Palmiero Pasquale, Zito Annapaola, Maiello Maria, Cameli Matteo, Modesti Pietro Amedeo, Muiesan Maria Lorenza, Novo Salvatore, Saba Pier Sergio, Scicchitano Pietro, Pedrinelli Roberto, Ciccone Marco Matteo
ASL Department of Cardiology, Brindisi District, Italy.
Cardiovascular Disease Section, Department of Emergency and Organ Transplantation, University of Bari, Italy.
J Clin Med Res. 2015 Mar;7(3):137-44. doi: 10.14740/jocmr2050w. Epub 2014 Dec 29.
The assessment of left ventricular (LV) diastolic function should be an integral part of a routine examination of hypertensive patient; indeed when LV diastolic function is impaired, it is possible to have heart failure even with preserved LV ejection fraction. Left ventricular diastolic dysfunction (LVDD) occurs frequently and is associated to heart disease. Doppler echocardiography is the best tool for early LVDD diagnosis. Hypertension affects LV relaxation and when left ventricular hypertrophy (LVH) occurs, it decreases compliance too, so it is important to calculate Doppler echocardiography parameters, for diastolic function evaluation, in all hypertensive patients. The purpose of our review was to discuss about the strong relationship between LVDD and hypertension, and their relationship with LV systolic function. Furthermore, we aimed to assess the relationship between the arterial stiffness and LV structure and function in hypertensive patients.
对高血压患者进行常规检查时，左心室舒张功能评估应是其中不可或缺的一部分；实际上，当左心室舒张功能受损时，即便左心室射血分数正常，也有可能发生心力衰竭。左心室舒张功能障碍（LVDD）很常见，且与心脏病相关。多普勒超声心动图是早期诊断LVDD的最佳工具。高血压会影响左心室舒张，当发生左心室肥厚（LVH）时，左心室顺应性也会降低，因此对所有高血压患者计算多普勒超声心动图参数以评估舒张功能很重要。我们综述的目的是探讨LVDD与高血压之间的紧密关系，以及它们与左心室收缩功能的关系。此外，我们旨在评估高血压患者动脉僵硬度与左心室结构和功能之间的关系。
