Articles

LEFT VENTRICULAR ROTATIONAL MECHANICS DIFFER BETWEEN LIPEDEMA AND LYMPHEDEMA: INSIGHTS FROM THE THREE-DIMESIONAL SPECKLE TRACKING ECHOCARDIOGRAPHIC MAGYAR-PATH STUDY

Authors: A NEMES ( ) , A Kormanyos ( ) , P Domsik ( ) , A Kalapos ( ) , L Kemeny ( ) , T Forster ( ) , G Szolnoky ( )

Abstract

The present study aimed to assess LV rotational mechanics by three-dimensional speckle-tracking echocardiography (3DSTE) in lipedema (n=25), lymphedema (n=26) patient groups with age- and gender-matched healthy controls (n=54). 3 lipedema and 4 lymphedema patients were excluded due to insufficient image quality for 3DSTE analysis. LV apical rotation (9.61 ± 4.25 degree vs. 6.40 ± 2.63 degree, p <0.05) and LV twist (13.83 ± 4.89 degree vs. 10.04 ± 3.56 degree, p <0.05) are impaired in lipedema patients as compared to matched controls; similar alterations in lymphedema were not found. Moreover, in some lipedema and lymphedema patients severe LV rotational abnormalities could be detected. Our results suggest that lipedema-associated impaired LV apical rotation and twist assessed by 3DSTE could be a novel differential diagnostic point between lipedema and lymphedema.

Keywords: lipedema, leg lymphedema, left ventricular rotation, twist, three-dimensional, echocardiography

How to Cite: NEMES, A. , Kormanyos, A. , Domsik, P. , Kalapos, A. , Kemeny, L. , Forster, T. & Szolnoky, G. (2018) “LEFT VENTRICULAR ROTATIONAL MECHANICS DIFFER BETWEEN LIPEDEMA AND LYMPHEDEMA: INSIGHTS FROM THE THREE-DIMESIONAL SPECKLE TRACKING ECHOCARDIOGRAPHIC MAGYAR-PATH STUDY”, Lymphology. 51(3).