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Ongoing assertion of two-dimensional measurements on differentiation type of left ventricular hypertrophy: Focus on inferior vena cava.
Guler, Gamze Babur; Guler, Arda; Tanboga, Ibrahim Halil; Turkmen, Irem; Atmaca, Sezgin; Sahin, Hasan; Tekin, Meltem; Karakurt, Seda Tukenmez; Erin, Faruk; Inan, Duygu; Cinli, Tahir Alper; Akkas, Burcu Esen; Cansever, Aysel Turkvatan; Erturk, Mehmet.
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  • Guler GB; Department of Cardiology, University of Health Sciences, Mehmet Akif Ersoy Thoracic Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.
  • Guler A; Department of Cardiology, University of Health Sciences, Mehmet Akif Ersoy Thoracic Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.
  • Tanboga IH; Department of Cardiology & Biostatistics, Istanbul Nisantasi University Medical School, Istanbul, Turkey.
  • Turkmen I; Department of Cardiology, University of Health Sciences, Mehmet Akif Ersoy Thoracic Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.
  • Atmaca S; Department of Cardiology, University of Health Sciences, Mehmet Akif Ersoy Thoracic Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.
  • Sahin H; Department of Cardiology, University of Health Sciences, Mehmet Akif Ersoy Thoracic Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.
  • Tekin M; Department of Cardiology, University of Health Sciences, Mehmet Akif Ersoy Thoracic Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.
  • Karakurt ST; Department of Cardiology, University of Health Sciences, Mehmet Akif Ersoy Thoracic Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.
  • Erin F; Bahcesehir University Faculty of Medicine, Istanbul, Turkey.
  • Inan D; Department of Cardiology, University of Health Sciences, Basaksehir Cam Sakura City Hospital, Istanbul, Turkey.
  • Cinli TA; Department of Hematology, University of Health Sciences, Van Training and Research Hospital, Van, Turkey.
  • Akkas BE; Department of Nuclear Medicine, University of Health Sciences, Basaksehir Cam Sakura City Hospital, Istanbul, Turkey.
  • Cansever AT; Department of Radiology, University of Health Sciences, Mehmet Akif Ersoy Thoracic Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.
  • Erturk M; Department of Cardiology, University of Health Sciences, Mehmet Akif Ersoy Thoracic Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.
Echocardiography ; 41(7): e15880, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38979714
ABSTRACT

BACKGROUND:

Left ventricular hypertrophy (LVH), including hypertensive LVH, hypertrophic cardiomyopathy (HCM) and cardiac amyloidosis (CA), is a commonly encountered condition in cardiology practice, presenting challenges in differential diagnosis. In this study, we aimed to investigate the importance of echocardiographic evaluation of the inferior vena cava (IVC) in distinguishing LVH subtypes including hypertensive LVH, HCM, and CA.

METHODS:

In this retrospective study, patients with common causes of LVH including hypertensive LVH, HCM, and CA were included. The role of echocardiographic evaluation of IVC diameter and collapsibility in distinguishing these causes of LVH was assessed in conjunction with other echocardiographic, clinical, and imaging methods.

RESULTS:

A total of 211 patients (45% HCM, 43% hypertensive heart disease, and 12% CA) were included in our study. Their mean age was 56.6 years and 62% of them were male. While mean IVC diameter was significantly dilated in CA patients (13.4 mm in hypertensive LVH, 16.0 mm in HCM, and 21.1 mm in CA, p < .001), its collapsibility was reduced (IVC collapsible in 95% of hypertensive patients, 72% of HCM patients, and 12% of CA patients, p < .001). In the analysis of diagnostic probabilities, the presence of both hypovoltage and IVC dilation is significant for CA patients. Although it is not statistically significant, the presence of IVC dilation along with atrial fibrillation supports the diagnosis of HCM.

CONCLUSION:

In conclusion, although advances in imaging techniques facilitate the diagnosis of LVH, simple echocardiographic methods should never be overlooked. Our study supports the notion that IVC assessment could play an important role in the differential diagnosis of LVH.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vena Cava Inferior / Ecocardiografía / Hipertrofia Ventricular Izquierda Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Echocardiography Asunto de la revista: CARDIOLOGIA / DIAGNOSTICO POR IMAGEM Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vena Cava Inferior / Ecocardiografía / Hipertrofia Ventricular Izquierda Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Echocardiography Asunto de la revista: CARDIOLOGIA / DIAGNOSTICO POR IMAGEM Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Estados Unidos