Abstract:
A total of 30, consecutive, hypertensive patients, equally divided between the two sexes, were evaluated by M mode & 2-D echocardiography. They were divided into four groups; Group A - Left ventricular (L. V. ) mass d g/m`. Group B - LV mass = 101 - 125 g/m2. Group C - LV mass = 126 - 150 g/m2. Group D - LV mass 150 g/m2. All patients (n = 7) in group A had normal LV systolic function as determined by E-point-to-septaF separation (E. P. S. S. ), Ejection Fraction (E. F. ) & Fractional Shortening (F. S. ) excepting one patient with a minimally increased E. P. S. S. Of 11 patients in group B, eight (72. 5%) showed increased E. P. S. S. whereas only one of these eight patients has reduction in E. F. & F. S. as well. The other three patients had normal E. P. S. S., E. F., & F. S. Group C consisted of six patients. All (100%) of these had increased E. P. S. S. but normal E. F. & F. S. Group D also had six patients. Of these four (66%) had prolonged E. P. S. S. whereas three of these four patients had reduced E. F. or F. S. as well. The other two patients had normal E. P. S. S. & F. S. In conclusion, this study suggests a direct correlation of increasing LV mans with progressive LV systolic dysfunction in hypertensive patients. Also, increased E. P. S. S. appears as the first abnormality of LV systolic function before reduction in E. F. or F. S.
Page(s):
30-35
DOI:
DOI not available
Published:
Journal: Pakistan Heart Journal, Volume: 26, Issue: 3--4, Year: 1993