|
KMID : 4412620170230010028
|
|
Clinical Hypertension
2017 Volume.23 No. 1 p.28 ~ p.28
|
|
|
Systolic time ratio measured by impedance cardiography accurately screens left ventricular diastolic dysfunction in patients with arterial hypertension
|
|
Leao Rodrigo Nazario
Silva Pedro Marques
Branco Luisa
Fonseca Helena
Bento Bruno
Alves Marta
Virella Daniel
Reis Roberto Palma
|
|
|
Abstract
|
|
|
Background: The use of impedance cardiography (ICG) may play a role in the assessment of cardiac effects of hypertension (HT), especially its hemodynamic features. Hypertensive heart disease involves structural changes and alterations in left ventricular geometry that end up causing systolic and/or diastolic dysfunction. The IMPEDDANS study aims to assess the usefulness of ICG for the screening of left ventricular diastolic dysfunction (LVDD) in patients with HT.
Methods: Patients with HT were assessed by echocardiography and ICG. Receiver-operating characteristic curve and the area under the curve were used to assess the discriminative ability of the parameters obtained by ICG to identify LVDD, as diagnosed by echocardiography.
Results: ICG derived pre-ejection period (PEP), left ventricle ejection time (LVET), systolic time ratio (STR) and D wave were associated (p
Conclusion: The ICG derived value of STR allows the accurate screening of LVDD in patients with HT. It might as well be used for follow up assessment.
Trial registration: The study protocol was retrospectively registered as IMPEDDANS on ClinicalTrials.gov (ID: NCT03209141) on July 6, 2017.
|
|
|
KEYWORD
|
|
|
Arterial hypertension, Diastolic dysfunction, Impedance Cardiography, Systolic time ratio, Screening
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|