Early Left Atrial Mechanics and Volume Abnormalities in Subjects with Prehypertension: A Real Time Three-Dimensional Echocardiography Study.

The aim of this study was to evaluate left atrial ( LA) volume and mechanical functions by real time three-dimensional echocardiography ( RT3 DE) in prehypertensive subjects. The study included 54 (34 male and 20 female) prehypertensive subjects and 36 (14 male and 22 female) healthy control subject...

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Published in:Echocardiography Vol. 29; no. 10; pp. 1211 - 1218
Main Authors: Aktürk, Erdal, Ermis, Necip, Yağmur, Jülide, Acikgoz, Nusret, Kurtoğlu, Ertuğrul, Cansel, Mehmet, Eyüpkoca, Ferhat, Pekdemir, Hasan, Özdemir, Ramazan
Format: diagnostic images research tables/charts Journal Article
Published: Wiley-Blackwell Nov2012
Online Access:View this record in EBSCOhost
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      dt: Nov2012
      vid: 29
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/j.1540-8175.2012.01795.x
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        atl: Early Left Atrial Mechanics and Volume Abnormalities in Subjects with Prehypertension: A Real Time Three-Dimensional Echocardiography Study.
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        au:
          Aktürk, Erdal
          Ermis, Necip
          Yağmur, Jülide
          Acikgoz, Nusret
          Kurtoğlu, Ertuğrul
          Cansel, Mehmet
          Eyüpkoca, Ferhat
          Pekdemir, Hasan
          Özdemir, Ramazan
        affil: Department of Cardiology, Faculty of Medicine, Adıyaman University
      sug:
        subj:
          Echocardiography, Three-Dimensional
          Heart Atrium, Left Ultrasonography
          Hypertension
          Heart Atrium, Left Pathology
          Descriptive Statistics
          Human
          Male
          Female
          Hemodynamics
          Blood Pressure Determination
          Data Analysis Software
          Chi Square Test
          T-Tests
          Mann-Whitney U Test
          Adult
          Middle Age
          Cross Sectional Studies
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: The aim of this study was to evaluate left atrial ( LA) volume and mechanical functions by real time three-dimensional echocardiography ( RT3 DE) in prehypertensive subjects. The study included 54 (34 male and 20 female) prehypertensive subjects and 36 (14 male and 22 female) healthy control subjects. Transthoracic echocardiography and RT3 DE were performed in all patients. Interventricular septum thickness and isovolumetric relaxation time were significantly higher in prehypertensives than in controls (10.7 ± 0.7 vs. 10.1 ± 0.8 P = 0.001 and 89.9 ± 10 vs. 82.4 ± 11 P = 0.002, respectively). LA maximum volume, volume before atrial contraction, total and active stroke volume, total and active emptying fractions, expansion index, and LA max volume index were significantly higher in prehypertensives when compared with controls (P < 0.0001 for all). However, the passive emptying fraction was significantly lower in prehypertensives than controls (45.7 ± 5.6 vs. 48.6 ± 4.1, P = 0.006), and the minimum LA volume between the two groups was similar. The main finding of this study was that although LA volume and LA active systolic functions were significantly increased in prehypertensive people, there was a reduction in passive LA systolic functions. These parameters may be important in showing hemodynamic and structural changes in cardiac tissue caused by prehypertension.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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