Impact of Arterial Hypertension on Left Atrial Size and Function
Joint Authors
Ikejder, Youssef
Sebbani, Majda
Hendy, Iliass
Khramz, Mounia
Khatouri, Ali
Bendriss, Laila
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-09-15
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
An increase in left atrial (LA) size in patients with arterial hypertension (AHT) has long been known to be associated with worse cardiovascular morbidity and mortality contributes to various complications, including atrial arrhythmias, stroke, and heart failure.
The aim of our study was to evaluate the impact of arterial hypertension (AHT) on the LA size and function.
This cross-sectional investigation included one hundred patients with essential hypertension without valvular or structural heart disease and atrial fibrillation.
All recruits had a transthoracic echocardiography.
LA volumes were measured by area-length method in transthoracic echocardiography at different cardiac cycle times.
The indices of LA function were calculated: the reservoir function (total emptying fraction, total emptying volume, and expansion index), the conduit function (passive emptying fraction and passive emptying volume), and the pump function (active emptying fraction and active emptying volume).
For all statistical tests, a p value ≤0.05 (represents the degree of significance) is considered statistically significant.
In univariate analysis, LA was dilated in 9% of patients.
The LA reservoir function and the pump function were increased, respectively, in 85% and 82% of patients.
LA conduit function was impaired in 80% of patients.
In bivariate analysis, the most powerful factors for this repercussion were diabetes (LA volume MAX dilated in nondiabetic patients (p=0.037)), obesity (the reservoir function was impaired in obese patients (p=0.015)), and antihypertensive drugs (the reservoir function was impaired in patients who take beta blockers (p=0.023); the LA pump function was significantly impaired in patients treated with calcium antagonists (p=0.012)).
This study proved the impact of AHT on the LA size and function.
Further investigations are necessary to evaluate the potential predictive value of LA remodeling in hypertensive patients like speckle tracking imaging.
American Psychological Association (APA)
Ikejder, Youssef& Sebbani, Majda& Hendy, Iliass& Khramz, Mounia& Khatouri, Ali& Bendriss, Laila. 2020. Impact of Arterial Hypertension on Left Atrial Size and Function. BioMed Research International،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1132611
Modern Language Association (MLA)
Ikejder, Youssef…[et al.]. Impact of Arterial Hypertension on Left Atrial Size and Function. BioMed Research International No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1132611
American Medical Association (AMA)
Ikejder, Youssef& Sebbani, Majda& Hendy, Iliass& Khramz, Mounia& Khatouri, Ali& Bendriss, Laila. Impact of Arterial Hypertension on Left Atrial Size and Function. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1132611
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1132611