Back ground: The hypertension may lead the changes of the left ventricular geometry and the left ventricular diastolic dysfunction. There were many investigations about these abnormalities. Moreover, the treatment of the hypertensive patients with or without the left ventricular diastolic dysfunction is quite different. In Binh dinh general hospital, however, the left ventricular dysfuntion were neglected in practice. Thus, in this study, we evaluate the prevalence of these abnormalities in hypertensive patients. Subjects and method: We prospectively studied, from 6/2002 to 11/2003, 200 consecutive hypertensive patients admitted to the Internal Deparment at the Binh Dinh General Hospital. Echocardiography was performed on a Hewlett-Packard Image-Points with 2.5 and 3.5 MHz transducers. Measurements of the size of the ventricular walls are according to ASE. Doppler echocardiography is used to evaluate the characteristics of diastolic transmitral blood flow from the apical four-chaber view. The peak velocities of blood flow during early diastolic filling (E wave) and atrial contraction (A wave), the E-wave decelerating time and parameters of pulmonary venous flow revesal during atrial contraction are measured. The isovolumic relaxation time is measured from the apical-five chamber view. The diagnosis and classification of the left ventricular geometric changes and the abnormal diastolic filling patterns are based on the criteria of Devereux. Results: Prevalence of the left ventricular diastolic dysfunction was 61.5% of the hypertensive patients with the most frequent impaired relaxation pattern (48%). 72.5% of patients have the geometric changes in which the remodelling type consists of 47.5% concentric hypertrophy 25%.
Ventricular Dysfunction, Left ; Hypertension

Investigate the correlation between the left ventricular diastolic functions and risk factor hypertension of 121 male type 2 diabetics admitted Hospital 103 from 2000 December to 2002 November. All patients were divided into 2 groups: 66 diabetics without hypertension, 55 diabetics with hypertension, and 103 healthy controls matched in age, gender, and BMI index. Results: getting diabetes will affect to left ventricular diastolic dysfunction. Combination of diabetes and hypertension will exacerbate left ventricular diastolic dysfunction
Diabetes Mellitus, Type 2 ; Ventricular Dysfunction ; Ventricular Dysfunction, Left

No abstract available.
Humans ; Thrombosis* ; Ventricular Dysfunction, Left*

No abstract available.
Breast* ; Humans ; Ventricular Dysfunction, Left*

Apical muscular ventricular septal defects (VSDs) are relatively rare conditions among all the different types of VSDs. Apical VSDs are difficult to treat because of they are difficult to visualize through a trans-atrioventricular approach, and especially in infants. Treatment by left ventriculotomy is associated with long-term ventricular dysfunction. Catheter-based intervention still shows less than satisfactory results and this type of intervention may not be possible in small infants. This report describes the benefits of right apical ventriculotomy in terms of successful closure of the lesion without harming the ventricular function.
Heart Septal Defects, Ventricular ; Humans ; Infant ; Ventricular Dysfunction ; Ventricular Function

PURPOSE: The purpose of this study is to analyze left ventricular (LV) radial strain (S) and strain rate (SR) in children with dilated cardiomyopathy (DCM) and to evaluate whether the impairment of global radial wall motion correlates with global ventricular dysfunction in DCM. METHODS: In 10 DCM patients (range 0.6-15 years, median age 6.5 years, 3 females) and 17 age and sex matched normal controls (range 0.5-14 years, median age 5 years, 5 females) conventional echocardiography and real time tissue Doppler imaging analysis were performed. Using an automatic two dimensional speckle tracking imaging (STI) method radial S and SR were calculated for each LV segment in 18 segment model. To evaluate the correlation between the impairment of radial motion and LV global function, the average values of radial S and SR of each LV level were obtained, and defined as global (G) S or SR. RESULTS: LV radial S and SR were markedly heterogeneous and decreased in almost all segments of LV in DCM. Impaired radial S and SR were associated with global LV dysfunction. CONCLUSION: In DCM, decreased and disorganized radial S and SR contribute to LV dysfunction. Analysis of radial S and SR with STI method can give further information on LV function in DCM.
Cardiomyopathy, Dilated* ; Child* ; Echocardiography ; Humans ; Ventricular Dysfunction

Pectus excavatum compresses the underlying right side of the heart, which might lead to right ventricular dysfunction as illustrated in this case report.
Funnel Chest ; Heart ; Ventricular Dysfunction, Right

Electrocardiography ; Humans ; Takotsubo Cardiomyopathy ; Ventricular Dysfunction, Left

Physicians prefer traditional right ventricular apical pacing to right ventricular outflow tract pacing because of easy accessibility, short procedure time, stable lead function and a low incidence of complications. However, right ventricular apical pacing produce an abnormal pattern of ventricular activation compared with right ventricular outflow tract pacing. There is growing evidence that right apical pacing may have long-term detrimental effects on left ventricular function. The report of Kim et al. in this issue showed that ventricular dyssynchrony was commonly seen in patients with permanent pacemaker implantation. They suggested the role of paced QRS duration to predict ventricular dyssynchrony during the follow-up period in patients with permanent pacemaker. However, a large scaled prospective observational study is needed to assess the factors influencing ventricular dyssynchrony in Korean patients with permanent pacemaker.
Follow-Up Studies ; Humans ; Incidence ; Ventricular Dysfunction ; Ventricular Function, Left

Study on 66 men with type 2 diabetic at Military Hospital 108 and 103 healthy persons (with similar age, BIM, HATTh, HATTr, frequence of heart). Results: In type 2 diabetic group, A-C distance front of bicuspid valve extend, slash volume significant reducing compared with control group. Left autrial size, intraventricular septum wall thickness, ventricular wall thickness, left ventricular mass index (LVMI) significant changing compared with control group. Non THA diabetic group include 3 patients ventricular hypertrophy (LVMI > 131 g/m2), in control group hasn’t any patients. In VT Ia diabetic group, VTIe/VTIa rate reduce, DT time lengthen significantly compare with control group
Diabetes Mellitus, Type 2 ; Ventricular Dysfunction, Left ; Ventricular Function, Left