Evaluation of Left Ventricular Functions in Hypertensive Diabetic Patients by Speckle Tracking Imaging and its Correlation with Brain | ||||
| Fayoum University Medical Journal | ||||
| Volume 12, Issue 3, December 2023, Page 79-91 PDF (378.01 K) | ||||
| Document Type: Review Articles | ||||
| DOI: 10.21608/fumj.2023.336862 | ||||
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| Authors | ||||
Eman Abd El Fattah1; Khaled Elkhashab2; Moustafa Ibrahim1; Ola Abdelmaksoud Ghanem  3
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| 1Cardio-vascular department Fayoum university | ||||
| 2Cardio-vasculardepartment Fayoum university | ||||
| 3fayoum university , faculty of medicine , cardiology | ||||
| Abstract | ||||
| The purpose of this study is to analyze diabetic and hypertensive patients who have compromised left ventricular function as determined by speckle-tracking echocardiography. These patients also had higher levels of brain natriuretic peptide (BNP), a hormone that is released by the heart in response to stress. These findings suggest that patients with diabetes and hypertension are at increased risk of developing heart failure. The systemic review included seven studies that met the inclusion criteria of patients with hypertension or diabetic hypertension, and volunteers in the control group who were normotensive, non-diabetic, and free of any cardiovascular disease. However, the quality of the included studies was generally good. This study investigated the correlation between BNP levels and left ventricular function in patients with hypertension and/or diabetes. A total of seven studies were included, with a total of 601 participants. The results revealed that in patients with hypertension and/or diabetes, there was a strong relationship between BNP levels and global systolic strain. This suggests that BNP levels may be a useful biomarker for assessing left ventricular function in these patients. This systematic review found that speckle tracking imaging could be used to detect sub-clinical changes in.LV function in patients with hypertension or diabetes. Speckle tracking imaging detected significant reductions in all patient groups compared to controls in early diastolic strain rate. All patient groups had BNP levels that were substantially greater than those of healthy controls, and BNP levels were associated with LV strain and strain rate measurements. These findings suggest that speckle tracking imaging may be a useful tool for the detection of subclinical heart failure in patients with diabetes and/or hypertension. Further research is needed to confirm the findings of this review. However, to provide accurate evidence on the use of speckle tracking imaging in patients with hypertension and/or diabetes. Future research should use larger sample sizes and more rigorous study methods. | ||||
| Keywords | ||||
| Speckle tracking imaging; Left ventricular; Hypertension; Brain natriuretic peptide | ||||
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