Abstract:Offspring of hypertensive parents have coronary endothelial dysfunction that appears in response to physiological stimuli (CPT). The coronary endothelial dysfunction is associated with latent LV diastolic dysfunction.
“…This discrepancy is probably a result of the differences between measurement of absolute CF values with PET and echocardiographic measurement of CF velocity that has no linear correlation with laminar flow. In fact, previous studies evaluating CF velocity by transthoracic Doppler echocardiography [14,22] or MRI [23] during CPT have found velocity ratios very consistent with the values observed in the present study.…”
Coronary microvascular function is impaired in type 2 diabetic patients without significant CAD, compared to nondiabetic patients with similar other cardiovascular risk factors. In the majority of diabetic patients, microvascular dysfunction is associated with normal myocardial perfusion.
“…This discrepancy is probably a result of the differences between measurement of absolute CF values with PET and echocardiographic measurement of CF velocity that has no linear correlation with laminar flow. In fact, previous studies evaluating CF velocity by transthoracic Doppler echocardiography [14,22] or MRI [23] during CPT have found velocity ratios very consistent with the values observed in the present study.…”
Coronary microvascular function is impaired in type 2 diabetic patients without significant CAD, compared to nondiabetic patients with similar other cardiovascular risk factors. In the majority of diabetic patients, microvascular dysfunction is associated with normal myocardial perfusion.
“…Moreover, increased EAT was associated with poor coronary flow reserve even in patients with angiographically normal coronary arteries [23,24]. In a recent study, Mahfouz et al demonstrated a strong relationship between impaired endothelial coronary flow reserve and left ventricular diastolic dysfunction [25]. Moreover, Sasaki and coworkers reported a positive association between coronary blood flow and isovolumic relaxation time [26].…”
Based on our findings, increased EAT may be associated with diastolic dysfunction and left atrial dilatation due to local or systemic effects in untreated hypertensive patients. This relationship is independent of and stronger than abdominal obesity, implicating the clinical importance of measuring EAT thickness.
“…6 Left atrium (LA) plays a critical role in left ventricular filling with LA reservoir, conduit, and contractile functions. 2,14,15 However, there are not much data with regard to utilization of other advanced techniques such as real-time three-dimensional echocardiographic (RT3DE) imaging in determining LA dynamics, which is a recently developed technique that allows the quantitative assessment of function and volume of any cardiac chamber. [9][10][11][12][13] Abnormal LA function is considered as an early finding in atherosclerosis, which usually accompanies with CSX.…”
Section: Introductionmentioning
confidence: 99%
“…Previous studies have well documented this association using conventional pulsed and tissue Doppler echocardiographic measurements. 2,14,15 However, there are not much data with regard to utilization of other advanced techniques such as real-time three-dimensional echocardiographic (RT3DE) imaging in determining LA dynamics, which is a recently developed technique that allows the quantitative assessment of function and volume of any cardiac chamber. This technique is considered a feasible and reproducible method for its clinical application.…”
The main finding of this study was that CSX patients had altered LA booster pump, reservoir, and conduit functions. This finding may have clinical implications for early detection of abnormal LA dynamics in CSX patients.
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