Femoral Plaque Burden and Left Ventricular–Arterial Coupling in Patients with Chronic Heart Failure

TL;DR

This study finds that plaque buildup in the femoral arteries is linked to worse heart function in patients with chronic heart failure.

Contribution

The study reveals a novel connection between femoral plaque burden and impaired left ventricular and atrial function in CHF patients.

Findings

Increased femoral plaque burden correlates with reduced left atrial deformation and increased stiffness.

Higher plaque burden is associated with impaired left ventricular mechanics and elevated arterial loading.

These findings suggest impaired ventricular–arterial coupling in CHF patients with significant lower extremity atherosclerosis.

Abstract

Background/Objectives: Lower extremity peripheral artery disease (PAD) is recognized as a significant public health issue, particularly due to its strong association with adverse cardiovascular events. Despite this, little attention has been given to its influence on left ventricular (LV) and left atrial (LA) function in patients with chronic heart failure (CHF). This study aims to examine the relationship between femoral plaque burden and structural and functional properties of the LV and LA in patients with CHF. Methods: Study design: cross-sectional observational single-center study. A total of 89 patients with CHF underwent comprehensive assessments, including duplex ultrasonography of lower extremity arteries and two-dimensional echocardiography. Analysis focused on evaluating femoral plaque burden, left ventricular deformation, and ventricular–arterial coupling. Results: Findings indicated that increased femoral plaque burden was associated with reductions in LA deformation and increases in LA stiffness. Similarly, there was evidence of impaired LV mechanics and elevated arterial loading, suggesting impaired ventricular–arterial coupling in patients with CHF and significant lower extremity atherosclerosis. Conclusions: Femoral plaque burden is closely linked to detrimental changes in LA and LV function, as well as disturbances in ventricular–arterial coupling, underscoring the importance of addressing lower extremity atherosclerosis in managing CHF patients.

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