Home > Journals > Journal of Cardiovascular Medicine and Surgery

Journal of Cardiovascular Medicine and Surgery

Submit your article Read this Journals View all journals
Full Text (PDF)
Original Article

Evaluation of Left Ventricular Strain and Deformation in Hypertensive Patients by Speckle Tracking Echocardiography

Sudarshan Kumar Vijay, Associate Professor, Department of Cardiology, Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh 226010, India , Naveen Jamwal , Sudarshan Kumar Vijay , Ujjwal Maheshwari , Bhuwan Chandra Tiwari , Ashish Jha , Mukul Misra ,

Author Information

Licence:



Journal of Cardiovascular Medicine and Surgery 4(2):p 142-149, April-June 2018. | DOI: http://dx.doi.org/10.21088/jcms.2454.7123.4218.13

How Cite This Article:

Timeline

Received : N/A         Accepted : N/A          Published : N/A

Abstract

Background: Chronic hypertension (HTN) leads to variouspathophysiological and hemodynamic changes that ultimately culminates into left ventricular hypertrophy (LVH) and heart failure. Two­dimensional speckle tracking echocardiography (2D­STE) is novel technique that allows rapid and accurate analysis of incipient stages of systolic and diastolic left ventricular(LV) dysfunction.

Objective: The objective of this study was to assess the ability of 2D­STE in the assessment regional and global LV strains to characterize features of subclinical LV dysfunction in patients withsystemic hypertension and relatively preserved ejection fraction (EF).

Material and Methods: Two­dimensional echocardiographic (2DE) images of the LV were acquired in apical four­chamber and parasternal short­axis at the basal levels in 60 subjects, including 15 healthy controls and 45 patients with systemic hypertension. Longitudinal strain (LS) and circumferential strain (CS) were quantified in 13­segment model using Philips IE­33 x matrix machine.

Results: In comparison with normal controls, global longitudinal LV systolic strain (LVGLS) and global circumferential LV systolic strain (LVGCS) was significantly attenuated in the patients with chronic systemic hypertension. Regional strain in longitudinal axis was significantly reduced at Apex(Ap) and Apicolateral (Apl) and Mid inferior septum (MIS) segment of LVin hypertensive population compared to normotensive group while the regional strain in circumferential axiswas significantly reduced at all six segments (basal anterior, basal anterior septum, basal inferior septum, basal inferior, basal inferior lateral wall and mid anterolateralwall). Strain rate (SR) values were insignificantly reduced in both hypertensive groups with and without LVH in early diastole (at peak E).

Conclusion: 2D­STE detected substantial impairment of LV strain and regional deformation in chronic hypertensive patients with apparently preserved LVEF, which identifies higher risk subgroups for earlier pharmacolgical intervention in patients with HTN. 

References

No records found.


About this article

Cite this article

Licence:



Received Accepted Published
N/A N/A N/A
DOI: http://dx.doi.org/10.21088/jcms.2454.7123.4218.13

Keywords

Hypertension (HTN); Left Ventricular Strain (LVS); Speckle Tracking Echocardiography (STE).

Article Level Metrics

Last Updated

Saturday 07 February 2026, 20:59:51 (IST)

207

Accesses

0
39
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received N/A
Accepted N/A
Published N/A

licence




Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share