title: Left ventricular synchronicity is impaired in patients with active acromegaly.
abstract: Acromegaly is associated with a variety of cardiovascular disturbances such as left ventricular hypertrophy, diastolic cardiac dysfunction, and hypertension. Left ventricular (LV) dyssynchrony means the impairment of synchronicity and is defined as the loss of the simultaneous peak contraction of corresponding cardiac segments. The objective of this study was to investigate whether acromegalic patients have left ventricular dyssynchrony. Dyssynchrony was evaluated in 30 patients with active acromegaly and 30 controls. All the patients and controls were subjected to a tissue synchronization imaging. The time to regional peak systolic tissue velocity (Ts) in LV by the six-basal-six-mid-segmental model was measured on ejection phase TSI images and four TSI parameters of systolic dyssynchrony were computed. All TSI parameters of LV dyssynchrony increased in patients with acromegaly compared to the controls: the standard deviation (SD) of the 12 LV segments Ts (43.5 ± 13.5 vs 26.2 ± 12.5, p < 0.001); the maximal difference in Ts between any 2 of the 12 LV segments (133.3 ± 38 vs 84.6 ± 37.6, p < 0.001); the SD of the 6 basal LV segments (41.1 ± 15.9 vs 25.4 ± 14.8, p = 0.001); and the maximal difference in Ts between any 2 of the 6 basal LV segments (102.6 ± 37.5 vs 65.2 ± 36.9, p = 0.001). In addition, there were significant relationships between the levels of growth hormone/insulin-like growth factor-1 and Ts-SD-12. LV synchronicity has been impaired in patients with acromegaly. Left ventricular dyssynchrony is associated with disease activity and it may contribute to the harmful cardiovascular effects of acromegaly.
authors.affiliation: Department of Cardiology, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey. akiris79@yahoo.com
authors.forename: Abdulkadir
authors.initials: A
authors.lastname: Kırış
authors.forename: Cihangir
authors.initials: C
authors.lastname: Erem
authors.forename: Oğuzhan Ekrem
authors.initials: OE
authors.lastname: Turan
authors.forename: Nadim
authors.initials: N
authors.lastname: Civan
authors.forename: Gülhanım
authors.initials: G
authors.lastname: Kırış
authors.forename: Irfan
authors.initials: I
authors.lastname: Nuhoğlu
authors.forename: Abdulselam
authors.initials: A
authors.lastname: Ilter
authors.forename: Halil Onder
authors.initials: HO
authors.lastname: Ersöz
authors.forename: Merih
authors.initials: M
authors.lastname: Kutlu
mesh_terms: D000172:Acromegaly / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D015150:Echocardiography, Doppler; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000503:physiopathology*; D019382:Human Growth Hormone / Q000097:blood; D006801:Humans; D007334:Insulin-Like Growth Factor I / Q000032:analysis; D008297:Male; D008875:Middle Aged; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D055815:Young Adult
chemical_list: D019382:Human Growth Hormone; D007334:Insulin-Like Growth Factor I