The International Journal of Cardiovascular Imaging

, Volume 35, Issue 12, pp 2205–2212 | Cite as

Subclinical left ventricular dysfunction assessed by two-dimensional speckle tracking echocardiography in asymptomatic patients with carotid stenosis

  • Linwei Hong
  • Liying Xing
  • Ru Li
  • Limin Zhang
  • Chunyan Ma
  • Jing An
  • Lanting Zhao
  • Jun Yang
  • Shuang LiuEmail author
Original Paper


The relationship between subclinical left ventricular (LV) dysfunction and atherosclerosis may have been underestimated in the past, which might be responsible for the high incidence of premature death in individuals with carotid stenosis. We sought to evaluate the underlying myocardial dysfunction in asymptomatic carotid stenosis patients using speckle tracking echocardiography (STE). Fifty patients with carotid stenosis ≥ 50% and a preserved LV ejection fraction (LVEF), and 45 controls without carotid stenosis who were matched in terms of vascular comorbidities were enrolled. All participants underwent carotid ultrasound and echocardiographic examination. The global LV longitudinal strain (GLS) was measured using STE. Compared with the control group, the e’ of the mitral annular velocity and GLS were decreased in asymptomatic carotid stenosis patients (p < 0.05), however, the LVEF was well preserved. Based on a predefined cutoff for subclinical LV systolic dysfunction that was defined at a GLS <  − 18%, this dysfunction was detected in 22 patients with carotid stenosis (44%) and in 10 patients in the control group (22%) (p < 0.05). The GLS was negatively correlated with the levels of low-density lipoprotein cholesterol (r =  − 0.356, p < 0.05) and triglyceride (r =  − 0.396, p < 0.05). In conclusion, LV diastolic and systolic functioning were significantly decreased in patients with asymptomatic carotid stenosis, and dyslipidemia likely contributed to the subclinical LV dysfunction in these patients. Our findings indicated the importance of detecting LV subclinical dysfunction and early intervention in this patient population.


Subclinical Left ventricular Dysfunction Strain 



This study was supported by the National Natural Science Foundation of China (81701699) and the Doctoral Initiate Foundation of Liaoning (20170520053).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer Nature B.V. 2019

Authors and Affiliations

  1. 1.Department of UltrasoundAffiliated Hospital of Liaoning University of Traditional Chinese MedicineShenyangPeople’s Republic of China
  2. 2.Department of Chronic DiseaseLiaoning Provincial Center for Disease Control and PreventionShenyangPeople’s Republic of China
  3. 3.Department of Cardiovascular UltrasoundThe First Hospital of China Medical UniversityShenyangPeople’s Republic of China
  4. 4.Department of UltrasoundSecond Affiliated Hospital of Liaoning University of Traditional Chinese MedicineShenyangPeople’s Republic of China

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