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Are increased left ventricular strains compensatory effects in lipedema? Detailed analysis from the three‐dimensional speckle‐tracking echocardiographic MAGYAR‐Path Study
Author(s) -
Nemes Attila,
Kormányos Árpád,
Domsik Péter,
Kalapos Anita,
Gyenes Nándor,
Kemény Lajos,
Szolnoky Győző
Publication year - 2020
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22855
Subject(s) - medicine , cardiology , ejection fraction , speckle tracking echocardiography , heart failure
Purpose Lipedema is a chronic, common but underdiagnosed disease masquerading obesity, with female predominance, characterized by disproportional abnormal adipose tissue distribution of the lower and also upper extremities. The present study was designed to determine whether lipedema is associated with three‐dimensional (3D) speckle‐tracking echocardiography (3DSTE)‐derived left ventricular (LV) deformation abnormalities, and to assess the effects of 1‐hour use of medical compression stockings (MCS). Methods The present study comprised 19 female patients with lipedema (mean age: 42.2 ± 12.4 years), compared to 28 age‐matched healthy female controls (mean age: 42.0 ± 9.8 years). Results Lipedema patients showed larger left atrial and LV dimensions and greater LV ejection fraction than controls, without significant difference in other echocardiography variables. Lipedema patients had greater 3DSTE‐derived global and mean segmental LV circumferential and area strains than controls. Following 1‐hour use of wearing MCS, neither global and nor mean segmental LV strains showed significant impairment or improvement. Conclusions Increased LV strains could be compensatory effects maintaining LV pumping function in lipedema. Short‐term wearing of MCS has no global effect on LV strains.