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Early diagnosis of diastolic left ventricular dysfunction in patients with primary hypertension based on seismocardiography
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Abstract
Material and methods The study population consisted of 60 persons divided into two groups: A: 30 pts with essential hypertension, 37 ± 6 years with normal systolic and diastolic function; B: 30 healthy volunteers (HV), 34 ± 7 years. All of them had symptom-limited EXT on cycloergometer performed. SCG was done simultaneously with EXT. Workload in Watts, duration of EXT in minutes, HR and BP at rest and effort from EXT as well as CTI - PEP, IVCT, LVET, IVRT, PEP/LVET, MPI = (IVCT+IVRT)/LVET), g value, from SCG were measured.
Results Worse global myocardial performance in the group of hypertension pts in range of higher MPI 0.36 ± 0.11 vs. 0.26 ± 0.1 (p = 0.001) as well as diastolic dysfunction in range of prolongation of IVRT during exercise (56 ± 12 - 60 ± 19 ms) were stated. Longer IVRT (60 ± 18 vs. 38 ± 16) (p < 0.001) and lower g value (87 ± 29 vs. 106 ± 19) (p < 0.01) during exercise in comparison to HV were stated.
Conclusions Worse global myocardial performance in hypertension patients during exercise SCG in comparison with HV were stated. In hypertensive patients diastolic dysfunction during exercise SCG was revealed. Seismocardiography may be useful method for early diagnosis of left ventricular diastolic dysfunction. key words: seismocardiography, primary hypertension, diastolic dysfunction Arterial Hypertension 2007, vol. 11, no 4, pages 304-309.
Abstract
Material and methods The study population consisted of 60 persons divided into two groups: A: 30 pts with essential hypertension, 37 ± 6 years with normal systolic and diastolic function; B: 30 healthy volunteers (HV), 34 ± 7 years. All of them had symptom-limited EXT on cycloergometer performed. SCG was done simultaneously with EXT. Workload in Watts, duration of EXT in minutes, HR and BP at rest and effort from EXT as well as CTI - PEP, IVCT, LVET, IVRT, PEP/LVET, MPI = (IVCT+IVRT)/LVET), g value, from SCG were measured.
Results Worse global myocardial performance in the group of hypertension pts in range of higher MPI 0.36 ± 0.11 vs. 0.26 ± 0.1 (p = 0.001) as well as diastolic dysfunction in range of prolongation of IVRT during exercise (56 ± 12 - 60 ± 19 ms) were stated. Longer IVRT (60 ± 18 vs. 38 ± 16) (p < 0.001) and lower g value (87 ± 29 vs. 106 ± 19) (p < 0.01) during exercise in comparison to HV were stated.
Conclusions Worse global myocardial performance in hypertension patients during exercise SCG in comparison with HV were stated. In hypertensive patients diastolic dysfunction during exercise SCG was revealed. Seismocardiography may be useful method for early diagnosis of left ventricular diastolic dysfunction. key words: seismocardiography, primary hypertension, diastolic dysfunction Arterial Hypertension 2007, vol. 11, no 4, pages 304-309.
Keywords
seismocardiography; primary hypertension; diastolic dysfunction
Title
Early diagnosis of diastolic left ventricular dysfunction in patients with primary hypertension based on seismocardiography
Journal
Issue
Article type
Original paper
Pages
304-309
Published online
2007-09-07
Page views
542
Article views/downloads
2566
Bibliographic record
Nadciśnienie tętnicze 2007;11(4):304-309.
Keywords
seismocardiography
primary hypertension
diastolic dysfunction
Authors
Iwona Korzeniowska-Kubacka
Elżbieta Florczak
Anna Klisiewicz
Ryszard Piotrowicz
Andrzej Januszewicz
Piotr Hoffman