Doppler echocardiographic evaluation of the spectrum of left ventricular diastolic dysfunction in essential hypertension

摘要: Left ventricular topography and diastolic systolic functions were studied in 41 patients with essential hypertension (group 1) 33 age-matched normal adults 2) by Doppler echocardiography. In group 1 54% had LV concentric hypertrophy, 19% combined hypertrophy eccentric remodeling, 27% remodeling. function was within the range. EDV significantly decreased (compared (84 ± 15 vs 130 38 ml, p < 0.05), whereas NPFR (2.89 0.65 3.22 0.83 sec−1, = NS). end-diastolic end-systolic volumes normal, but (2.04 0.59 sec−1). Patients remodeling largest (140 48 ml) (62 32 lowest (1.67 0.69 The LVMI inversely correlated (r −0.89, 0.0001). Thus or without is seen systemic hypertension. A decrease peak filling occurs early evolution of hypertensive heart disease observed even when performance still normal.