Gazi Yaşargil Education and Research Hospital, Diyarbakır, Turkey

    Murat Çap

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  1. Neşe Kanbal Çap
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Contributions

NKÇ, EA, MÇ: prepared the first draft. MÇ and MÖ analyzed echocardiographic images. All authors participated in the concept development and research design and revision of the article. All authors have read and approved the final article.

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Correspondence to Emre Aydın.

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Çap, N.K., Aydın, E., Kadiroğlu, A.K. et al. Left ventricular global longitudinal strain can detect subclinical left ventricular systolic dysfunction in adult patients with primary nephrotic syndrome. Int J Cardiovasc Imaging 39, 1097–1104 (2023). https://doi.org/10.1007/s10554-023-02817-x

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