Detection of the Early Cardiac changes of hypertension by Echocardiography

Background: Hypertension causes changes on the cardiac performance, and this effect is more profound on the LV where systolic high pressure is present. Patients and Methods: We studied 30 patients (14 females and 16 males of average age of 54.8±13.5) with hypertension and 20 normal individuals, the...

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Main Authors: Muataz F. Hussein, Ramaq G. Wahbi Al-Kadi, Anmar S. Zaki
Format: Article
Language:English
Published: College of Medicine University of Baghdad 2009-07-01
Series:مجلة كلية الطب
Subjects:
Online Access:http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1138
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author Muataz F. Hussein
Ramaq G. Wahbi Al-Kadi
Anmar S. Zaki
author_facet Muataz F. Hussein
Ramaq G. Wahbi Al-Kadi
Anmar S. Zaki
author_sort Muataz F. Hussein
collection DOAJ
description Background: Hypertension causes changes on the cardiac performance, and this effect is more profound on the LV where systolic high pressure is present. Patients and Methods: We studied 30 patients (14 females and 16 males of average age of 54.8±13.5) with hypertension and 20 normal individuals, the control group (age range 45.6±17.8, 11 females and 9 males). Measurements of early filling velocity E, late filling velocity A at atrial contraction and ejection fraction were taken, also isovolumetric relaxation, and contraction times and ejection times were taken. MPI myocardial performance index was calculated. Results: Results shows a significant increase in the isovolumetric relaxation time IRT (30%),were IRT for the patients group was(105.4±20.8)compared to(73±6.86) for the normal group. The late velocity A (42%), were A for the patients group was (89.28±18) compared to (51.1±18) for the normal group. Ejection time ET (26%), were ET (438.2±88) for the patients group compared to (324±34) for the normal group. And the ratio A/E (41%), were A/E for patients group (1.33) compared to (0.78) for the normal group. While no significant change was observed on ejection fraction (EF %), isovolumetric contraction time (ICT), early velocity E, and myocardial performance index (MPI). Conclusion: Diastolic function impairment was found to occur earlier than systolic function impairment in hypertensive patients.
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spelling doaj.art-c11a18d1ecd54ea480ccefcee887f4102024-02-02T13:11:18ZengCollege of Medicine University of Baghdadمجلة كلية الطب0041-94192410-80572009-07-0151210.32007/1138%g123-126Detection of the Early Cardiac changes of hypertension by EchocardiographyMuataz F. Hussein0Ramaq G. Wahbi Al-Kadi1Anmar S. Zaki2Dep. of Medicine, College of Medicine/Baghdad University*Dep. of Physiology, College of Medicine/Baghdad UniversityDep.of Physiology, College of Medicine/Baghdad UniversityBackground: Hypertension causes changes on the cardiac performance, and this effect is more profound on the LV where systolic high pressure is present. Patients and Methods: We studied 30 patients (14 females and 16 males of average age of 54.8±13.5) with hypertension and 20 normal individuals, the control group (age range 45.6±17.8, 11 females and 9 males). Measurements of early filling velocity E, late filling velocity A at atrial contraction and ejection fraction were taken, also isovolumetric relaxation, and contraction times and ejection times were taken. MPI myocardial performance index was calculated. Results: Results shows a significant increase in the isovolumetric relaxation time IRT (30%),were IRT for the patients group was(105.4±20.8)compared to(73±6.86) for the normal group. The late velocity A (42%), were A for the patients group was (89.28±18) compared to (51.1±18) for the normal group. Ejection time ET (26%), were ET (438.2±88) for the patients group compared to (324±34) for the normal group. And the ratio A/E (41%), were A/E for patients group (1.33) compared to (0.78) for the normal group. While no significant change was observed on ejection fraction (EF %), isovolumetric contraction time (ICT), early velocity E, and myocardial performance index (MPI). Conclusion: Diastolic function impairment was found to occur earlier than systolic function impairment in hypertensive patients.http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1138Hypertension, Echocardiography, Myocardial performance index (MPI).
spellingShingle Muataz F. Hussein
Ramaq G. Wahbi Al-Kadi
Anmar S. Zaki
Detection of the Early Cardiac changes of hypertension by Echocardiography
مجلة كلية الطب
Hypertension, Echocardiography, Myocardial performance index (MPI).
title Detection of the Early Cardiac changes of hypertension by Echocardiography
title_full Detection of the Early Cardiac changes of hypertension by Echocardiography
title_fullStr Detection of the Early Cardiac changes of hypertension by Echocardiography
title_full_unstemmed Detection of the Early Cardiac changes of hypertension by Echocardiography
title_short Detection of the Early Cardiac changes of hypertension by Echocardiography
title_sort detection of the early cardiac changes of hypertension by echocardiography
topic Hypertension, Echocardiography, Myocardial performance index (MPI).
url http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1138
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