Doroudi Shideh, DeLisi Michael D, DeBari Vincent A
New York Medical College, School of Medicine/St. Joseph's Family Medicine Department, Paterson, NJ, USA.
J Community Hosp Intern Med Perspect. 2017 Mar 31;7(1):28-33. doi: 10.1080/20009666.2017.1289670. eCollection 2017 Jan.
Heart disease as a result of Hypertension is known to occur. Anatomical and functional changes of the heart can easily be detected by echocardiography, which is a safe and readily available study. The aims of this study were to evaluate the prevalence of common echocardiographic changes in chronic hypertensive patients and to compare these changes in male and female populations. The study was a community-based cross-sectional study, on 227 hypertensive patients, 60 years and older, seen in St. Joseph's Family Medicine at Clifton, with integrated clinical and echocardiographic data. Study population consisted of 227 hypertensive patients, over the age of 60 years who had echocardiography done. Overall 92.5% of the echocardiograms had abnormal findings including but not limited to TR, Diastolic dysfunction, MR, and LVH. There was significant difference between the rate of MR in male and female population. A variety of echocardiographic abnormalities can be found in hypertensive patients. Drug selection in hypertension should be driven by the underlying cardiac pathology. Certain drugs have more effectiveness for diastolic dysfunction, LVH, systolic dysfunction and pulmonary hypertension and are superior choices when these conditions are present. Echocardiogram is a non-invasive and easily available tool in order to help us to select the best treatment strategy to optimize hypertensive control in the challenging group of elderly patients. The results of our study should influence us to liberally use echocardiography in these patients to guide treatment decision and drug selection. LVH: left ventricular hypertrophy; MR: mitral valve regurgitation; TR: tricuspidvalve regurgitation; LVD: left ventricular dilation; LVEF: left ventricular ejection fraction.
已知高血压会导致心脏病。心脏的解剖和功能变化可通过超声心动图轻松检测到,这是一项安全且易于进行的检查。本研究的目的是评估慢性高血压患者常见超声心动图变化的患病率,并比较男性和女性人群中的这些变化。该研究是一项基于社区的横断面研究,对象为在克利夫顿圣约瑟夫家庭医学中心就诊的227名60岁及以上的高血压患者,收集了综合临床和超声心动图数据。研究人群包括227名60岁以上接受过超声心动图检查的高血压患者。总体而言,92.5%的超声心动图有异常发现,包括但不限于三尖瓣反流(TR)、舒张功能障碍、二尖瓣反流(MR)和左心室肥厚(LVH)。男性和女性人群中MR的发生率存在显著差异。高血压患者可发现多种超声心动图异常。高血压的药物选择应基于潜在的心脏病理情况。某些药物对舒张功能障碍、LVH、收缩功能障碍和肺动脉高压更有效,在存在这些情况时是更好的选择。超声心动图是一种非侵入性且易于获得的工具,有助于我们在具有挑战性的老年患者群体中选择最佳治疗策略以优化高血压控制。我们的研究结果应促使我们在这些患者中更广泛地使用超声心动图来指导治疗决策和药物选择。LVH:左心室肥厚;MR:二尖瓣反流;TR:三尖瓣反流;LVD:左心室扩张;LVEF:左心室射血分数