El-Abbady, M., Abd El-Kareem, T., Zidan, M. (2019). Value of 3D Speckle Tracking Echocardiography in Assessment of Left Ventricular Systolic Dysfunction in Hypertensive Patients. The Egyptian Journal of Hospital Medicine, 76(6), 4325-4331. doi: 10.21608/ejhm.2019.43987
Mohy E. Mansour El-Abbady; Taher Said Abd El-Kareem; Mohammed Naiem Zidan. "Value of 3D Speckle Tracking Echocardiography in Assessment of Left Ventricular Systolic Dysfunction in Hypertensive Patients". The Egyptian Journal of Hospital Medicine, 76, 6, 2019, 4325-4331. doi: 10.21608/ejhm.2019.43987
El-Abbady, M., Abd El-Kareem, T., Zidan, M. (2019). 'Value of 3D Speckle Tracking Echocardiography in Assessment of Left Ventricular Systolic Dysfunction in Hypertensive Patients', The Egyptian Journal of Hospital Medicine, 76(6), pp. 4325-4331. doi: 10.21608/ejhm.2019.43987
El-Abbady, M., Abd El-Kareem, T., Zidan, M. Value of 3D Speckle Tracking Echocardiography in Assessment of Left Ventricular Systolic Dysfunction in Hypertensive Patients. The Egyptian Journal of Hospital Medicine, 2019; 76(6): 4325-4331. doi: 10.21608/ejhm.2019.43987
Value of 3D Speckle Tracking Echocardiography in Assessment of Left Ventricular Systolic Dysfunction in Hypertensive Patients
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
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