Journal of Cardiovascular and Thoracic Research最新文献

{"title":"The relationship between regular tea drinking and calcification of the coronary arteries.","authors":"Amir Reza Sajjadieh Khajouui,&nbsp;Jamshid Najafian,&nbsp;Reza Talebzadeh,&nbsp;Majid Nejati,&nbsp;Mohaddeseh Behjati","doi":"10.34172/jcvtr.2022.12","DOIUrl":"https://doi.org/10.34172/jcvtr.2022.12","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Coronary Atherosclerosis is the leading cause of death and disability worldwide. Atherosclerosis could be detected noninvasively by coronary calcification, measured by calcium score in CT angiography. Dietary factors are influential in the evolution of coronary plaques, and one of the most prevalent drinks is black tea. We aimed to evaluate the effects of black tea on coronary calcium scores. <b><i>Methods:</i></b> This cross-sectional analytical descriptive study was conducted on 200 candidates for CT angiography referred by their physician because their symptoms were suggestive of ischemia. A questionnaire was filled out for every participant, and the habit of tea drinking was asked and marked as none drinker, 1-3 cups per day and >3 cups per day. <b><i>Results:</i></b> 89.5% of the participants consumed tea. The mean calcium score in patients who did not drink tea was 674.9±154.74 in those patients who drank 1-3 glasses per day, 269.5±46.9 and in those who drank more than three glasses of tea and was 261.1±45.2. There was a significant statistical relationship between calcium scores and tea intake, independent to other traditional risk factors (<i>P</i>= 0.001). Significant coronary artery plaques were also less prevalent in those who drank tea (36% and 41% in 1-3 and >3 cups, respectively) than non-drinkers (67%). Still, the number of involved vessels was not significantly different. <b><i>Conclusion:</i></b> Regular black tea consumption could have protective effects on coronary artery calcification.</p>","PeriodicalId":15207,"journal":{"name":"Journal of Cardiovascular and Thoracic Research","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9339727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40676132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Value of myocardial deformation parameters for detecting significant coronary artery disease.","authors":"Egle Rumbinaite,&nbsp;Arnas Karuzas,&nbsp;Dovydas Verikas,&nbsp;Ieva Jonauskiene,&nbsp;Olivija Gustiene,&nbsp;Arslan Mamedov,&nbsp;Loreta Jankauskiene,&nbsp;Rimantas Benetis,&nbsp;Remigijus Zaliunas,&nbsp;Jolanta Justina Vaskelyte","doi":"10.34172/jcvtr.2022.30","DOIUrl":"https://doi.org/10.34172/jcvtr.2022.30","url":null,"abstract":"<p><p><b><i>Introduction:</i> </b> The study aimed to evaluate the diagnostic value of global and regional myocardial deformation parameters derived from two-dimensional speckle-tracking echocardiography to detect functionally significant coronary artery stenosis. <b><i>Methods:</i></b> Dobutamine stress echocardiography and cardiac magnetic resonance myocardial perfusion imaging (CMR-MPI) were performed on 145 patients with a moderate and high probability of coronary artery disease (CAD) and LVEF≥55%. Significant CAD was defined as>50% stenosis of the left main stem,>70% stenosis in a major coronary vessel, or in the presence of intermediate stenosis (50-69%) validated as hemodynamically significant by CMRMPI. Patients were divided in two groups: non-pathological (48.3%) vs pathological (51.7%), according to CAG and CMR-MPI results. Afterwards, off-line speckle-tracking analysis was performed to analyse myocardial deformation parameters. <b><i>Results:</i></b> There were no differences in myocardial deformation parameters at rest between groups, except global longitudinal strain (GLS) and global radial strain (GRS) were significantly lower in the CAD (+) group: -21.3±2.2 vs.-16.3±2.3 (<i>P</i><0.001) and 39.7±23.2 vs. 24.5±15.8 (<i>P</i><0.001). GLS and regional longitudinal strain rate (SR) had the highest diagnostic value at high dobutamine dose with AUC of 0.902 and 0.878, respectively. At early recovery, GLS was also found to be the best myocardial deformation parameter with a sensitivity of 78%, specificity 67%, AUC 0.824. <b><i>Conclusion:</i></b> Global and regional myocardial deformation parameters are highly sensitive and specific in detecting functionally significant CAD. The combination of deformation parameters and WMA provides an incremental diagnostic value for patients with a moderate and high probability of CAD, especially the combination with regional longitudinal SR.</p>","PeriodicalId":15207,"journal":{"name":"Journal of Cardiovascular and Thoracic Research","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9617060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40483855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative atrial fibrillation predicts worse outcomes after LVAD implantation.","authors":"Moritz Benjamin Immohr,&nbsp;Yukiharu Sugimura,&nbsp;Esma Yilmaz,&nbsp;Hug Aubin,&nbsp;Udo Boeken,&nbsp;Payam Akhyari,&nbsp;Artur Lichtenberg,&nbsp;Hannan Dalyanoglu","doi":"10.34172/jcvtr.2022.29","DOIUrl":"https://doi.org/10.34172/jcvtr.2022.29","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Left ventricular assist device (LVAD) implantation is a common therapy for end-stage heart failure. Heart failure patients often present with atrial fibrillation (AF). The purpose of this study was to evaluate the influence of preoperative AF as well as vascular complications on outcome in LVAD patients. <b><i>Methods:</i></b> Between 01/2010 and 12/2017, 168 patients (141 male) with end-stage heart failure underwent LVAD implantation at a single center. Patient outcome was retrospectively studied by using the Kaplan-Meier method for analyzing crude survival as well as Cox regression for analyzing risk factors. <b><i>Results:</i></b> Sixty-two patients suffered from preoperative atrial fibrillation at LVAD implantation. Mean age was 56.8±11.9 years (range: 22-79) and 141 (84%) were male. Postoperative vascular or visceral surgical management due to malperfusion was needed in 27 patients (16.1%) and did not correlate with postoperative mortality (<i>P</i>=0.121, HR=1.587, CI=0.885-2.845). Patients with preoperative AF had a worse outcome in the Kaplan-Meier analysis (<i>P</i>=0.069). In contrast, cox regression showed that postoperative AF could not to be considered to be an independent predictor of mortality in this study group. <b><i>Conclusion:</i></b> Our data suggest that preoperative AF may be a potential predictor of mortality and impaired long-term outcome in LVAD patients. In contrast, preoperative ECLS and vascular or visceral surgery after LVAD implantation did not represent limiting factors with regard to mortality after LVAD implantation.</p>","PeriodicalId":15207,"journal":{"name":"Journal of Cardiovascular and Thoracic Research","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9617056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40712301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of fasting on spirometry indices and respiratory symptoms in asthmatic patients.","authors":"Mohammad Reza Ghaffary,&nbsp;Ali Talei,&nbsp;Maryam Moradian,&nbsp;Shamsi Ghaffari","doi":"10.34172/jcvtr.2022.21","DOIUrl":"https://doi.org/10.34172/jcvtr.2022.21","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Ramadan can alter the course of diseases by changing nutrition patterns, sleep habits, and medication-taking schedules. There are some concerns that patients with asthma may be affected by these alterations during Ramadan and experience deterioration of their symptoms. This study aimed to investigate the effect of fasting in Ramadan on the severity of the disease and spirometric parameters in patients with asthma. <b><i>Methods:</i></b> An overall 120 patients with moderate to severe asthma were investigated during Ramadan and categorized into two groups of fasting (60 cases) and non-fasting (60 cases) groups. Patients underwent spirometry before and after Ramadan and asthma control status was also assessed. The parameters measured in spirometry were compared in each group before and after Ramadan and also between the two groups. <b><i>Results:</i></b> Spirometric measurements including forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), peak expiratory flow (PEF), and FEV1/FVC were not significantly different before and after Ramadan in both groups of fasting and non-fasting patients. Furthermore, there was no significant difference between the two groups in terms of these spirometric parameters changes from baseline. Nevertheless, FEV1 change in the fasting group was significantly higher than that in the non-fasting group (1.46±5.37 vs. -0.13±3.08, respectively; <i>P</i>=0.040). <b><i>Conclusion:</i></b> The results of this study demonstrated that fasting has no significant effect on the severity of asthma and spirometric findings in patients with moderate to severe asthma. Therefore, fasting during Ramadan can be considered safe for patients with asthma.</p>","PeriodicalId":15207,"journal":{"name":"Journal of Cardiovascular and Thoracic Research","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9339731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40676133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between H2FPEF score and contrast induced nephropathy in patients with ST elevation myocardial infarction.","authors":"Ufuk Sadik Ceylan,&nbsp;Ersin Yıldırım","doi":"10.34172/jcvtr.2022.30537","DOIUrl":"https://doi.org/10.34172/jcvtr.2022.30537","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> In the present study, we aimed to investigate the relationship between H2FPEF score and Contrast Induced Nephropathy (CIN) in patients with myocardial infarction with ST segment elevation (STEMI). <b><i>Methods:</i></b> A total of 355 patients who had been diagnosed with ST elevation-myocardial infarction and undergone primary coronary angioplasty were retrospectively included in the study. The patients were divided into two groups according to the presence of CIN and these groups were compared in terms of baseline characteristics and laboratory findings. The H2FPEF score was calculated for each patient on admission and later compared between the groups. <b><i>Results:</i></b> The distribution of the study population was as following: 63 (17.7%) CIN (+) and 292 (82.2%) CIN (-). In CIN (+) group, the mean H2FPEF Score (2.00±1.60 vs 1.25±1.26, <i>P</i><0.001) was significantly higher than the CIN (-) group. H2FPEF Score (OR: 1.25, 95%CI: 1.01-1.55), and mean age (OR: 1.03, 95%CI: 1.00-1.06) were found to be independently associated with CIN development. <b>Conclusion:</b> H2FPEF score is an independent predictor of CIN development in patients with acute STEMI. It is easily calculated and and may be used to estimate the CIN in STEMI patients.</p>","PeriodicalId":15207,"journal":{"name":"Journal of Cardiovascular and Thoracic Research","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9871164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9190882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between radial artery spasm and adropin levels in patients undergoing transradial coronary angiography.","authors":"Fuat Bice,&nbsp;Mehmet Eyuboglu,&nbsp;Zeliha Cansel Ozmen,&nbsp;Baris Acikel,&nbsp;Mustafa Yilmaz,&nbsp;Metin Karayakali,&nbsp;Kayihan Karaman,&nbsp;Cagri Zorlu,&nbsp;Atac Celik","doi":"10.34172/jcvtr.2022.15","DOIUrl":"https://doi.org/10.34172/jcvtr.2022.15","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Transradial coronary angiography (TRA) is associated with a lower incidence of bleeding rate and access site complications and is associated with better outcomes compared to transfemoral angiography. However, radial artery spasm (RAS) is an important limitation of TRA procedures. Little is known regarding the relationship of serum vasodilator and inflammatory markers with RAS. Therefore, the present study aimed to investigate the association between serum adropin level and RAS in patients undergoing TRA. <b><i>Methods:</i></b> From February 2020 to January 2021, 39 consecutive patients who underwent elective daiagnostic TRA and experienced RAS during the procedure, and 42 age and sex matched controls who did not experience RAS were prospectively included into the study. The groups were compared regarding serum adropin levels and inflammatory markers. <b><i>Results:</i></b> Although adropin levels were found to be lower in the RAS group, this difference was not statistically significant between the the patients with RAS and controls (14.9 vs. 16.1, <i>P</i>=0.105). However, inflammatory parameters monocyte count and MHR (monocyte/HDL cholesterol ratio) were found to be statistically significantly higher in the RAS group compared to controls (<i>P</i>=0.001 and <i>P</i>=0.010, respectively). Moreover, a significant positive correlation was found between the monocyte count and RAS (r:0.360, <i>P</i><0.001), and between MHR and RAS (r:0.288, <i>P</i>=0.009). Furthermore, multivariate analysis demonstrated that monocyte count (OR:1.671, 95%CI:1.312-2.094, <i>P</i>=0.001) and MHR (OR:1.116, 95%CI:1.054-1.448, <i>P</i>=0.022) were found to be independent predictors of RAS. <b><i>Conclusion:</i></b> Serum vasodilator and inflammatory markers may be useful in the prediction of RAS in patients undergoing TRA procedures.</p>","PeriodicalId":15207,"journal":{"name":"Journal of Cardiovascular and Thoracic Research","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9339735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40675654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Total endovascular repair of a malpositioneted frozen elephant trunk with Thoraflex hybrid prosthesis: A case report.","authors":"Francesco Buia,&nbsp;Luca Di Marco,&nbsp;Davide Pacini,&nbsp;Luigi Lovato","doi":"10.34172/jcvtr.2022.24","DOIUrl":"https://doi.org/10.34172/jcvtr.2022.24","url":null,"abstract":"<p><p>We report a case of a 56-year-old male who underwent Frozen Elephant Trunk procedure for residual type A chronic aortic dissection, complicated by the release of the distal endovascular portion of the hybrid prosthesis in the false lumen. This complication was successfully treated with a totally endovascular approach.</p>","PeriodicalId":15207,"journal":{"name":"Journal of Cardiovascular and Thoracic Research","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9617062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40712304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optical coherence tomography characterization of spontaneous recanalized coronary thrombus - Single center experience.","authors":"Ankit Gupta,&nbsp;Raghavendra Rao K,&nbsp;Sreenivas Reddy S,&nbsp;Jeet Ram Kashyap,&nbsp;Vikas Kadiyala,&nbsp;Jaspreet Kaur,&nbsp;Debabrata Dash,&nbsp;Suraj Kumar,&nbsp;Munish Dev","doi":"10.34172/jcvtr.2022.30504","DOIUrl":"https://doi.org/10.34172/jcvtr.2022.30504","url":null,"abstract":"<p><p><b><i>Introduction:</i> </b> Recanalized thrombus is an under diagnosed clinical entity. Aim was to investigate the utility of optical coherence tomography (OCT) in identifying spontaneously recanalized thrombi (SRCT) for management in clinical practice. <b><i>Methods:</i></b> This was a retrospective study analyzing 2678 coronary angiograms over a 4-year period which included intravascular imaging guidance in 75.8% of the percutaneous coronary interventions (PCI). Angiographic suspicion of SRCT has hazy appearance seen in 34 patients. <b><i>Results:</i></b> Eight patients (7 males and 1 female) were confirmed with SRCT on OCT and two underwent intravascular ultrasound (IVUS). Median age was 52 years (range 33-67 years). Based on clinical symptoms, diagnosis was STEMI-2, NSTEMI-1, unstable angina-3 and chronic stable angina-2. Angiographic patterns were veiled/hazy appearances in 3; braided in 2; pseudo dissection in 2; and near occlusion in 1 patient. OCT findings displayed multiple small cavities, signal-rich with high backscattering and thin septa with smooth inner borders dividing the lumen and intercommunications. Presence of multiple holes conferred typical \"Swiss cheese\" or 'lotus root' like appearance, characteristic of recanalized thrombi. SRCT lesion length was (median interquartile ranges [IQR], 16.5[12.07-21.5] mm) and minimal luminal area (median [IQR], 1.77 [0.93-3.26] mm²) with significant stenosis (median [IQR], 74.0[67.0-81.0] %). Minimum/maximum number of channels were (median [IQR], 2.0[2.0-2.0]) and (median [IQR], 4.50[4.0-6.75]) respectively. Lipid rich plaque was predominant. IVUS demonstrated echo-lucent channels with small cavities. All but one patient underwent PCI. <b><i>Conclusion:</i></b> Intravascular imaging by OCT delineates the characteristics of recanalized thrombi and distinguishes ambiguous lesions. Majority of the lesions involving SRCT were significant both symptomatic and stenosis severity wise on OCT requiring PCI.</p>","PeriodicalId":15207,"journal":{"name":"Journal of Cardiovascular and Thoracic Research","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9871162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10677624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 in heart transplant recipients.","authors":"Sepideh Taghavi,&nbsp;Hoda Raffiei Jelodar,&nbsp;Ali Rafati,&nbsp;Nasim Naderi,&nbsp;Marzieh Mirtajaddini,&nbsp;Ahmad Amin,&nbsp;Leili Valizadeh,&nbsp;Razieh Omidvar,&nbsp;Monireh Kamali,&nbsp;Soroush Naseh","doi":"10.34172/jcvtr.2022.31583","DOIUrl":"https://doi.org/10.34172/jcvtr.2022.31583","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> After solid organ transplantation, patients require lifelong immunosuppressive medication, increasing susceptibility to COVID-19. We evaluated the clinical outcomes of heart transplant recipients in patients with COVID-19. <b><i>Methods:</i></b> We enrolled twenty-two COVID-19 cases of adult heart transplantation from February 2020 to September 2021. <b><i>Results:</i></b> The most common symptoms in patients were fever and myalgia. The death occurred in 3 (13.6 %). <b><i>Conclusion:</i></b> Although heart transplantation mortality may increase in the acute rejection phase concomitant with COVID-19, immunosuppressive dose reduction may not be necessary for all heart transplant patients with COVID-19.</p>","PeriodicalId":15207,"journal":{"name":"Journal of Cardiovascular and Thoracic Research","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9871157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9178052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dyspnea in pregnancy might be related to the incomplete physiological adaptation of the heart.","authors":"Atoosa Mostafavi,&nbsp;Mona Feizian,&nbsp;Seyedeh Zahra Fotook Kiaei,&nbsp;Seyed Abdolhussein Tabatabaei","doi":"10.34172/jcvtr.2022.30539","DOIUrl":"https://doi.org/10.34172/jcvtr.2022.30539","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Dyspnea is a common complaint in pregnant women with no cardiac and pulmonary diseases. We aimed to assess whether physiological dyspnea of pregnancy was correlated with subtle changes in ventricular systolic and diastolic function. <b><i>Methods:</i></b> This cross-sectional study enrolled 40 healthy pregnant women in their second and third trimesters with no complaints of dyspnea and 40 healthy pregnant women in the same trimesters with a complaint of dyspnea. Parameters of echocardiography were compared between the 2 groups. <b><i>Results:</i></b> Global left ventricular ejection fraction (59.65±6.44 and 58.49±4.95 <i>P</i>=0.418 in patients without and with dyspnea respectively), and global longitudinal strain were not significantly different (18.72±2.90 and 18.94±3.07, <i>P</i>=0.57 in the same order). Global circumferential strain (GCS) was lower in patients with dyspnea. (20.19±4.86 vs 22.61±4.69, <i>P</i>=0.03). Systolic volume (33.17±8.94 vs 32.63±8.09) and diastolic volume (80.75±18.73 vs 78.37±16.63) and left ventricular end-diastolic diameter (47.5±4.24 vs 46.23±3.21) were not different (<i>P</i>=0.784, 0.560 and 0.146 respectively). Left ventricular end-systolic diameter was significantly lower in the case group (32.52±4.66 vs 29.92±4.05, <i>P</i>=0.011). Left atrial area index in the patients with dyspnea was lower(8.13±1.42 vs 8.94±1.4, <i>P</i>=0.014). Other findings were a high E/E' and high pulmonary artery pressure in the patients with dyspnea. <b><i>Conclusion:</i></b> Dyspnea in pregnant women can be a consequence of incomplete physiological adaptation to volume overload in pregnancy. Lower systolic and diastolic diameters of the left ventricle, left atrial area, and left atrial index may lead to increased filling pressure, manifested by a higher E/E' ratio and pulmonary artery pressure.</p>","PeriodicalId":15207,"journal":{"name":"Journal of Cardiovascular and Thoracic Research","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9871158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9178056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}