The influence of dipper/nondipper blood pressure patterns on global left ventricular systolic function in hypertensive diabetic patients

Abstract

This study shows that the nondipper pattern is associated with subclinical LV systolic dysfunction in treated hypertensive diabetic patients with preserved left ventricular ejection fraction. Also, elevated night-time SBP was found to be related to impaired LV systolic functions.

The association of night-time systolic blood pressure with ultrasound markers of subclinical cardiac and vascular disease

“…Kalaycioglu et al . 22 found a significant reduction in GLS in nondippers compared with dippers in a sample of 86 treated hypertensive diabetic patients with a mean age of 57.8 years. They also reported night-time systolic BP to be associated independently with GLS and GLS rate in linear regression models adjusted for age, sex and LV mass index 22.…”

“…22 found a significant reduction in GLS in nondippers compared with dippers in a sample of 86 treated hypertensive diabetic patients with a mean age of 57.8 years. They also reported night-time systolic BP to be associated independently with GLS and GLS rate in linear regression models adjusted for age, sex and LV mass index 22. In untreated hypertensive patients, Tadic et al 23 found reduced two-dimensional and three-dimensional LV GLS and reduced atrial longitudinal strain in nondippers compared with dippers.…”

“…The strength of this study lies in the novel question addressed as limited studies have assessed the association of night-time BP and GLS 22,23. In addition, these participants will continue to be followed up for the Mitchelstown Cohort Study; thus, further prospective data will be available over time.…”

“…It offers incremental prognostic information in the assessment of left ventricular (LV) function, particularly when the ejection fraction is near normal 21. Few studies have examined the association of night-time BP and GLS measured by speckle-tracking analysis 22,23.…”

A bal kamra korszerű echokardiográfiás vizsgálata – az M-módtól a 3D speckle-tracking képalkotásig

“…A módszertan lehetőséget teremt a falmozgászavarok kvantitatív jellemzésére, akár szubklinikus BK-i deformá-ciós eltérések korai detektálására (lásd még háromdimen-ziós STE) [26]. A 2DSTE alkalmas lehet bizonyos esetekben kezelések (például kemoterápia) BK-ra kifejtett hatásának, esetleges mellékhatásainak vizsgálatára, továbbkövetéses vizsgálatok elvégzésére [27].…”