Evaluation of left ventricular function by real-time three-dimensional echocardiography and the level change of adiponectin in patients with metabolic syndrome
10.3760/cma.j.issn.1004-4477.2011.09.009
- VernacularTitle:代谢综合征患者心功能改变的实时三维超声评价及与脂联素关系的研究
- Author:
Yinghua ZHAN
;
Mei ZHANG
- Publication Type:Journal Article
- Keywords:
Echocardiography,real-time three-dimensional;
Metabolic syndrome X;
Ventricular function,left;
Adiponectin
- From:
Chinese Journal of Ultrasonography
2011;20(9):759-763
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the change of left ventricular(LV) function by real-time three dimensional echocardiography(RT-3DE) and to explore the clinical value of change of serum adiponectin level in patients with metabolic syndrome (MS).Methods One hundred and twenty patients were divided into MS group and control group according to the diagnostic standard of the nternational Diabetes Federation.Transthorasic 2D ultrasound and RT-3DE examination were performed in all study objects, and serum adiponectin levels were measured.Results Parameter index [including Tmsv16-SD, Tmsv12-SD,Tmsv16- Dif, Tmsv12-Dif, Tmsv16-SD (％), Tmsv 12-SD (％), Tmsv16-Dif (％), Tmsv12-Dif (％)] of 17segment time to minimal systolic volume in MS group was more than that in control group (all P ＜0.05).Some regional systolic index of LV and serum adiponectin level were less than that in control group (all P ＜0.05).Compared with the control group, E/E' was lower (P ＜ 0.05).There were significant relations between serum adiponectin level and E/A of mitral valves, E'/A' of mitral annulus and E/E'(r = 0.368,0.493,and -0.347 respectively, P ＜0.05).Conclusions RT-3DE can rapidly evaluate LV systolic and diastolic synchrony in MS patients.E/E' show an excellent correlation with serum adiponectin level,and it may be a new promising method for routine evaluation of LV diastolic function.
