HYPERVETILATION SYNDROME AS A RISK FACTOR OF DIASTOLIC DYSFUNCTION AMONG HYPERTENSION PATIENTS

Hypertensive disease is one of the urgent problems in the modern cardiology. It is known that a huge variety of comorbid states influence the development of hypertensive disease, i. e. neurogenic hyperventilating syndrome. It is the sign and the marker of suprasegmental vegetative structures disorde...

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Main Authors: I. V. Zarivna, V. A. Levchenko, I. P. Vakalyuk, M. V. Maksymyak, O. S. Moroz
Format: Article
Language:English
Published: Sumy State University 2021-03-01
Series:Східноукраїнський медичний журнал
Subjects:
Online Access:https://eumj.med.sumdu.edu.ua/index.php/journal/article/view/159
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author I. V. Zarivna
V. A. Levchenko
I. P. Vakalyuk
M. V. Maksymyak
O. S. Moroz
author_facet I. V. Zarivna
V. A. Levchenko
I. P. Vakalyuk
M. V. Maksymyak
O. S. Moroz
author_sort I. V. Zarivna
collection DOAJ
description Hypertensive disease is one of the urgent problems in the modern cardiology. It is known that a huge variety of comorbid states influence the development of hypertensive disease, i. e. neurogenic hyperventilating syndrome. It is the sign and the marker of suprasegmental vegetative structures disorders that destabilize homeostasis, initiate the development of specific pathological processes, which are the base of somatization of hyperventilating disorders, including heart disorders. It led to research of structural and functional characteristics of the ventricles with the help of echocardiology among hypertensive patients with neurogenic hyperventilating syndrome. Ventricular dilation of cavities, mostly of the right one without thickening of the walls, was found in the patients with stage 1 hypertension disease (43.59 %). Dilation of the ventricular cavities was also revealed in hypertensive patients with stage 2 hypertension disease in 37.88% of cases. The next variations of remodeling were registered: concentric – in 10.61% of cases; concentric hypertrophy – in 22.73%; asymmetric hypertrophy – in 12.12%; eccentric remodeling and eccentric hypertrophy of the left ventricle – in 4.55% and 9.09% of patients, respectively. Thickening of the right ventricle wall was observed in 13.64% of patients. In the control group of patients without hypertonic syndrome, the signs of concentric and asymmetric hypertrophy were noticed in 10% of patients, eccentric – in 20%; extension of the left ventricle – in 20%. The assessment of the condition of transmitral and tricuspid flows revealed a significant increase in the number of cases, disorders, relaxation of the heart ventricles among hypertensive patients with neurogenic hyperventilating syndrome. It can be a sign of specific role of permanent hyperventilation in ventricle remodeling and mandatory systematic echocardiological control of these patients.
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spelling doaj.art-5cb4c3e1b265475f88c809521e5c28e12022-12-22T02:54:44ZengSumy State UniversityСхідноукраїнський медичний журнал2663-59092664-42312021-03-0191293810.21272/eumj.2021;9(1):29-38159HYPERVETILATION SYNDROME AS A RISK FACTOR OF DIASTOLIC DYSFUNCTION AMONG HYPERTENSION PATIENTSI. V. Zarivna0V. A. Levchenko1I. P. Vakalyuk2M. V. Maksymyak3O. S. Moroz4Ivano-Frankivsk National Medical University, Ivano-Frankivsk, UkraineIvano-Frankivsk National Medical University, Ivano-Frankivsk, UkraineIvano-Frankivsk National Medical University, Ivano-Frankivsk, UkraineIvano-Frankivsk National Medical University, Ivano-Frankivsk, UkraineIvano-Frankivsk National Medical University, Ivano-Frankivsk, UkraineHypertensive disease is one of the urgent problems in the modern cardiology. It is known that a huge variety of comorbid states influence the development of hypertensive disease, i. e. neurogenic hyperventilating syndrome. It is the sign and the marker of suprasegmental vegetative structures disorders that destabilize homeostasis, initiate the development of specific pathological processes, which are the base of somatization of hyperventilating disorders, including heart disorders. It led to research of structural and functional characteristics of the ventricles with the help of echocardiology among hypertensive patients with neurogenic hyperventilating syndrome. Ventricular dilation of cavities, mostly of the right one without thickening of the walls, was found in the patients with stage 1 hypertension disease (43.59 %). Dilation of the ventricular cavities was also revealed in hypertensive patients with stage 2 hypertension disease in 37.88% of cases. The next variations of remodeling were registered: concentric – in 10.61% of cases; concentric hypertrophy – in 22.73%; asymmetric hypertrophy – in 12.12%; eccentric remodeling and eccentric hypertrophy of the left ventricle – in 4.55% and 9.09% of patients, respectively. Thickening of the right ventricle wall was observed in 13.64% of patients. In the control group of patients without hypertonic syndrome, the signs of concentric and asymmetric hypertrophy were noticed in 10% of patients, eccentric – in 20%; extension of the left ventricle – in 20%. The assessment of the condition of transmitral and tricuspid flows revealed a significant increase in the number of cases, disorders, relaxation of the heart ventricles among hypertensive patients with neurogenic hyperventilating syndrome. It can be a sign of specific role of permanent hyperventilation in ventricle remodeling and mandatory systematic echocardiological control of these patients.https://eumj.med.sumdu.edu.ua/index.php/journal/article/view/159hypertension, hyperventilating syndrome, echocardiography
spellingShingle I. V. Zarivna
V. A. Levchenko
I. P. Vakalyuk
M. V. Maksymyak
O. S. Moroz
HYPERVETILATION SYNDROME AS A RISK FACTOR OF DIASTOLIC DYSFUNCTION AMONG HYPERTENSION PATIENTS
Східноукраїнський медичний журнал
hypertension, hyperventilating syndrome, echocardiography
title HYPERVETILATION SYNDROME AS A RISK FACTOR OF DIASTOLIC DYSFUNCTION AMONG HYPERTENSION PATIENTS
title_full HYPERVETILATION SYNDROME AS A RISK FACTOR OF DIASTOLIC DYSFUNCTION AMONG HYPERTENSION PATIENTS
title_fullStr HYPERVETILATION SYNDROME AS A RISK FACTOR OF DIASTOLIC DYSFUNCTION AMONG HYPERTENSION PATIENTS
title_full_unstemmed HYPERVETILATION SYNDROME AS A RISK FACTOR OF DIASTOLIC DYSFUNCTION AMONG HYPERTENSION PATIENTS
title_short HYPERVETILATION SYNDROME AS A RISK FACTOR OF DIASTOLIC DYSFUNCTION AMONG HYPERTENSION PATIENTS
title_sort hypervetilation syndrome as a risk factor of diastolic dysfunction among hypertension patients
topic hypertension, hyperventilating syndrome, echocardiography
url https://eumj.med.sumdu.edu.ua/index.php/journal/article/view/159
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AT ipvakalyuk hypervetilationsyndromeasariskfactorofdiastolicdysfunctionamonghypertensionpatients
AT mvmaksymyak hypervetilationsyndromeasariskfactorofdiastolicdysfunctionamonghypertensionpatients
AT osmoroz hypervetilationsyndromeasariskfactorofdiastolicdysfunctionamonghypertensionpatients