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.

Acta Cardiologica
|August 16, 2021
PubMed

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.
Abstract

Related Concept Videos

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
138
Imaging Studies for Cardiovascular System I:Echocardiography01:17

Imaging Studies for Cardiovascular System I:Echocardiography

Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
532
Myocarditis II: Clinical Features and Diagnostic Tests01:27

Myocarditis II: Clinical Features and Diagnostic Tests

Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
52
Imaging Studies for Cardiovascular System II:Types of Echocardiography01:20

Imaging Studies for Cardiovascular System II:Types of Echocardiography

Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
431
Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
49