P1007Aortic root diameters and aortic regurgitation in hypertensive patients and normal subjectsP1008Ultrasonic assessment of backscatter signal intensity of the right ventricle in patients with arterial hypertension as a method of measuring alterations of myocardiumP1009Speckle strain echocardiography for the evaluation of left ventricular dyssynchrony in patients with severe lung diseases and pulmonary hypertensionP1010Impaired left ventricular ejection fraction in a cohort of systemic …
2016; Oxford University Press; Volume: 17; Issue: suppl 2 Linguagem: Inglês
10.1093/ehjci/jew260.002
ISSN2047-2412
AutoresOlga Vriz, С. Н. Иванов, Mariola Szulik, SI. Llerena Butron, Giovanni Cioffi, H Bruin De- Bon, Pablo Merás Colunga, Massimiliano Cantinotti, Beata Zaborska, Georgios Chalikias, JW Son, Yasuhiro Wada, Concetta Di Nora, Quirino Ciampi, YT. Topilsky, MT. Petrovic, Charlotte B. Ingul, HR. Tsai, Mika Bando, Gabriel Perea, H-L Cheng, Robert Schueler, Monica Roşca, Giovanni Di Salvo, Matteo Cameli, NB. Bertn, Gabriele Brosolo, Eduardo Bossone, В. В. Матвеев, L N Kuznetsova, И. А. Дмитриева, Jacek Nowak, Wiktor Skowron, Jan Kłyś, Monika Kozieł, Witold Streb, Piotr Rozentryt, Sławomir Żegleń, Zbigniew Kalarus, Tomasz Kukulski, CP Denton, JG Coghlan, BE Schreiber, Ombretta Viapiana, Federica Ognibeni, Andrea Dalbeni, Alessandro Giollo, Davide Gatti, Luca Idolazzi, Antonio Cherubini, Carmine Mazzone, Giorgio Faganello, Andrea Di Lenarda, Maurizio Rossini, HT Jorstad, S. Matthijs Boekholdt, NM. Panhuyzen-Goedkoop, Berto J. Bouma, Rjg Peters, Susana Diaz, N. Montoro Lopez, Óscar González Fernández, Verónica Rial Bastón, SC. Valbuena Lopez, Elena Refoyo Salicio, Mar Moreno Yangüela, M. De La Calle, JL. Bartha Rasero, Regina Dalmau González-Gallarza, JL. Lopez Sendon, Gabriela Guzmán, Lamia Ait-Alì, EF. Franchi, Marco Scalese, Luna Gargani, Ewa Makowska, Ewa Pilichowska‐Paszkiet, Małgorzata Sikora-Frąc, Aleksandra Czepiel, Maciej Świątkowski, Piotr Kułakowski, Antonis Samaras, Petros Kikas, Adina Thomaidis, I. Drosos, Dimitrios Tziakas, HJ. Kim, BJ. Kim, KW. Choi, JH Nam, JH Lee, Chi‐Hang Lee, W. Kim, James Park, Shin Dg, YJ Kim, JH Choi, Alan Fujii, Toru Ariyoshi, Shinichi Okuda, Ayumi Omuro, Masahiro Hisaoka, Tomoko NAO, Tomohiro Yamasaki, Nobuko Tanaka, Mitsuhiro Yano, Silvia Poli, Olga Vriz, Lina Sparacino, Concetta Zito, Scipione Carerj, Daniela Pavan, Francesco Antonini‐Canterin, Marco Paterni, Bruno Villari, E. Picano, ZR. Rozenbaum, KS. Khoury, G Keren, Vojislav Giga, Jelena Stepanović, N Boskovic, Danijela Trifunović, S Aleksandric, Ivana Nedeljković, Milorad Tešić, Milan Dobrić, Ivana Rakočević, Branko Beleslin, Ana Djordjevic‐Dikic, AS. Timilsina, SM. Hollekim-Strand, Liu Yw, WC. Tsai, K. Nishigami, Yasuhiro Horibata, K Nakao, Tohru Sakamoto, M. Lombardero, Ruth Henquin, MC. Corneli, C Oeztuerk, Marcel Weber, Armin Welz, Natalie S. Werner, Georg Nickenig, Christoph Hammerstingl, Leonard Mandeş, Andreea Călin, CC. Beladan, Roxana Enache, A. Mateescu, C. Calin, Ruxandra Jurcuţ, Carmen Ginghină, BA. Popescu, Nisreen Muhanna, Ghassan Siblini, Ziad Bulbul, Ziad F. Issa, Anas Abu Hazeem, Bahaa M. Fadel, Valeria Pergola, Zohair Al Halees, Majid Al Fayyadh, GE Mandoli, FM. Righini, C. Albizzi, Erminio Capitani, Carlos Alberto Pastore, Flavio D’Ascenzi, Marta Focardi, Sergio Mondillo,
Tópico(s)Cardiovascular Effects of Exercise
Resumo: The association between aortic root diameters and aortic regurgitation in hypertension (HT) is disputed with lack of understanding of the underline mehanisms lT. We investigate the relationship between aortic root diameters and aortic regurgitation in newly diagnosed and never treated hypertensive patients and in a group healthy subjects.Participants were 175 hypertensives (42 F and 133 M) and 305 normotensives (134 F, 168 M) age matched (mean age 52.4±13 vs 52.6 ±15.2 years). Antropometric, office blood pressure (BP) measurements, a comprehensive echocardiography and local carotid stiffness study were performed. Aortic measures for annulus, sinuses of Valsalva, sinotubular junction and ascending aorta were taken in late diastole according to the leading edge method. The sinotubular junction/annulus ratio was calculated.Hypertensive patients had significantly higher body surface area (BSA), systolic (SBP) and diastolic pressure (DBP), mean arterial pressure (MAP) and pulse?pressure (PP) (p<0.0001) than normotensives. Annulus and sinotubular junction diameters, indexed by BSA and after adjustment for gender, MAP, heart rate?(HR), were significantly higher in normotensives than hypertensives. Considering subjects with aortic regurgitation (trivial or mild) we found a higher prevalence in?hypertensives (25.7 % vs 10.2%, p<0.0001). Moreover in hypertensives we found no difference in aortic diameters between patients with or without aortic regurgitation?but ascending aorta /BSA (p=0.002) whereas in healthy subjects aortic regurgitation was associated with larger aortic root diameters included sinotubular junction/annulus ratio (table 1). In the logistic regression analysis, aortic regurgitation was associated with age, gender, BP parameters, one point carotid stiffness parameters.Hypertensive patients had smaller indexed aortic root dimensions than normal subjects but they had heigher prevalence of trivial-mild aortic regurgitation in contrast to normotensives who had aortic regurgitation combined with larger aortic diameters.
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