Morpho-functional state of the heart and pulmonary artery pressure in elderly hypertesives with atriall fibrillation

Authors

DOI:

https://doi.org/10.15587/2519-4798.2016.74197

Keywords:

hypertension, atrial fibrillation older age, diastolic dysfunction, pulmonary hypertension

Abstract

The aim: To carry out a comparative study of the structural and functional state of the heart in patients with essential hypertension (EH) depending on the form of atrial fibrillation (AF) - persistent or permanent

Methods: Doppler echocardiography, EHRA scale and CHA2DS2VASc. 95 patients aged 60-74 were included in the study, 20 of which with uncomplicated essential hypertension (EH), 39 – with persistent (PersAF) and 36 – permanent (PermAF) atrial fibrillation (AF).

Results: as compared with uncomplicated EH, the increase in a degree of left ventricular hypertrophy (LVH) and left atrial size (LA) was found out to be a marker of a diastolic dysfunction of the left ventricle (LV) in AF patients. The highest values of LVH and LA were registered in PermAF. The characteristic PermAF heart rate acceleration appeared to be a significant factor of the heart structure and function changes, notably the increase of LVH and LA dilatation. LV systolic function demonstrated the deterioration in PermAF: along with reduces LV ejection fraction there were 10 % patients with systolic dysfunction. In the majority of AF patients pulmonary hypertension was found: I stage – 51 % in PersAF and 67 % in PermAF; II stage in 5 % and 14 %, respectively. The increase in systolic blood pressure in the pulmonary artery in AF is associated with an increase of right ventricle.

Conclusions: Patients with AF have had more apparent structural and functional state of the heart. OP GB further contributes to the disturbance of systolic and diastolic LV function in patients. The increase in diastolic LV dysfunction is associated with increased pressure in the pulmonary artery.

Author Biography

Любовь Владимировна Бевзюк, State Institute of Gerontology AMS of Ukraine Vishgorodska str., 67, Kyiv, Ukraine, 04114

Postgraduate student

Department of clinical and epidemiological cardiology

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Published

2016-07-30

How to Cite

Бевзюк, Л. В. (2016). Morpho-functional state of the heart and pulmonary artery pressure in elderly hypertesives with atriall fibrillation. ScienceRise: Medical Science, (7 (3), 4–9. https://doi.org/10.15587/2519-4798.2016.74197

Issue

No. 7 (3) (2016)

Section

Medical Science

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Copyright (c) 2016 Любовь Владимировна Бевзюк

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