JACC
HOME SUBSCRIPTIONS CURRENT ISSUE PAST ISSUES CARDIOSOURCE SEARCH HELP FEEDBACK
QUICK SEARCH:   [advanced]


     

J Am Coll Cardiol, 1987; 9:317-322
© 1987 by the American College of Cardiology Foundation
This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Phillips, R.
Right arrow Articles by Goldman, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Phillips, R.
Right arrow Articles by Goldman, M.

Doppler echocardiographic analysis of left ventricular filling in treated hypertensive patients

RA Phillips, NL Coplan, LR Krakoff, K Yeager, RS Ross, R Gorlin, and ME Goldman

Early detection and prevention of cardiac dysfunction is an important goal in the management of hypertensive patients. In this study, Doppler echocardiography was used to evaluate the pattern of left ventricular diastolic filling in 38 subjects: 18 treated hypertensive patients (blood pressure 141 +/- 17/83 +/- 10 mm Hg, mean +/- SD) without other coronary risk factors and 20 risk-free normotensive subjects of similar age (47 +/- 10 and 49 +/- 13 years, respectively). Peak velocity of late left ventricular filling due to the atrial contraction was greater in hypertensive compared with normotensive subjects (69 +/- 14 versus 52 +/- 13 cm/s; p less than 0.001). Peak velocity of late filling was significantly greater in hypertensive versus normotensive subjects in those aged 50 years or younger and those older than age 50 (65 +/- 12 versus 50 +/- 11; p less than 0.01 and 75 +/- 15 versus 56 +/- 15 cm/s; p less than 0.05, respectively). In hypertensive subjects, peak velocity of late filling did not correlate with routine indexes of hypertensive heart disease (including posterior wall thickness and left ventricular mass), systolic and diastolic blood pressure or duration of hypertension. These results indicate that increased velocity of late left ventricular filling may be independent of left ventricular hypertrophy and persist despite effective blood pressure control.


This article has been cited by other articles:


Home page
 Am. J. Physiol. Heart Circ. Physiol.Home page
P. S. Hees, J. L. Fleg, S.-J. Dong, and E. P. Shapiro
MRI and echocardiographic assessment of the diastolic dysfunction of normal aging: altered LV pressure decline or load?
Am J Physiol Heart Circ Physiol, February 1, 2004; 286(2): H782 - H788.
[Abstract] [Full Text] [PDF]

Home page
 HypertensionHome page
S. J. Kovacs, J. Rosado, A. L. M. McGuire, and A. F. Hall
Can Transmitral Doppler E-Waves Differentiate Hypertensive Hearts From Normal?
Hypertension, October 1, 1997; 30(4): 788 - 795.
[Abstract] [Full Text]

Home page
 CirculationHome page
B. J. Maron, A. Pelliccia, and P. Spirito
Cardiac Disease in Young Trained Athletes : Insights Into Methods for Distinguishing Athlete's Heart From Structural Heart Disease, With Particular Emphasis on Hypertrophic Cardiomyopathy
Circulation, March 1, 1995; 91(5): 1596 - 1601.
[Full Text]

Home page
 CirculationHome page
K. Yamamoto, T. Masuyama, Y. Doi, J. Naito, T. Mano, H. Kondo, R. Nagano, J. Tanouchi, M. Hori, and T. Kamada
Noninvasive Assessment of Left Ventricular Relaxation Using Continuous-Wave Doppler Aortic Regurgitant Velocity Curve : Its Comparative Value to the Mitral Regurgitation Method
Circulation, January 1, 1995; 91(1): 192 - 200.
[Abstract] [Full Text]


HOME SUBSCRIPTIONS CURRENT ISSUE PAST ISSUES CARDIOSOURCE SEARCH HELP FEEDBACK
Copyright © 1987 by the American College of Cardiology Foundation.