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Assessment of left ventricular long-axis systolic function in patients with essential hypertension using real-time triplane quantitative tissue velocity imaging |
SU Xiao-ting, WANG Zhi-bin, NIE Jing, LI Yan, LIU Zhi-jun |
Cardiac Ultrasound, Qingdao University Medical College Hospital, Qingdao Shandong 266003, China |
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Abstract Objective: To evaluate the alteration of left ventricular long-axis systolic function during left ventricular geometric remodeling in essential hypertension(EH) using real-time triplane quantitative tissue velocity imaging and to investigate its clinical significance. Methods: Totally 101 patients with EH and 31 healthy volunteers were enrolled. Systolic peak velocity(Vs) was measured at basal and middle segments in different left ventricular walls using real-time triplane quantitative tissue velocity imaging. Results: Based on Ganau, patients with EH were divided into 4 groups: normal geometry(32 cases), concentric remodeling(22 cases), concentric hypertrophy(28 cases) and eccentric hypertrophy(19 cases). Vs in each hypertensive groups were significantly lower than in control groups(P<0.05, 0.01). There was a significantly step-down change among normal geometry, concentric remodeling, concentric hypertrophy and eccentric hypertrophy groups in Vs(P<0.05, 0.01). Conclusions: Real-time triplane quantitative tissue velocity imaging can assess left ventricular long-axis systolic function correctly in patients with EH and its alteration during left ventricular geometric remodeling.
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Received: 15 July 2008
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