Vol 8, No 6 (2004)
Editorial
Published online: 2004-12-14
Assessment of diastolic function in arterial hypertension - the role of echocardiography
Danuta Czarnecka, Agnieszka Kwiecień-Sobstel
Nadciśnienie tętnicze 2004;8(6):367-373.
Vol 8, No 6 (2004)
Artykuły redakcyjne
Published online: 2004-12-14
Abstract
Diastolic dysfunction is a common pattern found in about 30–50% of patients with arterial hypertension and precedes morphological changes (left ventricular hypertrophy, cardiac
enlargement). It is caused by left ventricular hypertrophy, ischemia and dysfunction of microcirculation, neurohormonal activation, systolic and diastolic desynchrony, and hemodynamic factors connected with increased
preload and afterload. There are 3 stages of diastolic dysfunction
differentiated on the basis of mitral diastolic flow pattern: prolonged relaxation, pseudonormalisation and
restriction. Apart from the classical parameters there are new, especially helpful in differentiation of pseudonormal pattern i.e. tissue Doppler echocardiographic parameters,
mitral inflow propagation, Tei index. Diastolic function should be always assessed in patients with hypertension
providing additional diagnostic, therapeutic and prognostic information.
Abstract
Diastolic dysfunction is a common pattern found in about 30–50% of patients with arterial hypertension and precedes morphological changes (left ventricular hypertrophy, cardiac
enlargement). It is caused by left ventricular hypertrophy, ischemia and dysfunction of microcirculation, neurohormonal activation, systolic and diastolic desynchrony, and hemodynamic factors connected with increased
preload and afterload. There are 3 stages of diastolic dysfunction
differentiated on the basis of mitral diastolic flow pattern: prolonged relaxation, pseudonormalisation and
restriction. Apart from the classical parameters there are new, especially helpful in differentiation of pseudonormal pattern i.e. tissue Doppler echocardiographic parameters,
mitral inflow propagation, Tei index. Diastolic function should be always assessed in patients with hypertension
providing additional diagnostic, therapeutic and prognostic information.
Keywords
arterial hypertension; echocardiography; diastolic function; tissue doppler echocardiography
Title
Assessment of diastolic function in arterial hypertension - the role of echocardiography
Journal
Arterial Hypertension
Issue
Vol 8, No 6 (2004)
Article type
Editorial
Pages
367-373
Published online
2004-12-14
Page views
709
Article views/downloads
7768
Bibliographic record
Nadciśnienie tętnicze 2004;8(6):367-373.
Keywords
arterial hypertension
echocardiography
diastolic function
tissue doppler echocardiography
Authors
Danuta Czarnecka
Agnieszka Kwiecień-Sobstel