Value of 3D Speckle Tracking Echocardiography in Assessment of Left Ventricular Systolic Dysfunction in Hypertensive Patients | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 13, Volume 76, Issue 6, July 2019, Pages 4325-4331 PDF (512.75 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2019.43987 | ||
| Authors | ||
| Mohy E. Mansour El-Abbady1; Taher Said Abd El-Kareem2; Mohammed Naiem Zidan2 | ||
| 1Cardiology Department, Faculty of Medicine, Al-Azhar University | ||
| 2Cardiology Department, Islamic Cardiac Center, Al-Azhar University | ||
| Abstract | ||
| Background: Hypertension is the most prevalent cardiovascular (CV) disorder, affecting 20–50% of the adult population in developed countries. Objectives: The aim of this study is to test the capability of real-time three-dimensional speckle tracking echocardiography (RT3D STE) in characterizing early abnormalities of left ventricular LV systolic dysfunction in hypertensive patients with normal LV systolic function by standard 2D echocardiography. Subjects & Methods: The study population included 150 consecutive hypertensive patients without complication and another age and sex matches 50 healthy controls. ECG, 2D and 4D echocardiography were performed for all cases. Results: There was evidence of ECG voltage criteria of LVH in about 72% of hypertensive patients which absent in healthy controls. By comparing both group there were no statistically significant difference regarding EF%, AO, ESD, EDD, EDV.ESV, while there were statistically higher significant value in the patients group regarding RWT, LVPWD, IVSD and LV mass with (P<0.001) compared to controls where there were low statistically significant higher value in the patients group regarding LA dimension and volume (P<0.05). Conclusion: 3D strain is an applicable technique; it can detect subtle or substantial changes of LV even with normal ejection fraction. The left ventricular strains (GAS, GLS and GRS) correlate negatively | ||
| Keywords | ||
| Hypertension; left ventricular systolic dysfunction; eCG; Echocardiography | ||
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