Left Ventricular Strain and Relaxation Are Independently Associated with Renal Cortical Perfusion in Hypertensive Patients

2018 ◽  
pp. 1-8 ◽  
Author(s):  
Arkadiusz Lubas ◽  
Robert Ryczek ◽  
Artur Maliborski ◽  
Przemysław Dyrla ◽  
Longin Niemczyk ◽  
...  
Keyword(s):  
Left Ventricular ◽  
Left Ventricular Strain ◽  
Hypertensive Patients ◽  
Cortical Perfusion

scholarly journals Evaluation of Left ventricular systolic function by Myocardial Deformation Imaging in Hypertensive patients with Preserved Left Ventricular Ejection Fraction

2021 ◽  
Vol 18 (2) ◽  
pp. 15-19
Author(s):  
Bishow Raj Baral ◽  
Arun Maskey ◽  
Rabi Malla ◽  
Sujeeb Rajbhandari ◽  
Krishna Chandra Adhikari ◽  
...  
Keyword(s):  
Ejection Fraction ◽  
Imaging Technique ◽  
Strain Imaging ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
P Value ◽  
Ventricular Ejection Fraction ◽  
Left Ventricular Strain ◽  
Hypertensive Patients ◽  
Healthy Control

Background and Aims:  Hypertension being one of the commonest non communicable diseases is major risk factor leading to premature death.1 With development of, the left ventricular strain imaging technique by echocardiography the consequences of hypertension may be identified and intervene earlier. The aim of study was to show abnormalities in cardiac function in the form of left ventricular strain imaging in hypertensive patients with preserved Ejection fraction. Methods: This  was a cross-sectional, comparative and observational study done in Shahid Gangalal National Heart Centre and National Academy of Medical Sciences, Bir Hospital Kathmandu which included hypertensive patients with baseline examination including a medical history, clinical examination and a standardized trans thoracic echocardiography and strain imaging examination and the findings were compared among age and sex frequency matched 82 healthy adults in 1 : 2 ratio. The independent paired t test was used for the comparative statistical analysis. Results: We enrolled 240 patients in this study, 158 were hypertensive (mean age 48.5 ±6.1 years with 50.6 % female) and 82 healthy control (mean age 45.62 ±6.3 years with 51.2% female). There was no significant difference in conventional echocardiographic parameters between two groups except for left ventricular mass index and relative wall thickness that was highest in hypertensive group (p value of <0.001). The hypertensive population has lower mean global longitudinal strain (GLS) value of -18.6% ± 2.06 SD compared to the healthy control population with mean of -19.5% ± 1.1 SD (p value of <0.001). Conclusion: Hypertensive patients with preserved left ventricular ejection fraction have subclinical left ventricular dysfunction revealed by GLS imaging technique.

Evaluation of Left Ventricular Strain and Deformation in Hypertensive Patients by Speckle Tracking Echocardiography

2018 ◽  
Vol 4 (2) ◽  
pp. 142-149 ◽  
Author(s):  
Naveen Jamwal ◽  
◽  
Sudarshan Kumar Vijay ◽  
Ujjwal Maheshwari ◽  
Bhuwan Chandra Tiwari ◽  
...  
Keyword(s):  
Speckle Tracking ◽  
Speckle Tracking Echocardiography ◽  
Left Ventricular ◽  
Left Ventricular Strain ◽  
Hypertensive Patients

scholarly journals Diagnostic value of left ventricle strain pattern of hypertensive patients in coronary and cerebrovascular diseases

2021 ◽  
Vol 63 (3) ◽  
Author(s):  
Qais Neamah Raheem ◽  
Tuka Y. Hassan ◽  
Ammar Q. Raheem ◽  
Hassan Ali Al-farhan
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Coronary Angiography ◽  
Cerebrovascular Accident ◽  
Ventricular Hypertrophy ◽  
Left Ventricular ◽  
Left Ventricular Strain ◽  
Hypertensive Patients ◽  
Strain Pattern ◽  
Artery Disease

Association of Electrocardiographic Left Ventricular Strain Pattern with Coronary Artery Disease and Cerebrovascular Accident in Hypertensive Patients Background: Patients diagnosed with hypertension and left ventricular hypertrophy could presented with electrocardiographic changes including criteria of left ventricular hypertrophy, and left ventricular strain pattern( fixed ST depression and T inversion in leads I, avL, V5&6) Objective: To study the impact of electrocardiographic left ventricular strain pattern in hypertensive patient as predictor for coronary artery disease and cerebrovascular accident development. Material and method: a cross sectional hospital based study was conducted during 2012-2017 at Iraqi center for heart diseases including hypertensive patients with normal ECG or LV strain pattern criteria, all patients underwent echocardiography and coronary angiography and the data were collected from patients’ files. Results: The records of 401 hypertensive patients [262(65.3%) males/139(34.7%) females] were included in this study. Their mean age was 60.07 ± 10.8 year.  The relation between electrocardiographic left ventricular strain pattern and Coronary Angiography among patients was significant (P <0.001). There was a significant difference between electrocardiographic left ventricular strain pattern and cerebrovascular accident among studied group (P<0.001). Conclusions: electrocardiographic left ventricular strain in hypertensive patients is highly associated with coronary artery disease and cerebrovascular accident.  .

Effects of Valsartan on the Reduction of Left Ventricular Mass and PICP Levels in Hypertensive Patients

2005 ◽  
Vol 12 (3) ◽  
pp. 182
Author(s):  
B. Caimi ◽  
S. Carugo ◽  
G. B. Bolla ◽  
L. Beltrami ◽  
S. Pizzocri ◽  
...  
Keyword(s):  
Left Ventricular Mass ◽  
Left Ventricular ◽  
Hypertensive Patients ◽  
Ventricular Mass

Biomarkers of Atrial Fibrillation in Hypertension

2019 ◽  
Vol 26 (5) ◽  
pp. 888-897 ◽  
Author(s):  
Costas Tsioufis ◽  
Dimitris Konstantinidis ◽  
Ilias Nikolakopoulos ◽  
Evi Vemmou ◽  
Theodoros Kalos ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Left Ventricular ◽  
P Wave ◽  
Diagnostic Tools ◽  
Atrial Remodeling ◽  
Hypertensive Patients ◽  
Risk Patients ◽  
Underlying Mechanisms ◽  
Prompt Diagnosis ◽  
The Ideal

Background: Atrial fibrillation (AF) is the most frequently encountered cardiac arrhythmia globally and substantially increases the risk for thromboembolic disease. Albeit, 20% of all cases of AF remain undiagnosed. On the other hand, hypertension amplifies the risk for both AF occurrences through hemodynamic and non-hemodynamic mechanisms and cerebrovascular ischemia. Under this prism, prompt diagnosis of undetected AF in hypertensive patients is of pivotal importance. Method: We conducted a review of the literature for studies with biomarkers that could be used in AF diagnosis as well as in predicting the transition of paroxysmal AF to sustained AF, especially in hypertensive patients. Results: Potential biomarkers for AF can be broadly categorized into electrophysiological, morphological and molecular markers that reflect the underlying mechanisms of adverse atrial remodeling. We focused on P-wave duration and dispersion as electrophysiological markers, and left atrial (LA) and LA appendage size, atrial fibrosis, left ventricular hypertrophy and aortic stiffness as structural biomarkers, respectively. The heterogeneous group of molecular biomarkers of AF encompasses products of the neurohormonal cascade, including NT-pro BNP, BNP, MR-pro ANP, polymorphisms of the ACE and convertases such as corin and furin. In addition, soluble biomarkers of inflammation (i.e. CRP, IL-6) and fibrosis (i.e. TGF-1 and matrix metalloproteinases) were assessed for predicting AF. Conclusion: The reviewed individual biomarkers might be a valuable addition to current diagnostic tools but the ideal candidate is expected to combine multiple indices of atrial remodeling in order to effectively detect both AF and adverse characteristics of high risk patients with hypertension.

Left Ventricular Filling Profiles in Young White-Coat Hypertensive Patients Without Hypertrophy

Hypertension ◽  
1997 ◽  
Vol 30 (3) ◽  
pp. 746-752 ◽  
Author(s):  
Nen-Chung Chang ◽  
Zhi-Yang Lai ◽  
Paul Chan ◽  
Tze-Che Wang
Keyword(s):  
Left Ventricular ◽  
Left Ventricular Filling ◽  
White Coat ◽  
Hypertensive Patients ◽  
Ventricular Filling
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