Reevaluation of Left Ventricular Diastolic Function in Essential Hypertension Patients by Echocardiography
- VernacularTitle:超声心动图对高血压病人左室舒张功能再评价
- Author:
Rui HU
;
Xiangxian ZHANG
;
Yafen WANG
;
Guoping LIU
;
Hui GONG
;
Wei SHENG
;
Haoren XU
- Publication Type:Journal Article
- From:
Fudan University Journal of Medical Sciences
2001;28(1):63-65
- CountryChina
- Language:Chinese
-
Abstract:
Purpose To assess left ventricular diastolic function in the patients with essentialhypertension. Methods 25 normotensives,93 hypertensiives without hypertrophy (NLVH) and 47 withhypertrophy (LVH)(LVMI, left ventricular mass index ＞ 124 g/m2 in males and 110 g/m2 in females)underwent 2DE and Doppler echocardiography. Results The ratio of early to late peak velocity (E/A)was 1.21 ± 0.24 in normotensives and 1.03 ± 0.23 in NLVH patients( P ＜ 0.01 ); reversed pulmonaryvenous flow at atrial systole PA wave was (32.7 ± 7.5 ) vs (38.9 ± 8.7) cm/s (P ＜ 0.01 ) in normotensivesand in NLVH patients respectively. The isovolumic relaxation time (IVRT) and left atrial dimension (LAD)have significant differences in three groups ( P ＜ 0. 05 - 0. 001 ). EF value was similar betweennormotensives and NLVH patients, but it was lower in LVH patients ( P ＜ 0.01 ). Conclusions E/Aratio, PA wawe, Pai, IVRT and LAD are sensitive parameters indicating mild diastolic left ventriculardysfunction. Systolic left ventricular function has no change in NLVH patients.
