ASSESSMENT OF THE LEFT VENTRICULAR STIFFNESS USING SPECKLE-TRACKING ECHOCARDIOGRAPHY IN PATIENTS WITH PRIMARY HYPERTENSION

Vu Thu Ha Pham1, Cong Can Tran2, Tran Duc Hung1,
1 Bệnh viện Quân y 103, Học viện Quân y
2 Học viện Quân y

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Abstract

Objectives: To investigate left ventricular stiffness (LVS) using speckle-tracking  echocardiography  (STE) in  patients  with primary  hypertension. Methods: A cross-sectional descriptive, controlled study was conducted on 134 subjects who were divided into 2 groups: The primary hypertension group (consisting of 103 patients) and the control group (comprising 31 healthy individuals of similar age and gender). All study subjects underwent echocardiography to assess diastolic left ventricular wall strain (DWS) and LVS by tissue Doppler ultrasound (TDI) and STE. Results: DWS and E/LASr/EDV in the hypertensive group were higher than those in the control group. E/e’/EDV between the two groups had no difference. LVS with all 3 calculation methods was positively correlated with age and degree of weakness, but no difference was found between the two sexes. There was no difference in DWS and E/e’/EDV between the hypertensive group ≤ 5 years and > 5 years. E/LASr/EDV in the hypertensive group > 5 years was significantly higher than in the hypertensive group ≤ 5 years. Conclusion: The primary hypertension group had higher DWS and LVS measured by STE than the control group. LVS with all 3 calculation methods was positively correlated with age and level of weakness. LVS measured by E/LASr/LVEDV was associated with the duration of hypertension.

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References

1. Dang HNN, Luong TV and Ho BA. Evaluation of the relationship between left atrial stiffness, left ventricular stiffness, and left atrioventricular coupling index in type 2 diabetes patients: A speckle tracking echocardiography study. Front. C Frontiers. 2024; p. Med. 11:1372181.
2. Wang C, Zhang N, Zhang L. Evaluation of left ventricular stiffness with echocardiography. Echocardiography. 2024; 41(1):e15737.
3. Lang RM, Badano LP, Mor-Avi V, 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):1-39.e14.
4. Nagueh SF, Smiseth OA, Appleton CP, et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography: An update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2016; 29(4): 277-314.
5. Figueiredo Fernanda de Azevedo, Costa Admilson Lemos da, Figueiredo Flávio de Azevedo, et al. Left atrial strain: Clinical applications and prognostic implications. ABC Imagem Cardiovascular. 2024; 37(1).
6. Stefani LD, Trivedi SJ, Ferkh A. Left atrial mechanics evaluated by two-dimensional strain analysis: Alterations in essential hypertension. J Hypertens. 2024; 42(2):274-282.
7. Bertacchini F, Rosei AC. Subclinical HMOD in hypertension: Left ventricular diastolic dysfunction. High Blood Pressure and Cardiovascular Prevention. 2022; 29:585-593.
8. Hussein MF, Asia H, Al-Mashhadani, Samar I Essa. The use of left ventricular myocardial stiffness index as a predictor of myocardial performance in patients with systemic hypertension. International Journal of Medical Phys. 2014; 3(3).