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Right ventricle diastolic function in high-normal and mildly elevated arterial blood pressure

Year 2015, Volume: 1 Issue: 4, 100 - 103, 01.10.2015
https://doi.org/10.5455/umj.20151225044952

Abstract

Introduction: Many studies evaluated left ventricle LV function in mildly increased arterial blood pressure, however right ventricle RV had received scarce attention due to the complex shape and orientation. The aim of this study was to evaluate RV diastolic dysfunction using pulsed and tissue Doppler echocardiography in never-treated patients with blood pressure BP values varying from the optimal to the mild hypertensive range. Materials and Methods: The study group consisted of 57 patients with high-normal and mildly increased arterial BP. Twenty healthy age and sex matched subjects were recruited as controls. Conventional echocardiography was done to study LV dimensions and systolic function. Pulsed Doppler echocardiography was used to measure peak early and late tricuspid diastolic filling velocities. Tissue Doppler imaging was done to determine RV annular velocities. Results: Right ventricle hypertrophy was found in 28% of our patients with newly diagnosed systemic hypertension n=16 . Tricuspid E/A was 1.3 and 0.9 in control and hypertensive groups respectively. Tissue Doppler tricuspid E '/A' was significantly decreased in hypertensive group 0.8 ±0.2 versus1.2 ±0.1 in control, p

References

  • 1. Galderisi M, Petrocelli A, Alfieri A, Garofalo M, de Divitiis O. Impact of ambulatory blood pressure on left ventricular diastolic function. Am J Cardiology 1996, 77: 597–601.
  • 2. Myslinski W, Mosiewicz J, Ryczak E, Barud W, Biłan A, Palusinski R´and Hanzlik J. Right ventricular function in systemic hypertension. J HumHypertension 1998, 12: 149-155.
  • 3. Verdecchia P, Schillaci G, Borgioni C, et al. Prognostic value of left ventricular mass and geometry in systemic hypertension with left ventricular hypertrophy. Am J Cardiology 1996, 78: 197–202.
  • 4. Janicki J. Influence of the pericardium and ventricular interdependence on left ventricular diastolic and systolic function in patients with heart failure. Circulation 1990, 81(suppl III): III-15–III-20.
  • 5. Clyne C, Alpert J, Benotti J. Interdependence of the left and right ventricles in health and disease. Am Heart J 1989, 117: 1366–1373.
  • 6. Cittadini A, Fazio S, Stromer H et al. Optimal determination of right ventricular filling dynamics in systemic hypertension. Am Heart J 1995, 130:1074-1082.
  • 7. Paul A, Suzanne O, Barry L, William C, Cheryl D, Joel H, Daniel T, et al. Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC). JAMA 2014, 311:507-520.
  • 8. Lawrence G, Wyman W, Jonathan A, Lanqi H, Mark D, Krishnaswamy C, Scott D et al. Guidelines for the cardiography Assessment of the right heart in adults. J Am Soc cardiography 2010, 23:685-713.
  • 9. Roberto M, Luigi P, Victor M, Jonathan A, Anderson A, Laura E, Frank A 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. J Am Soc Echocardiogr 2015; 28:1-39.
  • 10. Cicala S, Galderisi M, Caso P, Petrocelli A, D’ Errico A, de Divitiis O et al. Right ventricular diastolic dysfunction in arterial systemic hypertension: analysis by pulsed tissue Doppler. Eur J Echocardiography 2002; 3:135–142.
  • 11. Alfonso S, Francesco P, Gianvincenzo B. The Relationship of waist circumference to blood pressure. AJH 2002,15:780-786.
  • 12. Kamilu M, Hadiza S, Mohammed N. Right ventricular dysfunction in a hypertensive population stratified by patterns of left ventricular geometry. Cardiovascular J Africa 2012; 23: 478–482.
  • 13. Akintunde A, Akinwusi P, Familoni O and Familoni O. Effect of systemic hypertension on right ventricular morphology and function: an echocardiography study.Cardiovasc J Afr. 2010 Oct; 21(5): 252–256.
  • 14. Cuspidi C, Sala C, Muiesan M, et al. Right ventricular hypertrophy in systemic hypertension: an updated review of clinical studies. J Hypertension 2013, 31:858-65.
  • 15. Pedrinelli R, Canale M, Giannini C, Talini E, Penno G, Dell'Omo G, Di Bello V. Right ventricular dysfunction in early systemic hypertension: a tissue Doppler imaging study in patients with high-normal and mildly increased arterial blood pressure. J Hypertension 2010, 28:615-21.
  • 16. Vriz O, Argiento P, D'Alto M, Ferrara F, Vanderpool R, Naeije R, Bossone E. Increased pulmonary vascular resistance in early stage systemic hypertension: a resting and exercise stress echocardiography study. Can J Cardiol 2015; 4:537-43.
  • 17. Nunez B, Amodeo C, Garavaglia G, Schmiedt R, Frohlich E. Biventricular cardiac hypertrophy in essential hypertension. Am Heart J 1987;114:813-818.
  • 18. Todiere G, et al. Right ventricular remodeling in systemic hypertension:a cardiac MRI study. Heart 2011, 97:1257-61.
Year 2015, Volume: 1 Issue: 4, 100 - 103, 01.10.2015
https://doi.org/10.5455/umj.20151225044952

Abstract

References

  • 1. Galderisi M, Petrocelli A, Alfieri A, Garofalo M, de Divitiis O. Impact of ambulatory blood pressure on left ventricular diastolic function. Am J Cardiology 1996, 77: 597–601.
  • 2. Myslinski W, Mosiewicz J, Ryczak E, Barud W, Biłan A, Palusinski R´and Hanzlik J. Right ventricular function in systemic hypertension. J HumHypertension 1998, 12: 149-155.
  • 3. Verdecchia P, Schillaci G, Borgioni C, et al. Prognostic value of left ventricular mass and geometry in systemic hypertension with left ventricular hypertrophy. Am J Cardiology 1996, 78: 197–202.
  • 4. Janicki J. Influence of the pericardium and ventricular interdependence on left ventricular diastolic and systolic function in patients with heart failure. Circulation 1990, 81(suppl III): III-15–III-20.
  • 5. Clyne C, Alpert J, Benotti J. Interdependence of the left and right ventricles in health and disease. Am Heart J 1989, 117: 1366–1373.
  • 6. Cittadini A, Fazio S, Stromer H et al. Optimal determination of right ventricular filling dynamics in systemic hypertension. Am Heart J 1995, 130:1074-1082.
  • 7. Paul A, Suzanne O, Barry L, William C, Cheryl D, Joel H, Daniel T, et al. Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC). JAMA 2014, 311:507-520.
  • 8. Lawrence G, Wyman W, Jonathan A, Lanqi H, Mark D, Krishnaswamy C, Scott D et al. Guidelines for the cardiography Assessment of the right heart in adults. J Am Soc cardiography 2010, 23:685-713.
  • 9. Roberto M, Luigi P, Victor M, Jonathan A, Anderson A, Laura E, Frank A 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. J Am Soc Echocardiogr 2015; 28:1-39.
  • 10. Cicala S, Galderisi M, Caso P, Petrocelli A, D’ Errico A, de Divitiis O et al. Right ventricular diastolic dysfunction in arterial systemic hypertension: analysis by pulsed tissue Doppler. Eur J Echocardiography 2002; 3:135–142.
  • 11. Alfonso S, Francesco P, Gianvincenzo B. The Relationship of waist circumference to blood pressure. AJH 2002,15:780-786.
  • 12. Kamilu M, Hadiza S, Mohammed N. Right ventricular dysfunction in a hypertensive population stratified by patterns of left ventricular geometry. Cardiovascular J Africa 2012; 23: 478–482.
  • 13. Akintunde A, Akinwusi P, Familoni O and Familoni O. Effect of systemic hypertension on right ventricular morphology and function: an echocardiography study.Cardiovasc J Afr. 2010 Oct; 21(5): 252–256.
  • 14. Cuspidi C, Sala C, Muiesan M, et al. Right ventricular hypertrophy in systemic hypertension: an updated review of clinical studies. J Hypertension 2013, 31:858-65.
  • 15. Pedrinelli R, Canale M, Giannini C, Talini E, Penno G, Dell'Omo G, Di Bello V. Right ventricular dysfunction in early systemic hypertension: a tissue Doppler imaging study in patients with high-normal and mildly increased arterial blood pressure. J Hypertension 2010, 28:615-21.
  • 16. Vriz O, Argiento P, D'Alto M, Ferrara F, Vanderpool R, Naeije R, Bossone E. Increased pulmonary vascular resistance in early stage systemic hypertension: a resting and exercise stress echocardiography study. Can J Cardiol 2015; 4:537-43.
  • 17. Nunez B, Amodeo C, Garavaglia G, Schmiedt R, Frohlich E. Biventricular cardiac hypertrophy in essential hypertension. Am Heart J 1987;114:813-818.
  • 18. Todiere G, et al. Right ventricular remodeling in systemic hypertension:a cardiac MRI study. Heart 2011, 97:1257-61.
There are 18 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Noha Hassanin Hanboly This is me

Publication Date October 1, 2015
Published in Issue Year 2015 Volume: 1 Issue: 4

Cite

Vancouver Hanboly NH. Right ventricle diastolic function in high-normal and mildly elevated arterial blood pressure. ULUTAS MED J. 2015;1(4):100-3.