Assessment of Left Ventricular Longitudinal Function in Hypertensive Patients with Left Ventricular Hypertrophy by MAPSE | ||
Iraqi Postgraduate Medical Journal | ||
Article 13, Volume 19, Issue 3, September 2020, Pages 260-265 PDF (208.14 K) | ||
Authors | ||
Samara Mohammad Khider* ; Ghalib Al-Shareefi | ||
College of Medicine/ Al-Mustansiriyah University, Baghdad, Iraq | ||
Abstract | ||
BACKGROUND: Hypertension is an important risk factor for many cardiovascular diseases worldwide. The use of MАPSE in thе assessmеnt of LV systolic dysfunction is helpful especially in cases of poor imaging quality, since good imaging quality is needed for the modern echocardiographic techniques. OBJECTIVE: Detection of early subclinical LV systolic dysfunction in hypertensive patіents with left ventricular hypertrophy (LVH) with preservеd ejectiоn fraction by MAPSE. PATIENTS AND METHODS: A comparative case-control study which took place at Al-Yаrmouk Tеaching Hospitаl in Baghdad/Iraq from October 2018 to October 2019.The study population consisted of 60 hypertensive patients with left ventriculаr hypertrophy (LVН) and 60 healthy subjects enrolled as controls. RESULTS: There was a high significant reduction in mean MAPSE for hypertensive patients with LVH compared with controls (Р value = 0.0001). There was a significant reduction in mean S’ for hypertensive patients with LVH when compared with mean S’ for controls (P = 0.0001). There was a positive linear correlations between MAPSE and S’ for hypertensive patients with LVH ( r = 0.572, P = 0.001). CONCLUSION: MAPSE can be used on daily practice for assessment of subclinical LV systolic function in hypertensive patients with left ventricular hypertrophy and select them for preventive trеatment. | ||
Keywords | ||
Left ventricular hypertrophy; Mitral annular plane systolic excursion; Hypertension | ||
References | ||
REFERENCES: 1. Edvardsen T, Helle-Valle T, Smiseth OA. Systolic dysfunction in heart failure with normal ejection fraction: speckle-tracking echocardiography. Prog Cardiovasc Dis. 2006;49(3):207–14.
2. Ballo P, Quatrini I, Giacomin E, Motto A, Mondillo S. Circumferential versus longitudinal systolic function in patients with hypertension: a nonlinear relation. J Am Soc Echocardiogr. 2007;20(3):298–306.
3. Cikes M, Sutherland GR, Anderson LJ, Bijnens BH. The role of echocardiographic deformation imaging in hypertrophic myopathies. Nat Rev Cardiol. 2010;7(7):384.
4. Lang RM, Badano LP, Mor-Avi V, Afilalo J, Armstrong A, Ernande L, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: An update from the American society of echocardiography and the European association of cardiovascular imaging. Eur Heart J Cardiovasc Imaging. 2015;
5. Parikh JD, Hollingsworth KG, Wallace D, Blamire AM, MacGowan GA. Left ventricular functional, structural and energetic effects of normal aging: Comparison with hypertension. PLoS One. 2017;
6. Ayoub AM, Keddeas VW, Ali YA, El Okl RA. Subclinical LV dysfunction detection using speckle tracking echocardiography in hypertensive patients with preserved LV ejection fraction. Clin Med Insights Cardiol. 2016;
7. Natori S, Lai S, Finn JP, Gomes AS, Hundley WG, Jerosch-Herold M, et al. Cardiovascular function in multi-ethnic study of atherosclerosis: normal values by age, sex, and ethnicity. Am J Roentgenol. 2006;186(6_supplement_2):S357–65.
8. Cuspidi C, Sala C, Negri F, Mancia G, Morganti A, Hypertension on behalf of the IS of. Prevalence of left-ventricular hypertrophy in hypertension: an updated review of echocardiographic studies. J Hum Hypertens [Internet]. 2012;26(6):343–9. Available from: https://doi.org/10.1038/jhh.2011.104
9. Narayanan A, Aurigemma GP, Chinali M, Hill JC, Meyer TE, Tighe DA. Cardiac mechanics in mild hypertensive heart disease: a speckle-strain imaging study. Circ Cardiovasc Imaging. 2009;2(5):382–90.
10. Qureshi AE, Ullah N, Chaudhary FA. MITRAL ANNULAR PLANE SYSTOLIC EXCURSION (MAPSE). Prof Med J. 2018;25(11):1622–6.
11. Willenheimer R, Cline C, Erhardt L, Israelsson B. Left ventricular atrioventricular plane displacement: an echocardiographic technique for rapid assessment of prognosis in heart failure. Heart. 1997;78(3):230–6.
12. Elnoamany MF, Abdelhameed AK. Mitral annular motion as a surrogate for left ventricular function: correlation with brain natriuretic peptide levels. Eur J Echocardiogr. 2006;7(3):187–98.
13. Mogelvang R, Sogaard P, Pedersen SA, Olsen NT, Schnohr P, Jensen JS. Tissue Doppler echocardiography in persons with hypertension, diabetes, or ischaemic heart disease: the Copenhagen City Heart Study. Eur Heart J. 2009;30(6):731–9.
14. Khorshid H, Wadeea B, Sabry E. Correlation of mitral annular plane systolic excursion (MAPSE) and tissue Doppler peak systolic velocity with left ventricular systolic function. J Cardiol Curr Res. 2017;10(1):349.
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