| Autor: |
Raúl, Teniente-Valente, Sergio, Solorio, Enrique, Vargas-Salado, Carlos, Aguirre-Vázquez, Martha A, Hernández-González, José Antonio, Olvera-Lopez, Leticia, Rodríguez-Mariscal, Miguel Angel, Luna-Ruiz, José Manuel, Guillén Contreras, Blanca Olivia, Murillo Ortiz |
| Rok vydání: |
2009 |
| Předmět: |
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| Zdroj: |
Archivos de cardiologia de Mexico. 78(4) |
| ISSN: |
1405-9940 |
| Popis: |
To evaluate the diastolic function after regression of left ventricular hypertrophy, in mild to moderate hypertension treated with angiotensin converting enzyme(ACE) inhibitor and, if necessary, with a diuretic.Ninety-eight hypertensive patients with left ventricular hypertrophy (LVH) and abnormal left ventricle diastolic function indexes received captopril (Capotena) 50 to 200 mg/day plus chlortalidone during 12 months to reach blood pressure control, defined as a diastolic blood pressureor =90 and systolic blood pressureor =140 mm Hg. Left ventricular (LV) mass index was calculated by M mode and two-dimensional echocardiography, and left ventricular diastolic function was assessed by transmitral pulsed Doppler ultrasound every 3 months.Sixty-three patients were women and 35 were men, mean age was 53.4 +/- 8.4 years (range 34-70). Thirty-six patients had mild (36.7%) and 62 (63.3%) moderate hypertension. Treatment reduced significantly both systolic pressure from 165 +/- 13 to 137 +/- 12.9 mm Hg (p0.05) and diastolic pressure from 99 +/- 8.6 to 86 +/- 6.37 mm Hg (p0.05). LV mass index decreased from 155.4 +/- 32.9 to 121.7 +/- 29.14 g/m2 (p0.05). Late diastolic filling velocity (A wave) and the ratio of E/A waves improved (p0.05), but early diastolic filling velocity (E wave) and isovolumetric relaxation time did not change with treatment.Some indexes of diastolic function improved after regression of left ventricular hypertrophy and good blood pressure control with captopril and chlortalidone. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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