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01.12.2012 | Research | Ausgabe 1/2012 Open Access

Cardiovascular Ultrasound 1/2012

Mitral annular systolic velocity as a marker of preclinical systolic dysfunction among patients with arterial hypertension

Zeitschrift:
Cardiovascular Ultrasound > Ausgabe 1/2012
Autoren:
Ivaylo Rilkov Daskalov, Plamen Dimitrov Petrovsky, Lilia Davidkova Demirevska
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1476-7120-10-46) contains supplementary material, which is available to authorized users.

Competing interest

The authors declare that they have no competing interests

Authors’ contributions

ID, PP, and LD planned the study, investigated all patients, performed measurements and analyzed the data. ID and LD performed statistical analysis and wrote the manuscript. ID and PP made critical review of the paper. All authors read and approved the final manuscript.

Abstract

Background

The aim of this study was to investigate early changes in left ventricular longitudinal systolic function in patients with hypertension (HTN) with and without concomitant diastolic dysfunction (DD) and the clinical implications of these findings.

Method

We enrolled 299 patients with HTN and 297 age-matched patients with HTN and DD and compared both groups with an age-matched control group consisting of 100 healthy subjects. The long axis systolic function was investigated by determining the average peak systolic velocity of the septal and lateral mitral sites (Smavg) using spectral pulsed wave tissue Doppler imaging (TDI).

Results

We found a strong negative trend toward the reduction of velocity, which is dependent on the grade of HTN, on the magnitude of DD, and also on the gender and age of the subjects (r=−0.891/-0.580; p<0.0001). The data showed that the beginning and evolution of HTN are related to a slight but significant reduction in the long axis systolic function (10.2-10.0 cm/s; p<0.0001), and DD worsens this initial finding (9.8-8.8 cm/s; p<0.0001).

Conclusion

The strength of the study is the analysis of incremental changes in longitudinal contraction in patients with different stage of HTN but not so many the classification of the degree of systolic dysfunction. The importance of our results lies in the fact that these initial changes in systolic contraction could be used as an early sign that should prompt optimization of the treatment of HTN.
Zusatzmaterial
Authors’ original file for figure 1
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Authors’ original file for figure 2
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Authors’ original file for figure 3
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Authors’ original file for figure 4
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Literatur
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