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Updated: Oct 24, 2025

Transthoracic Speckle Tracking Echocardiography for the Quantitative Assessment of Left Ventricular Myocardial Deformation
Published on: October 20, 2016
Myocardial involvement in Behçet's disease may be higher in patients with Neuro-Behçet's disease: a speckle tracking
Murat Sunbul1, Ipek Gursoy Midi2, Seda Kutlug Agackiran3
1Department of Cardiology, Marmara University School of Medicine, Istanbul, Turkey.
Insights
Neuro-Behcet's disease (NBD) is linked to subclinical myocardial dysfunction, showing reduced left ventricular global longitudinal strain (LV-GLS) and atrial conduit strain. NBD independently predicts impaired LV-GLS in Behcet's disease patients.
Area of Science:
- Cardiology
- Neurology
- Rheumatology
Background:
- Behcet's disease (BD) can cause severe neurological and cardiovascular complications.
- Neuro-Behcet's disease (NBD) significantly contributes to BD morbidity and mortality.
- Subclinical myocardial dysfunction in NBD requires further investigation.
Purpose of the Study:
- To compare subclinical myocardial dysfunction in NBD patients versus BD patients with other manifestations.
- To identify cardiac function differences between NBD and non-neurologic BD patients.
Main Methods:
- Transthoracic echocardiography with 2D speckle tracking echocardiography (STE) was performed.
- Evaluated left ventricular (LV) and left atrial (LA) functions in 40 NBD patients, 40 BD patients, and 40 controls.
- Assessed LV global longitudinal strain (LV-GLS) and LA conduit strain.
Main Results:
- LV-GLS was significantly lower in NBD and non-neurologic BD patients compared to controls.
- LA conduit strain was reduced in NBD patients versus controls.
- NBD was identified as an independent predictor of reduced LV-GLS.
Conclusions:
- Behcet's disease is associated with impaired LV and LA function.
- NBD patients exhibit lower LV-GLS and LA conduit strain.
- Neurological involvement in BD is linked to cardiac dysfunction.
Background:
Behcet's disease (BD) may present with life threating complications including neurological and cardiovascular involvement. Neuro-Behcet's disease (NBD) is one of the most important causes of morbidity and mortality in patients with BD. The aim of the present study is to investigate whether patients with NBD are different than BD patients with other manifestations in terms of subclinical myocardial dysfunction.
Methods:
Forty patients with NBD (23 female, mean age: 42.4 ± 9.4 years), 40 patients with BD (9 female, mean age: 39.7 ± 9.0 years) and 40 controls (20 male, mean age: 41.8 ± 6.5 years) were consecutively included in the study. All subjects underwent a transthoracic echocardiography for evaluation of left ventricular (LV) and atrial (LA) functions with two-dimensional (2D) speckle tracking echocardiography (STE).
Results:
Baseline characteristics, clinical data, LV dimensions, systolic and diastolic functions were all in normal range among the groups. LV global longitudinal strain (LV-GLS) was significantly lower in patients with NBD and BD patients without neurologic involvement compared to controls. LA conduit strain was significantly lower in patients with NBD compared to controls. Patients with both parenchymal NBD and vascular NBD manifestations had significantly lower LV-GLS and LA conduit strain compared to controls. Linear regression analysis demonstrated that among cardiovascular risk factors only presence of NBD was the independent predictor of LV-GLS.
Conclusions:
BD is associated with impaired LV and LA functions. LV-GLS and LA conduit strains of the patients with NBD were lower. NBD was an independent predictor of LV-GLS, suggesting a link between neurological manifestations and cardiac dysfunction in BD patients.
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