Right ventricular dysfunction in a hypertensive population stratified by patterns of left ventricular geometry.

Cardiovascular Journal of Africa
Kamilu M KarayeMohammed N Shehu

Abstract

The aim of this study was to assess the prevalence, determinants and correlates of right ventricular (RV) systolic and diastolic dysfunction (RVSD and RVDD, respectively) in hypertensives, stratified by left ventricular (LV) geometric patterns. The study was carried out in Aminu Kano Teaching Hospital in Kano, Nigeria, and was cross-sectional in design. Hypertensive subjects referred for echocardiography were consecutively recruited after satisfying the inclusion criteria. RVSD was defined as either tricuspid annular plane systolic excursion (TAPSE) of < 16 mm, or peak velocity of the systolic wave (S(m)) in tissue Doppler imaging (TDI) of the RV lateral tricuspid annulus of < 10 cm/s, or both. RVDD was defined as the ratio of < 1.0 of the peak velocities of the early (E(m)) to late (A(m)) diastolic waves in the TDI of the RV lateral tricuspid annulus. Subjects with normal LV geometry (NG) served as controls, and were compared with those who had eccentric (EH) or concentric (CH) LV hypertrophy or concentric LV remodelling. A total of 128 subjects were recruited. Overall, the prevalence of RVDD almost doubled that of RVSD in the studied subjects (61.72 vs 32.03%, respectively). Subjects with EH had the highest prevalence of RVSD...Continue Reading

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Citations

Jan 18, 2016·International Journal of Cardiology·Kamilu M Karaye, Aimé Bonny
Dec 15, 2017·Nigerian Medical Journal : Journal of the Nigeria Medical Association·Adeseye A Akintunde
Nov 20, 2013·Clinical Medicine Insights. Cardiology·Rasaaq A AdebayoOlugbenga O Abiodun
Jan 26, 2018·The Journal of Clinical Hypertension·Marijana TadicGuido Grassi
May 12, 2019·Journal of Human Hypertension·Maria MarketouFragiskos Parthenakis

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