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Updated: Feb 4, 2026

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
Published on: October 28, 2020
Relation of arterial stiffness to left ventricular structure and function in healthy women
Jing Zhang1,2, Philip J Chowienczyk3, Tim D Spector4
1Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Insights
Arterial stiffness is linked to changes in left ventricular (LV) twisting in healthy women, even before dysfunction is apparent. This highlights the importance of assessing ventricular-arterial coupling in cardiovascular health.
Area of Science:
- Cardiovascular Physiology
- Biomedical Engineering
- Clinical Cardiology
Background:
- Ventricular-arterial coupling is crucial for cardiovascular function.
- Existing research often overlooks the impact of isolated arterial stiffness on the left ventricle (LV).
- This study focuses on healthy women with minimal cardiovascular risk factors.
Purpose of the Study:
- To investigate the relationship between arterial stiffness and LV structure and function.
- To assess these associations in a cohort of healthy women with a low burden of cardiovascular risk factors.
Main Methods:
- Carotid-femoral pulse wave velocity (cf-PWV) was used to measure arterial stiffness.
- Two-dimensional speckle tracking echocardiography assessed LV structure and function.
- The study included 147 healthy women from the Twins UK cohort.
Main Results:
- Arterial stiffness (cf-PWV) correlated with LV geometry (relative wall thickness) and function (E/e' ratio, circumferential and radial strain, apical rotation, LV twist).
- No significant association was found with global longitudinal strain.
- After adjusting for covariates, cf-PWV remained significantly correlated with LV relative wall thickness, global circumferential strain, apical rotation, and LV twist.
Conclusions:
- Elevated arterial stiffness is closely associated with increased LV twisting in healthy women.
- These changes occur before the onset of clinically evident LV dysfunction.
- Findings underscore the significance of ventricular-arterial coupling in maintaining cardiovascular health.
Background:
Interactions between the left ventricular (LV) and the arterial system, (ventricular-arterial coupling) are key determinants of cardiovascular function. However, most of studies covered multiple cardiovascular risk factors, which also contributed to the morphological and functional changes of LV. The aim of this study was to examine the relationship between arterial stiffness and LV structure and function in healthy women with a low burden of risk factors.
Methods:
Healthy women from the Twins UK cohort (n = 147, mean age was 54.07 ± 11.90 years) were studied. Arterial stiffness was evaluated by carotid-femoral pulse wave velocity (cf-PWV). LV structure and function were assessed by two-dimensional speckle tracking echocardiography.
Results:
cf-PWV was significantly associated with most measures of LV geometry and function, including relative wall thickness (RWT), E/e' ratio, global circumferential and radial strain, apical rotation and LV twist (each p < 0.05), but bore no relation to global longitudinal strain. After adjustment for age, body mass index, blood pressure and heart rate, cf-PWV was significantly correlated with RWT, global circumferential strain, apical rotation and LV twist (β = 0.011, - 0.484, 1.167 and 1.089, respectively, each p ≤ 0.05).
Conclusions:
In healthy women with a low burden of risk factors, elevated arterial stiffness was intimately interwoven with increased LV twisting even before LV dysfunction becomes clinically evident.
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