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Mecánica rotacional ventricular izquierda invertida en un paciente con lipedema (del estudio de MAGYAR-Path) / Left ventricular twist rotation mechanics in a patient with lipoedema (MAGYAR-Path Study)
Nemes, Attila; Kormányos, Árpád; Domsik, Péter; Forner-Cordero, Isabel; Kemény, Lajos; Szolnoky, Győző.
  • Nemes, Attila; University of Szeged. Faculty of Medicine, Albert Szent-Györgyi Clinical Center. 2nd. Department of Medicine and Cardiology Centre. Szeged. HU
  • Kormányos, Árpád; University of Szeged. Faculty of Medicine, Albert Szent-Györgyi Clinical Center. 2nd. Department of Medicine and Cardiology Centre. Szeged. HU
  • Domsik, Péter; University of Szeged. Faculty of Medicine, Albert Szent-Györgyi Clinical Center. 2nd. Department of Medicine and Cardiology Centre. Szeged. HU
  • Forner-Cordero, Isabel; University of Valencia. Hospital Universitari i Politècnic La Fe. Lymphedema Unit. Valencia. ES
  • Kemény, Lajos; University of Szeged. Faculty of Medicine, Albert Szent-Györgyi Clinical Center. Department of Dermatology and Allergology. Szeged. HU
  • Szolnoky, Győző; University of Szeged. Faculty of Medicine, Albert Szent-Györgyi Clinical Center. Department of Dermatology and Allergology. Szeged. HU
Rev. colomb. cardiol ; 26(4): 218-221, jul.-ago. 2019. graf
Article in Spanish | LILACS, COLNAL | ID: biblio-1092929
RESUMEN
Resumen El lipedema es un trastorno crónico que se caracteriza por una hiperplasia del tejido adiposo subcutáneo simétrico, deformante, asociado a hematomas y dolor, que afecta fundamentalmente a mujeres tras la pubertad, que suele ser familiar y tiene influencia hormonal. Sin tratamiento, el lipedema puede progresar a linfedema, y se ha asociado al aumento en la rigidez de la aorta. La mecánica rotacional del ventrículo izquierdo (VI) tiene un papel significativo en la circulación normal. En circunstancias normales, la base del VI rota en el sentido de las agujas del reloj, mientras que el ápex del VI rota en sentido contrario, provocando un movimiento como de retorcer una toalla llamado torsión del VI. En el presente caso, mediante ecocardiografía speckle-tracking tridimensional se reveló una torsión del VI demostrando un ápex VI en el sentido de las agujas del reloj y la rotación antihoraria de la base del VI en un paciente con características clínicas de lipedema.
ABSTRACT
Abstract Lipoedema is a chronic disorder that is characterised by a symmetric, deforming, hyperplasia of the subcutaneous adipose tissue, and is associated with haematomas and pain. It mainly affects women after puberty, is usually familial and is influence by hormones. Untreated, the lipoedema can progress to lymphoedema, and has been associated with the increase in aortic stiffness. The mechanical rotation of the left ventricle (LV) has an important role in normal circulation. In normal circumstances, the base of the LV rotates clockwise, while the LV apex rotates in the opposite direction, leading to a movement like wringing a towel, called LV twist. In the present case, using three-dimension speckle-tracking echocardiography, an LV twist is observed, showing an LV apex in the clockwise direction and the anti-clockwise rotation of the LV base in a patient with clinical characteristics of lipoedema.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Echocardiography / Lipedema Limits: Female / Humans Language: Spanish Journal: Rev. colomb. cardiol Journal subject: Cardiology Year: 2019 Type: Article Affiliation country: Hungary / Spain Institution/Affiliation country: University of Szeged/HU / University of Valencia/ES

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Full text: Available Index: LILACS (Americas) Main subject: Echocardiography / Lipedema Limits: Female / Humans Language: Spanish Journal: Rev. colomb. cardiol Journal subject: Cardiology Year: 2019 Type: Article Affiliation country: Hungary / Spain Institution/Affiliation country: University of Szeged/HU / University of Valencia/ES