Does Blood Pressure Control Have an Impact on Right Ventricular Systolic Function Assessed by 2-D Speckle Tracking Echocardiography?
Youssuf, A., El-Dosh, H., Behary, M., Azab, K., Seddik, E. (2024). Does Blood Pressure Control Have an Impact on Right Ventricular Systolic Function Assessed by 2-D Speckle Tracking Echocardiography?. EKB Journal Management System, 30(5), 1870-1878. doi: 10.21608/zumj.2024.296120.3436
Alaa Ramadan Youssuf; Hesham Mohamed El-Dosh; Mohamed Hany Behary; kareem Azab; Eman H Seddik. "Does Blood Pressure Control Have an Impact on Right Ventricular Systolic Function Assessed by 2-D Speckle Tracking Echocardiography?". EKB Journal Management System, 30, 5, 2024, 1870-1878. doi: 10.21608/zumj.2024.296120.3436
Youssuf, A., El-Dosh, H., Behary, M., Azab, K., Seddik, E. (2024). 'Does Blood Pressure Control Have an Impact on Right Ventricular Systolic Function Assessed by 2-D Speckle Tracking Echocardiography?', EKB Journal Management System, 30(5), pp. 1870-1878. doi: 10.21608/zumj.2024.296120.3436
Youssuf, A., El-Dosh, H., Behary, M., Azab, K., Seddik, E. Does Blood Pressure Control Have an Impact on Right Ventricular Systolic Function Assessed by 2-D Speckle Tracking Echocardiography?. EKB Journal Management System, 2024; 30(5): 1870-1878. doi: 10.21608/zumj.2024.296120.3436

Does Blood Pressure Control Have an Impact on Right Ventricular Systolic Function Assessed by 2-D Speckle Tracking Echocardiography?

Zagazig University Medical Journal
Volume 30, Issue 5, August 2024, Page 1870-1878  XML PDF (1.05 MB)
Document Type: Original Article
DOI: 10.21608/zumj.2024.296120.3436
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Authors
Alaa Ramadan Youssuf1; Hesham Mohamed El-Dosh1; Mohamed Hany Behary2; kareem Azab3; Eman H Seddik email 4
1Cardiology Department, Al-Ahrar Teaching Hospital, Egypt
2Cardiology Department, Al-Ahrar Teaching Hospital, Egypt.
3Cardiology Department, National Heart Institute (NHI), Egypt
4Cardiology Department, Zagazig University Hospital, Egypt.
Abstract
Abstract:

The main cardiovascular risk factor related to higher likelihood of heart failure is hypertension (HTN). There are plenty of researches on the pathological effects of HTN on the morphology and structure of the left ventricle (LV), but research investigating right ventricle (RV) mechanics in patients with hypertension have just recently emerged. So we aimed to assess whether blood pressure controlled or not had an impact on the systolic function of the RV.



Methods: One hundred seventy two participants were assessed by 2D echocardiography for LV function m-mode, right ventricle RV including tissue doppler imaging(TDI) to evaluate RV myocardial performance index (MPI), RV s wave, tricuspid annular plane systolic excursion(TAPSE). Speckle tracking study was done for global longitudinal strain (GLS) of LV RV, and free wall strain.

Results: Total of 172 participants were divided into, 86 were hypertensive in group I and 86 were normotensive in group II. TAPSE, MPI, RV s wave, PASP, LV-GLS, GLS of RV, and free wall strain were lower in group I. Subgroup analysis showed lower RVGLS in uncontrolled hypertensive patients.

Conclusion: Uncontrolled hypertensive patients had lower RV-GLS in comparison to controlled hypertensive patients. The predictors of impaired RV GLS in uncontrolled BP patients were BMI, RV MPI, and LVGLS
Keywords
Speckle tracking echocardiography; Hypertension; Right Ventricular Systolic Function
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