Cardiac Doppler in patients with primary varicose veins of lower extremities

Rusinovich, Yury; Rusinovich, Volha

doi:10.1177/0268355519848895

Cited by 9 publications

(26 citation statements)

References 16 publications

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“…Demographic data of our patients were described previously. 14 ) and E/A ratios (C6 class E/A ratio À0. 22 or À21% in comparison with C2).…”

Section: Resultsmentioning

confidence: 99%

“…But, we excluded comorbidities that could directly affect the right heart diastolic function: previously diagnosed or revealed during our echocardiographic assessment relevant valvular diseases, wall motion abnormalities, and changes of heart chambers and walls. 14 One further and the main limitation of this study is that our tricuspid Doppler measurements were only a 'snapshot in time' of the endpoint of systemic venous return in patients with primary varicose veins in supine position. Thus, we cannot define whether the changes in tricuspid Doppler were permanent, temporary or posture dependent.…”

Section: Limitationsmentioning

confidence: 95%

“…Our study has several limitations; some of them were previously described. 14 First, right heart diastolic dysfunction is associated with many conditions. 13 And the list of them is growing.…”

Section: Limitationsmentioning

confidence: 99%

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Association between right heart diastolic function and clinical presentation of chronic venous disease and primary varicose veins of lower extremities

Rusinovich

2020

Phlebology

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Aim This study examines the association between right heart diastolic function and clinical presentation of chronic venous disease and primary varicose veins of lower extremities. Material and methods We performed retrospective analysis of clinical, peripheral venous Duplex and tricuspid Doppler (early diastolic inflow E-wave, late diastolic inflow A-wave, ratios of E to A waves, early diastolic annular e′-wave, late diastolic annular a′-wave and systolic annular s′- wave) data of 85 patients, 133 legs with primary varicose veins. Results We found following significant (p-value < 0.05) associations between tricuspid Doppler and clinical presentation of chronic venous disease and primary varicose veins: Clinical Etiological Anatomical Pathophysiological clinical class influenced late diastolic inflow velocities (C6 class A-wave +11.2 cm/s or +27% in comparison with C2), late diastolic annular velocities (C6 class a′-wave +3.3 cm/s or +22% in comparison with C2), systolic annular velocities (C6 class s′-wave +3.7 cm/s or +27% in comparison with C2) and E/A ratios (C6 class E/A ratio −0.22 or −21% in comparison with C2). Recurrent varices in comparison with previously untreated are associated with significantly lower late diastolic inflow velocities (A-wave −4.4 cm/s or −9%) and preserved E/A ratios. Age significantly influenced tricuspid Doppler (E-, A-, e′-, a′-waves and E/A ratios) in patients with chronic venous disease. Conclusion Clinical presentation of primary varicose veins and chronic venous disease can be associated with the right heart diastolic function: C6 Clinical Etiological Anatomical Pathophysiological class in comparison with C2 is associated with increased right ventricular filling and impaired ventricular relaxation – right heart diastolic dysfunction; recurrent varices in comparison with previously untreated are associated with reduced right ventricular filling and preserved right heart diastolic function. Older age is the most important risk factor for varicose veins and chronic venous disease possible due to significant changes in right ventricular filling and in right heart diastolic function with age.

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“…Demographic data of our patients were described previously. 14 ) and E/A ratios (C6 class E/A ratio À0. 22 or À21% in comparison with C2).…”

Section: Resultsmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 95%

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Association between right heart diastolic function and clinical presentation of chronic venous disease and primary varicose veins of lower extremities

Rusinovich

2020

Phlebology

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“…We appreciate very much that our article “Cardiac Doppler in patients with primary varicose veins of lower extremities” 1 has found interested readers. Thank you very much for your constructive comments on our manuscript.…”

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confidence: 99%

Response to Letter to Editor: Varicose vein and diastolic dysfunction: Is there an interaction?

Rusinovich

2021

Phlebology

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“…We have read with great interest the article published by Rusninovich Y and Rusinovich V and congratulate the authors for assessing and reporting the cardiac Doppler findings in patients with varicose vein (VV) for the first time. 1 They have examined the characteristics of cardiac Doppler in patients with primary VVs of lower extremities and compared them with normal subjects without VV. Patients with primary VVs in comparison with normal controls have impaired relaxation of right and left ventricles documented by lower early diastolic mitral and tricuspid inflow velocities.…”

mentioning

confidence: 99%