Subclinical left ventricular systolic dysfunction by two-dimensional speckle-tracking echocardiography and its relation to ambulatory arterial stiffness index in hypertensive patients
| Autor: | Yehia T Kishk, Marwa A Fathy, Heba M El-Naggar, Hamdy Shams-Eddin, Tarek Ahmed |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Multivariate analysis Ambulatory blood pressure Physiology Heart Ventricles Blood Pressure Speckle tracking echocardiography 030204 cardiovascular system & hematology Ventricular Dysfunction Left 03 medical and health sciences Vascular Stiffness 0302 clinical medicine Internal medicine Internal Medicine Humans Medicine Circumferential strain 030212 general & internal medicine Subclinical infection business.industry Stroke Volume Blood Pressure Monitoring Ambulatory Middle Aged medicine.disease Echocardiography Hypertension Ambulatory Arterial stiffness Cardiology Population study Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Hypertension. 38:864-873 |
| ISSN: | 1473-5598 0263-6352 |
| DOI: | 10.1097/hjh.0000000000002330 |
| Popis: | BACKGROUND Increased arterial stiffness is associated with cardiovascular morbidity and mortality among hypertensive patients. OBJECTIVES To assess the relationship between ambulatory arterial stiffness index (AASI) and subclinical left ventricular (LV) systolic dysfunction assessed by 2-D speckle-tracking echocardiography (STE). METHODS We enrolled 70 consecutive patients with hypertension. All patients were evaluated for parameters of ambulatory blood pressure monitoring (ABPM) including AASI. From those patients, 51 underwent conventional echocardiography as well as 2-D STE to assess for subclinical LV systolic dysfunction defined by global longitudinal strain (GLS) and global circumferential strain (GCS). RESULTS The mean age of the patients (n = 51) was 46.3 ± 12.3 years, women represented 59%. Study population were divided into two groups according to blood pressure control as defined by ABPM; controlled (n = 23), and uncontrolled (n = 28). Baseline characteristics were comparable between both groups. There were significant differences in both daytime and night-time mean ABPM (P |
| Databáze: | OpenAIRE |
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