Left Ventricular Systolic Function Changes in Primary Hypertension Patients Detected by the Strain of Different Myocardium Layers

Medicine
Jun HuangDong-Liang Chen

Abstract

This study investigated left ventricular (LV) systolic dysfunction associated with differential strain among myocardial layers in primary hypertension (PH) patients with or without LV hypertrophy (LVH), and normal patients.In 63 PH and 42 healthy patients, two-dimensional speckle tracking echocardiography was used to measure the peak systolic longitudinal and circumferential strain of the myocardial subendocardial, middle and subepicardial layers, and the peak systolic radial strain. To assess LV systolic function, the apical long axis, 4- and 2-chamber views, and parasternal short axis at the basal, middle, and apical levels were acquired by cardiovascular ultrasound (Vivid E9, GE Healthcare, USA).Overall, the pattern in peak systolic longitudinal strain among myocardial layers was subendocardial > middle > subepicardial. In the peak systolic circumferential strain, this was middle > subepicardial > subendocardial. The peak systolic longitudinal strain was normal > NLVH > LVH. Among the groups, the peak systolic circumferential strain at the basal parasternal short-axis level was statistically similar, but at the middle and the apical parasternal short-axis levels were NLVH > normal > LVH. In normal and NLVH patients, the peak...Continue Reading

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Citations

Jul 28, 2016·Journal of the American Society of Hypertension : JASH·Marijana TadicVesna Kocijancic
Jul 22, 2017·European Journal of Preventive Cardiology·Nabila Soufi Taleb BendiabSalim Benkhedda
Sep 1, 2020·Journal of the American Heart Association·Wenqian ZhangDengfeng Gao
Apr 2, 2020·Scientific Reports·Giuseppe MandraffinoGiovanni Squadrito

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Software Mentioned

EchoPac PC
EchoPAC
- Strain
SPSS

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