The impact of left ventricular thickness in hypertensive heart disease on right ventricular function: An Echocardiographic Strain Study
Journal Title: IOSR Journal of Pharmacy and Biological Sciences (IOSR-JPBS) - Year 2018, Vol 13, Issue 6
Abstract
Background:In spite of heart remodeling such as left ventricular hypertrophy affects both left and right ventricles due to ventricular interdependence; still a few studies had examined the outcomes of these effects on right ventricle and usually focusing on left ventricle. Objective:To study the effect of left ventricular hypertrophy on right ventriclefunction using echocardiographic right ventricular strains. Patient and Methods: A case control study of total 200 subjects was done. One hundred (61 male and 39 female) Patientswith systemic hypertension were compared with one hundred (57 male and 43 female) apparently healthy control subjects aged from (40-60) years.These groups were subjected to a detailed history, blood pressure measurement, ECG,anthropometry measurements,list of investigations, and echocardiographic study. Results: The mean of IVSd was (11.13±1.46) mm in hypertensive group and was (9.42±0.68) mm in control group and there was statically significant difference between the two groups (P value < 0.001). The mean 2D-RVGLS was (- 20.12 ± 3.80) % in hypertensive patients versus (- 25.90 ± 2.18) in normal subjects, the P value was 0.001 and there was significant difference between the two groups. Conclusions: RV longitudinal strain is significantly impaired in hypertensive patients group and strongly correlates with heart remodeling
Authors and Affiliations
Hayder A. Tawfeeq, HananLuay Al- Omary, Ghazi F. Haji
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