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Yapan Emren Z, Emren SV, Ada F, Ömür SE, Dindaş F. Association between lower extremity venous insufficiency and duration of atrial fibrillation. Phlebology 2021; 36:570-575. [PMID: 33601963 DOI: 10.1177/0268355521994997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
OBJECTIVE Physiologic studies have shown that atrium has an active role in venous blood return from lower extremity. In this context we investigated the association between AF and chronic venous disease (CVD). METHODS In this observational study we included 392 AF patients which were divided into two groups (chronic AF, 218 (56%)) and non-chronic. AF, 174 (44%)). These two groups were compared in terms of CVD after matching conventional risk factors for CVD. RESULTS CEAP classification was different between chronic and non-chronic patients (C0-C2: 72% vs 47%; C3-C6: 28% vs 53% <0.001). Chronic AF patients had also higher rate of venous reflux on Doppler ultrasound (38% vs 16% P < 0.05). There was a correlation between AF duration, right atrial volume index and CEAP classification respectively (rho:0.314 p < 0.001), (rho:0.258, p < 0.001). CONCLUSION Prevalence of CVD is higher in patients with chronic AF. In addition, atrial volume is directly correlated with CVD.
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Affiliation(s)
- Zeynep Yapan Emren
- Department of Cardiology, Çiğli Training and Education Hospital, Izmir, Turkey
| | - Sadık Volkan Emren
- Department of Cardiology, Izmir Katip Celebi University School of Medicine, Izmir, Turkey
| | - Fatih Ada
- Department of Cardiology, Cumhuriyet University School of Medicine, Sivas, Turkey
| | - Sefa Erdi Ömür
- Department of Cardiology, Cumhuriyet University School of Medicine, Sivas, Turkey
| | - Ferhat Dindaş
- Department of Cardiology, Cumhuriyet University School of Medicine, Sivas, Turkey
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Guilbeau-Frugier C, Cauquil M, Karsenty C, Lairez O, Dambrin C, Payré B, Cassard H, Josse C, Seguelas MH, Allart S, Branchereau M, Heymes C, Mandel F, Delisle MB, Pathak A, Dague E, Sénard JM, Galés C. Structural evidence for a new elaborate 3D-organization of the cardiomyocyte lateral membrane in adult mammalian cardiac tissues. Cardiovasc Res 2019; 115:1078-1091. [PMID: 30329023 DOI: 10.1093/cvr/cvy256] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2018] [Revised: 06/29/2018] [Accepted: 10/11/2018] [Indexed: 12/13/2022] Open
Abstract
AIMS This study explored the lateral crest structures of adult cardiomyocytes (CMs) within healthy and diseased cardiac tissue. METHODS AND RESULTS Using high-resolution electron and atomic force microscopy, we performed an exhaustive quantitative analysis of the three-dimensional (3D) structure of the CM lateral surface in different cardiac compartments from various mammalian species (mouse, rat, cow, and human) and determined the technical pitfalls that limit its observation. Although crests were observed in nearly all CMs from all heart compartments in all species, we showed that their heights, dictated by the subsarcolemmal mitochondria number, substantially differ between compartments from one species to another and tightly correlate with the sarcomere length. Differences in crest heights also exist between species; for example, the similar cardiac compartments in cows and humans exhibit higher crests than rodents. Unexpectedly, we found that lateral surface crests establish tight junctional contacts with crests from neighbouring CMs. Consistently, super-resolution SIM or STED-based immunofluorescence imaging of the cardiac tissue revealed intermittent claudin-5-claudin-5 interactions in trans via their extracellular part and crossing the basement membrane. Finally, we found a loss of crest structures and crest-crest contacts in diseased human CMs and in an experimental mouse model of left ventricle barometric overload. CONCLUSION Overall, these results provide the first evidence for the existence of differential CM surface crests in the cardiac tissue as well as the existence of CM-CM direct physical contacts at their lateral face through crest-crest interactions. We propose a model in which this specific 3D organization of the CM lateral membrane ensures the myofibril/myofiber alignment and the overall cardiac tissue cohesion. A potential role in the control of sarcomere relaxation and of diastolic ventricular dysfunction is also discussed. Whether the loss of CM surface crests constitutes an initial and common event leading to the CM degeneration and the setting of heart failure will need further investigation.
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MESH Headings
- Aged
- Aged, 80 and over
- Animals
- Cardiomegaly/metabolism
- Cardiomegaly/pathology
- Cattle
- Cell Membrane/metabolism
- Cell Membrane/ultrastructure
- Claudin-5/metabolism
- Cryoelectron Microscopy
- Disease Models, Animal
- Female
- Humans
- Male
- Mice, Inbred C57BL
- Microscopy, Atomic Force
- Microscopy, Electron, Scanning
- Microscopy, Electron, Transmission
- Middle Aged
- Mitochondria, Heart/ultrastructure
- Myocytes, Cardiac/metabolism
- Myocytes, Cardiac/ultrastructure
- Rats, Wistar
- Sarcomeres/ultrastructure
- Species Specificity
- Tight Junctions/metabolism
- Tight Junctions/ultrastructure
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Affiliation(s)
- Céline Guilbeau-Frugier
- Institut des Maladies Métaboliques et Cardiovasculaires, Université de Toulouse, INSERM U1048, I2MC, 1, Avenue Jean Poulhès-BP84225, Toulouse, France
- Department of Forensic Medicine, Centre Hospitalier Universitaire de Toulouse, Université de Toulouse, Toulouse, France
- Centre de Microscopie Électronique Appliquée à la Biologie, Faculté de Médecine Rangueil, Université de Toulouse, Toulouse, France
| | - Marie Cauquil
- Institut des Maladies Métaboliques et Cardiovasculaires, Université de Toulouse, INSERM U1048, I2MC, 1, Avenue Jean Poulhès-BP84225, Toulouse, France
| | - Clément Karsenty
- Institut des Maladies Métaboliques et Cardiovasculaires, Université de Toulouse, INSERM U1048, I2MC, 1, Avenue Jean Poulhès-BP84225, Toulouse, France
- Department of Cardiology, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
- CHU Toulouse, Pediatric and Congenital Cardiology, Children's Hospital, Université de Toulouse, Toulouse, France
| | - Olivier Lairez
- Institut des Maladies Métaboliques et Cardiovasculaires, Université de Toulouse, INSERM U1048, I2MC, 1, Avenue Jean Poulhès-BP84225, Toulouse, France
- Department of Cardiology, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Camille Dambrin
- Department of Cardiology, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Bruno Payré
- Centre de Microscopie Électronique Appliquée à la Biologie, Faculté de Médecine Rangueil, Université de Toulouse, Toulouse, France
| | - Hervé Cassard
- UMR IHAP, Université de Toulouse, INRA, ENVT, Toulouse, France
| | - Claudie Josse
- Centre de MicroCaractérisation Raimond Castaing, UMS 3623, Toulouse, France
| | - Marie-Hélène Seguelas
- Institut des Maladies Métaboliques et Cardiovasculaires, Université de Toulouse, INSERM U1048, I2MC, 1, Avenue Jean Poulhès-BP84225, Toulouse, France
| | - Sophie Allart
- Centre de Physiopathologie de Toulouse-Purpan, Université de Toulouse, INSERM, CNRS, Toulouse, France
| | - Maxime Branchereau
- Institut des Maladies Métaboliques et Cardiovasculaires, Université de Toulouse, INSERM U1048, I2MC, 1, Avenue Jean Poulhès-BP84225, Toulouse, France
| | - Christophe Heymes
- Institut des Maladies Métaboliques et Cardiovasculaires, Université de Toulouse, INSERM U1048, I2MC, 1, Avenue Jean Poulhès-BP84225, Toulouse, France
| | - Franck Mandel
- Institut des Maladies Métaboliques et Cardiovasculaires, Université de Toulouse, INSERM U1048, I2MC, 1, Avenue Jean Poulhès-BP84225, Toulouse, France
| | - Marie-Bernadette Delisle
- Centre de Microscopie Électronique Appliquée à la Biologie, Faculté de Médecine Rangueil, Université de Toulouse, Toulouse, France
- Department of Histopathology, Centre Hospitalier Universitaire de Toulouse, Université de Toulouse, Toulouse, France
| | - Atul Pathak
- Institut des Maladies Métaboliques et Cardiovasculaires, Université de Toulouse, INSERM U1048, I2MC, 1, Avenue Jean Poulhès-BP84225, Toulouse, France
- Department of Cardiovascular Medicine, Hypertension, Risk Factors and Heart Failure Unit, Clinique Pasteur, Toulouse, France
| | - Etienne Dague
- LAAS-CNRS, Université de Toulouse, CNRS, Toulouse, France
| | - Jean-Michel Sénard
- Institut des Maladies Métaboliques et Cardiovasculaires, Université de Toulouse, INSERM U1048, I2MC, 1, Avenue Jean Poulhès-BP84225, Toulouse, France
- Department of Clinical Pharmacology, Centre Hospitalier Universitaire de Toulouse, Université de Toulouse, Toulouse, France
| | - Céline Galés
- Institut des Maladies Métaboliques et Cardiovasculaires, Université de Toulouse, INSERM U1048, I2MC, 1, Avenue Jean Poulhès-BP84225, Toulouse, France
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Aldemir M, Emren SV, Balçık Ç, Onrat E, Gürsoy M. Primary pulmonary arterial hypertension with preserved right ventricular function leads to lower extremity venous insufficiency. Vascular 2017; 26:183-188. [DOI: 10.1177/1708538117723201] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objectives Pulmonary hypertension with heart failure is related to venous insufficiency. However, there is no clear data whether pulmonary arterial hypertension with preserved right ventricular function cause venous insufficiency. In this study, we aim to investigate the relation between pulmonary arterial pressure with venous insufficiency in pulmonary arterial hypertension patients with preserved right ventricular function. Methods Between January 2012 and October 2014, 38 patients with a diagnosis of pulmonary arterial hypertension and 47 control group patients were included. Venous disability score and venous segmental disease score of both groups were calculated in order to measure venous insufficiency. The relationship between venous disability score and venous segmental disease scores and mean pulmonary arterial pressure and World Heart Organization functional capacity was examined. Results Total venous segmental disease score (5 ± 3.9 vs. 2 ± 1.8 p < 0.001), right venous segmental disease score (2.6 ± 2.2 vs. 1 ± 0.9 p < 0.001), left venous segmental disease score (2.4 ± 2.2 vs. 1 ± 0.9 p < 0.001), and venous disability scores (2.2 ±1 vs. 1.6 ± 0.7 p < 0.001) of patients with pulmonary arterial hypertension were higher than the control group. While the total venous segmental disease score was highly related to mean pulmonary arterial pressure (r = 0.829, p < 0.001), the venous disability score was only weakly related (r = 0.343, p = 0.037). Total venous segmental disease score (r = 0.606, p < 0.001) and venous disability scores (r = 0.601, p < 0.001) were moderately related with World Health Organization functional capacity intensity. Conclusions The degree of venous insufficiency increase in accordance with the mean pulmonary arterial pressure even in patients with preserved right ventricular function.
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Affiliation(s)
- Mustafa Aldemir
- Department of Cardiovascular Surgery, Afyon Kocatepe University, Afyonkarahisar, Turkey
| | | | - Çınar Balçık
- Department of Radiology, Afyon Kocatepe University, Afyonkarahisar, Turkey
| | - Ersel Onrat
- Department of Cardiology, School of Medicine, Afyon Kocatepe University Afyonkarahisar, Turkey
| | - Merve Gürsoy
- Department of Radiology, Katip Celebi University, Izmir, Turkey
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