Pseudoexfoliation syndrome: Are the eyes the mirror of the heart?

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dc.authoridcerik, idris bugra/0000-0003-1419-3950
dc.contributor.authorCerik, Idris Bugra
dc.contributor.authorDindas, Ferhat
dc.contributor.authorYalinbas Yeter, Duygu
dc.date.accessioned2024-10-26T18:06:02Z
dc.date.available2024-10-26T18:06:02Z
dc.date.issued2021
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractIntroduction Pseudoexfoliation syndrome (PEX) is a disease characterized by the accumulation of fibrillary material in the extracellular matrix in the eye and many tissues. Myocardial involvement occurs as in other storage diseases. Speckle tracking echocardiography is a quantitative echocardiography modality that enables the detection of subclinical changes that cannot be detected by standard echocardiographic evaluation. In this study, we aimed to evaluate potential subclinical myocardial dysfunction in PEX patients by speckle tracking echocardiography. Methods and Results The study group consisting of 29 cardiac asymptomatic pseudoexfoliation syndromes and 30 healthy volunteers were included in this case-control cross-sectional study. Detailed echocardiographic evaluations and strain analyses of all participants were performed. Concerning standard echocardiographic parameters, there was only a marginally significant difference between the two groups in the e' mean wave, and it was lower in the PEX group than the control group (0.07 +/- 0.03, 0.10 +/- 0.08, respectively, P = .06). However, in strain echocardiography, the global longitudinal strain (GLS) value was observed to be significantly lower in the PEX group than the control group (-17.02 +/- 2.02, -19.29 +/- 2.26, respectively P < .001). GLS was observed to be an independent predictor in the multivariable logistic regression model made to determine independent predictors of PEX syndrome (OR = 0.59, CI = 0.418-0.832, P = .003). Conclusion Subclinical myocardial involvement in PEX syndrome, in which standard echocardiographic techniques are blinded, can be detected by the strain echocardiography. PEX causes deterioration in the deformation parameters of the left ventricle. Systemic involvement should not be forgotten in patients with PEX and cardiac functions should be monitored.
dc.identifier.doi10.1111/echo.15031
dc.identifier.endpage611
dc.identifier.issn0742-2822
dc.identifier.issn1540-8175
dc.identifier.issue4
dc.identifier.pmid33738846
dc.identifier.scopus2-s2.0-85102642704
dc.identifier.scopusqualityQ3
dc.identifier.startpage604
dc.identifier.urihttps://doi.org/10.1111/echo.15031
dc.identifier.urihttps://hdl.handle.net/20.500.12418/29319
dc.identifier.volume38
dc.identifier.wosWOS:000630220900001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofEchocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectpseudoexfoliation
dc.subjectspeckle tracking
dc.subjectstrain echocardiography
dc.titlePseudoexfoliation syndrome: Are the eyes the mirror of the heart?
dc.typeArticle

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