Department of Emergency Medicine of Varaždin County, Varaždin.
Department of Emergency Medicine of Primorje-Gorski Kotar County, Rijeka.
Acta Clin Croat. 2022 Jun;61(Suppl 1):28-32. doi: 10.20471/acc.2022.61.s1.04.
The aim of the study was to assess the correlation between the degree and duration of arterial hypertension and the hypertrophy of the left ventricle and the ejection fraction of the heart, with cardiac ultrasound. Our prospective study included 50 patients with arterial hypertension as leading diagnosis. All 50 patients were consecutively examined in the Emergency Department and then referred to the Cardiac clinic of the Clinical Hospital "Sveti Duh" for further evaluation. The inclusion criteria were male and female aged 18 and older and arterial hypertension as leading diagnosis during Emergency Department visit. Exclusion criteria were pathological conditions that alter myocardial architecture and impair contractility. Measurement of the left ventricle thickness based on the thickness of the intraventricular septum and the posterior wall of the left ventricle, and the ejection fraction was ultrasonically determined. The highest proportion of subjects was with the first degree of arterial hypertension, followed by subjects with a third degree. The average duration of arterial hypertension was 6.14 years. Of the total number of subjects, 28% did not take any antihypertensive drugs. A statistically significant association was found between the degree and duration of arterial hypertension with the development of left ventricular hypertrophy. Significant association wasn't found between the degree or duration of arterial hypertension and the heart ejection fraction. Our study have shown strong correlation between the degree and duration of arterial hypertension and the development of left ventricular hypertrophy and ultrasound could be a useful method in the evaluation of some patients with arterial hypertension in the emergency department.
本研究旨在评估动脉高血压的严重程度和持续时间与左心室肥厚和心脏射血分数之间的相关性，采用心脏超声检查。我们的前瞻性研究纳入了 50 例以动脉高血压为主要诊断的患者。所有 50 例患者均连续在急诊处进行检查，然后转至临床医院“Sveti Duh”的心脏科进行进一步评估。纳入标准为年龄在 18 岁及以上的男性和女性，以及在急诊就诊时患有主要诊断为动脉高血压的患者。排除标准为改变心肌结构和损害收缩力的病理状况。根据左室内膜和左室后壁的厚度测量左心室厚度，并用超声确定射血分数。大多数患者为一级动脉高血压，其次为三级高血压。动脉高血压的平均持续时间为 6.14 年。在所有患者中，有 28%的患者未服用任何降压药。动脉高血压的严重程度和持续时间与左心室肥厚的发展之间存在统计学显著相关性。动脉高血压的严重程度或持续时间与心脏射血分数之间未发现显著相关性。我们的研究表明，动脉高血压的严重程度和持续时间与左心室肥厚的发展之间存在很强的相关性，超声检查可能是评估急诊室中某些动脉高血压患者的有用方法。
