4.6 RELATIONSHIP OF CAROTID ARTERIAL FUNCTIONAL AND STRUCTURAL CHANGES TO LEFT ATRIAL VOLUME INUNTREATED HYPERTENSION

The contribution of arterial functional and structural changes to left ventricular (LV) diastolic dysfunction has been the area of latest research. There are some studies on the relationship of arterial stiffness (a.s.) and left atrial (LA) remodeling as a marker of diastolic burden. Little is known...
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Gespeichert in:

Autor*in:	Joanna Jaroch* [verfasserIn] Barbara Rzyczkowska [verfasserIn] Zbigniew Bociaga [verfasserIn] Olga Vriz [verfasserIn] Caterina Driussi [verfasserIn] Maria Loboz-Rudnicka [verfasserIn] Krzysztof Dudek [verfasserIn] Krystyna Loboz-Grudzien [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2015

Übergeordnetes Werk:	In: Artery Research - BMC, 2020, 12(2015)
Übergeordnetes Werk:	volume:12 ; year:2015

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1016/j.artres.2015.10.025

Katalog-ID:	DOAJ031115268

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520			\|a The contribution of arterial functional and structural changes to left ventricular (LV) diastolic dysfunction has been the area of latest research. There are some studies on the relationship of arterial stiffness (a.s.) and left atrial (LA) remodeling as a marker of diastolic burden. Little is known on the association of arterial structural changes and LA remodeling in hypertension (H). The aim of this study was to examine the relationship of carotid a.s. and intimamedia thickness (IMT) to LA volume in subjects with H. The study included 245 previously untreated hypertensives (166 women and 79 men, mean age 53.7 ± 11.8 years). Each patient was subjected to echocardiography with measurement of LA volume, evaluation of left ventricular hypertrophy (LVH) and LV systolic/diastolic function indices, integrated assessment of carotid IMT and echotracking of a.s. and wave reflection parameters. Results: The following parameters were identified as independent determinants of indexed LA volume on multivariate regression analysis: diastolic blood pressure (beta = −0.229, p < 0.001), left ventricular mass index (LVMI; beta = 0.258, p < 0.001), E/e′ index (ratio of early mitral flow wave velocity - E to early diastolic mitral annular velocity-e′; beta = 0.266, p = 0.001), augmentation index (AI; beta = 0.143, p = 0.008) and bodymass index (BMI; beta = 0.132, p = 0.017). No correlations between indexed LA volume and IMT were found. Conclusion: There is a significant relationship of carotid arterial stiffness but not intima-media thickness to LA volume in patients with untreated hypertension.
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allfields	10.1016/j.artres.2015.10.025 doi (DE-627)DOAJ031115268 (DE-599)DOAJ545eb4a5998f4f828cfb46ba6622efa6 DE-627 ger DE-627 rakwb eng RC581-951 RC666-701 Joanna Jaroch* verfasserin aut 4.6 RELATIONSHIP OF CAROTID ARTERIAL FUNCTIONAL AND STRUCTURAL CHANGES TO LEFT ATRIAL VOLUME INUNTREATED HYPERTENSION 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The contribution of arterial functional and structural changes to left ventricular (LV) diastolic dysfunction has been the area of latest research. There are some studies on the relationship of arterial stiffness (a.s.) and left atrial (LA) remodeling as a marker of diastolic burden. Little is known on the association of arterial structural changes and LA remodeling in hypertension (H). The aim of this study was to examine the relationship of carotid a.s. and intimamedia thickness (IMT) to LA volume in subjects with H. The study included 245 previously untreated hypertensives (166 women and 79 men, mean age 53.7 ± 11.8 years). Each patient was subjected to echocardiography with measurement of LA volume, evaluation of left ventricular hypertrophy (LVH) and LV systolic/diastolic function indices, integrated assessment of carotid IMT and echotracking of a.s. and wave reflection parameters. Results: The following parameters were identified as independent determinants of indexed LA volume on multivariate regression analysis: diastolic blood pressure (beta = −0.229, p < 0.001), left ventricular mass index (LVMI; beta = 0.258, p < 0.001), E/e′ index (ratio of early mitral flow wave velocity - E to early diastolic mitral annular velocity-e′; beta = 0.266, p = 0.001), augmentation index (AI; beta = 0.143, p = 0.008) and bodymass index (BMI; beta = 0.132, p = 0.017). No correlations between indexed LA volume and IMT were found. Conclusion: There is a significant relationship of carotid arterial stiffness but not intima-media thickness to LA volume in patients with untreated hypertension. Specialties of internal medicine Diseases of the circulatory (Cardiovascular) system Barbara Rzyczkowska verfasserin aut Zbigniew Bociaga verfasserin aut Olga Vriz verfasserin aut Caterina Driussi verfasserin aut Maria Loboz-Rudnicka verfasserin aut Krzysztof Dudek verfasserin aut Krystyna Loboz-Grudzien verfasserin aut In Artery Research BMC, 2020 12(2015) (DE-627)534057489 (DE-600)2364789-9 18764401 nnns volume:12 year:2015 https://doi.org/10.1016/j.artres.2015.10.025 kostenfrei https://doaj.org/article/545eb4a5998f4f828cfb46ba6622efa6 kostenfrei https://www.atlantis-press.com/article/125930716/view kostenfrei https://doaj.org/toc/1876-4401 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2068 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2015
spelling	10.1016/j.artres.2015.10.025 doi (DE-627)DOAJ031115268 (DE-599)DOAJ545eb4a5998f4f828cfb46ba6622efa6 DE-627 ger DE-627 rakwb eng RC581-951 RC666-701 Joanna Jaroch* verfasserin aut 4.6 RELATIONSHIP OF CAROTID ARTERIAL FUNCTIONAL AND STRUCTURAL CHANGES TO LEFT ATRIAL VOLUME INUNTREATED HYPERTENSION 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The contribution of arterial functional and structural changes to left ventricular (LV) diastolic dysfunction has been the area of latest research. There are some studies on the relationship of arterial stiffness (a.s.) and left atrial (LA) remodeling as a marker of diastolic burden. Little is known on the association of arterial structural changes and LA remodeling in hypertension (H). The aim of this study was to examine the relationship of carotid a.s. and intimamedia thickness (IMT) to LA volume in subjects with H. The study included 245 previously untreated hypertensives (166 women and 79 men, mean age 53.7 ± 11.8 years). Each patient was subjected to echocardiography with measurement of LA volume, evaluation of left ventricular hypertrophy (LVH) and LV systolic/diastolic function indices, integrated assessment of carotid IMT and echotracking of a.s. and wave reflection parameters. Results: The following parameters were identified as independent determinants of indexed LA volume on multivariate regression analysis: diastolic blood pressure (beta = −0.229, p < 0.001), left ventricular mass index (LVMI; beta = 0.258, p < 0.001), E/e′ index (ratio of early mitral flow wave velocity - E to early diastolic mitral annular velocity-e′; beta = 0.266, p = 0.001), augmentation index (AI; beta = 0.143, p = 0.008) and bodymass index (BMI; beta = 0.132, p = 0.017). No correlations between indexed LA volume and IMT were found. Conclusion: There is a significant relationship of carotid arterial stiffness but not intima-media thickness to LA volume in patients with untreated hypertension. Specialties of internal medicine Diseases of the circulatory (Cardiovascular) system Barbara Rzyczkowska verfasserin aut Zbigniew Bociaga verfasserin aut Olga Vriz verfasserin aut Caterina Driussi verfasserin aut Maria Loboz-Rudnicka verfasserin aut Krzysztof Dudek verfasserin aut Krystyna Loboz-Grudzien verfasserin aut In Artery Research BMC, 2020 12(2015) (DE-627)534057489 (DE-600)2364789-9 18764401 nnns volume:12 year:2015 https://doi.org/10.1016/j.artres.2015.10.025 kostenfrei https://doaj.org/article/545eb4a5998f4f828cfb46ba6622efa6 kostenfrei https://www.atlantis-press.com/article/125930716/view kostenfrei https://doaj.org/toc/1876-4401 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2068 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2015
allfields_unstemmed	10.1016/j.artres.2015.10.025 doi (DE-627)DOAJ031115268 (DE-599)DOAJ545eb4a5998f4f828cfb46ba6622efa6 DE-627 ger DE-627 rakwb eng RC581-951 RC666-701 Joanna Jaroch* verfasserin aut 4.6 RELATIONSHIP OF CAROTID ARTERIAL FUNCTIONAL AND STRUCTURAL CHANGES TO LEFT ATRIAL VOLUME INUNTREATED HYPERTENSION 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The contribution of arterial functional and structural changes to left ventricular (LV) diastolic dysfunction has been the area of latest research. There are some studies on the relationship of arterial stiffness (a.s.) and left atrial (LA) remodeling as a marker of diastolic burden. Little is known on the association of arterial structural changes and LA remodeling in hypertension (H). The aim of this study was to examine the relationship of carotid a.s. and intimamedia thickness (IMT) to LA volume in subjects with H. The study included 245 previously untreated hypertensives (166 women and 79 men, mean age 53.7 ± 11.8 years). Each patient was subjected to echocardiography with measurement of LA volume, evaluation of left ventricular hypertrophy (LVH) and LV systolic/diastolic function indices, integrated assessment of carotid IMT and echotracking of a.s. and wave reflection parameters. Results: The following parameters were identified as independent determinants of indexed LA volume on multivariate regression analysis: diastolic blood pressure (beta = −0.229, p < 0.001), left ventricular mass index (LVMI; beta = 0.258, p < 0.001), E/e′ index (ratio of early mitral flow wave velocity - E to early diastolic mitral annular velocity-e′; beta = 0.266, p = 0.001), augmentation index (AI; beta = 0.143, p = 0.008) and bodymass index (BMI; beta = 0.132, p = 0.017). No correlations between indexed LA volume and IMT were found. Conclusion: There is a significant relationship of carotid arterial stiffness but not intima-media thickness to LA volume in patients with untreated hypertension. Specialties of internal medicine Diseases of the circulatory (Cardiovascular) system Barbara Rzyczkowska verfasserin aut Zbigniew Bociaga verfasserin aut Olga Vriz verfasserin aut Caterina Driussi verfasserin aut Maria Loboz-Rudnicka verfasserin aut Krzysztof Dudek verfasserin aut Krystyna Loboz-Grudzien verfasserin aut In Artery Research BMC, 2020 12(2015) (DE-627)534057489 (DE-600)2364789-9 18764401 nnns volume:12 year:2015 https://doi.org/10.1016/j.artres.2015.10.025 kostenfrei https://doaj.org/article/545eb4a5998f4f828cfb46ba6622efa6 kostenfrei https://www.atlantis-press.com/article/125930716/view kostenfrei https://doaj.org/toc/1876-4401 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2068 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2015
allfieldsGer	10.1016/j.artres.2015.10.025 doi (DE-627)DOAJ031115268 (DE-599)DOAJ545eb4a5998f4f828cfb46ba6622efa6 DE-627 ger DE-627 rakwb eng RC581-951 RC666-701 Joanna Jaroch* verfasserin aut 4.6 RELATIONSHIP OF CAROTID ARTERIAL FUNCTIONAL AND STRUCTURAL CHANGES TO LEFT ATRIAL VOLUME INUNTREATED HYPERTENSION 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The contribution of arterial functional and structural changes to left ventricular (LV) diastolic dysfunction has been the area of latest research. There are some studies on the relationship of arterial stiffness (a.s.) and left atrial (LA) remodeling as a marker of diastolic burden. Little is known on the association of arterial structural changes and LA remodeling in hypertension (H). The aim of this study was to examine the relationship of carotid a.s. and intimamedia thickness (IMT) to LA volume in subjects with H. The study included 245 previously untreated hypertensives (166 women and 79 men, mean age 53.7 ± 11.8 years). Each patient was subjected to echocardiography with measurement of LA volume, evaluation of left ventricular hypertrophy (LVH) and LV systolic/diastolic function indices, integrated assessment of carotid IMT and echotracking of a.s. and wave reflection parameters. Results: The following parameters were identified as independent determinants of indexed LA volume on multivariate regression analysis: diastolic blood pressure (beta = −0.229, p < 0.001), left ventricular mass index (LVMI; beta = 0.258, p < 0.001), E/e′ index (ratio of early mitral flow wave velocity - E to early diastolic mitral annular velocity-e′; beta = 0.266, p = 0.001), augmentation index (AI; beta = 0.143, p = 0.008) and bodymass index (BMI; beta = 0.132, p = 0.017). No correlations between indexed LA volume and IMT were found. Conclusion: There is a significant relationship of carotid arterial stiffness but not intima-media thickness to LA volume in patients with untreated hypertension. Specialties of internal medicine Diseases of the circulatory (Cardiovascular) system Barbara Rzyczkowska verfasserin aut Zbigniew Bociaga verfasserin aut Olga Vriz verfasserin aut Caterina Driussi verfasserin aut Maria Loboz-Rudnicka verfasserin aut Krzysztof Dudek verfasserin aut Krystyna Loboz-Grudzien verfasserin aut In Artery Research BMC, 2020 12(2015) (DE-627)534057489 (DE-600)2364789-9 18764401 nnns volume:12 year:2015 https://doi.org/10.1016/j.artres.2015.10.025 kostenfrei https://doaj.org/article/545eb4a5998f4f828cfb46ba6622efa6 kostenfrei https://www.atlantis-press.com/article/125930716/view kostenfrei https://doaj.org/toc/1876-4401 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2068 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2015
allfieldsSound	10.1016/j.artres.2015.10.025 doi (DE-627)DOAJ031115268 (DE-599)DOAJ545eb4a5998f4f828cfb46ba6622efa6 DE-627 ger DE-627 rakwb eng RC581-951 RC666-701 Joanna Jaroch* verfasserin aut 4.6 RELATIONSHIP OF CAROTID ARTERIAL FUNCTIONAL AND STRUCTURAL CHANGES TO LEFT ATRIAL VOLUME INUNTREATED HYPERTENSION 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The contribution of arterial functional and structural changes to left ventricular (LV) diastolic dysfunction has been the area of latest research. There are some studies on the relationship of arterial stiffness (a.s.) and left atrial (LA) remodeling as a marker of diastolic burden. Little is known on the association of arterial structural changes and LA remodeling in hypertension (H). The aim of this study was to examine the relationship of carotid a.s. and intimamedia thickness (IMT) to LA volume in subjects with H. The study included 245 previously untreated hypertensives (166 women and 79 men, mean age 53.7 ± 11.8 years). Each patient was subjected to echocardiography with measurement of LA volume, evaluation of left ventricular hypertrophy (LVH) and LV systolic/diastolic function indices, integrated assessment of carotid IMT and echotracking of a.s. and wave reflection parameters. Results: The following parameters were identified as independent determinants of indexed LA volume on multivariate regression analysis: diastolic blood pressure (beta = −0.229, p < 0.001), left ventricular mass index (LVMI; beta = 0.258, p < 0.001), E/e′ index (ratio of early mitral flow wave velocity - E to early diastolic mitral annular velocity-e′; beta = 0.266, p = 0.001), augmentation index (AI; beta = 0.143, p = 0.008) and bodymass index (BMI; beta = 0.132, p = 0.017). No correlations between indexed LA volume and IMT were found. Conclusion: There is a significant relationship of carotid arterial stiffness but not intima-media thickness to LA volume in patients with untreated hypertension. Specialties of internal medicine Diseases of the circulatory (Cardiovascular) system Barbara Rzyczkowska verfasserin aut Zbigniew Bociaga verfasserin aut Olga Vriz verfasserin aut Caterina Driussi verfasserin aut Maria Loboz-Rudnicka verfasserin aut Krzysztof Dudek verfasserin aut Krystyna Loboz-Grudzien verfasserin aut In Artery Research BMC, 2020 12(2015) (DE-627)534057489 (DE-600)2364789-9 18764401 nnns volume:12 year:2015 https://doi.org/10.1016/j.artres.2015.10.025 kostenfrei https://doaj.org/article/545eb4a5998f4f828cfb46ba6622efa6 kostenfrei https://www.atlantis-press.com/article/125930716/view kostenfrei https://doaj.org/toc/1876-4401 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2068 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2015
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Results: The following parameters were identified as independent determinants of indexed LA volume on multivariate regression analysis: diastolic blood pressure (beta = −0.229, p &lt; 0.001), left ventricular mass index (LVMI; beta = 0.258, p &lt; 0.001), E/e′ index (ratio of early mitral flow wave velocity - E to early diastolic mitral annular velocity-e′; beta = 0.266, p = 0.001), augmentation index (AI; beta = 0.143, p = 0.008) and bodymass index (BMI; beta = 0.132, p = 0.017). No correlations between indexed LA volume and IMT were found. 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callnumber-first	R - Medicine
author	Joanna Jaroch*
spellingShingle	Joanna Jaroch* misc RC581-951 misc RC666-701 misc Specialties of internal medicine misc Diseases of the circulatory (Cardiovascular) system 4.6 RELATIONSHIP OF CAROTID ARTERIAL FUNCTIONAL AND STRUCTURAL CHANGES TO LEFT ATRIAL VOLUME INUNTREATED HYPERTENSION
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topic_title	RC581-951 RC666-701 4.6 RELATIONSHIP OF CAROTID ARTERIAL FUNCTIONAL AND STRUCTURAL CHANGES TO LEFT ATRIAL VOLUME INUNTREATED HYPERTENSION
topic	misc RC581-951 misc RC666-701 misc Specialties of internal medicine misc Diseases of the circulatory (Cardiovascular) system
topic_unstemmed	misc RC581-951 misc RC666-701 misc Specialties of internal medicine misc Diseases of the circulatory (Cardiovascular) system
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title	4.6 RELATIONSHIP OF CAROTID ARTERIAL FUNCTIONAL AND STRUCTURAL CHANGES TO LEFT ATRIAL VOLUME INUNTREATED HYPERTENSION
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title_full	4.6 RELATIONSHIP OF CAROTID ARTERIAL FUNCTIONAL AND STRUCTURAL CHANGES TO LEFT ATRIAL VOLUME INUNTREATED HYPERTENSION
author_sort	Joanna Jaroch*
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title_sort	4.6 relationship of carotid arterial functional and structural changes to left atrial volume inuntreated hypertension
callnumber	RC581-951
title_auth	4.6 RELATIONSHIP OF CAROTID ARTERIAL FUNCTIONAL AND STRUCTURAL CHANGES TO LEFT ATRIAL VOLUME INUNTREATED HYPERTENSION
abstract	The contribution of arterial functional and structural changes to left ventricular (LV) diastolic dysfunction has been the area of latest research. There are some studies on the relationship of arterial stiffness (a.s.) and left atrial (LA) remodeling as a marker of diastolic burden. Little is known on the association of arterial structural changes and LA remodeling in hypertension (H). The aim of this study was to examine the relationship of carotid a.s. and intimamedia thickness (IMT) to LA volume in subjects with H. The study included 245 previously untreated hypertensives (166 women and 79 men, mean age 53.7 ± 11.8 years). Each patient was subjected to echocardiography with measurement of LA volume, evaluation of left ventricular hypertrophy (LVH) and LV systolic/diastolic function indices, integrated assessment of carotid IMT and echotracking of a.s. and wave reflection parameters. Results: The following parameters were identified as independent determinants of indexed LA volume on multivariate regression analysis: diastolic blood pressure (beta = −0.229, p < 0.001), left ventricular mass index (LVMI; beta = 0.258, p < 0.001), E/e′ index (ratio of early mitral flow wave velocity - E to early diastolic mitral annular velocity-e′; beta = 0.266, p = 0.001), augmentation index (AI; beta = 0.143, p = 0.008) and bodymass index (BMI; beta = 0.132, p = 0.017). No correlations between indexed LA volume and IMT were found. Conclusion: There is a significant relationship of carotid arterial stiffness but not intima-media thickness to LA volume in patients with untreated hypertension.
abstractGer	The contribution of arterial functional and structural changes to left ventricular (LV) diastolic dysfunction has been the area of latest research. There are some studies on the relationship of arterial stiffness (a.s.) and left atrial (LA) remodeling as a marker of diastolic burden. Little is known on the association of arterial structural changes and LA remodeling in hypertension (H). The aim of this study was to examine the relationship of carotid a.s. and intimamedia thickness (IMT) to LA volume in subjects with H. The study included 245 previously untreated hypertensives (166 women and 79 men, mean age 53.7 ± 11.8 years). Each patient was subjected to echocardiography with measurement of LA volume, evaluation of left ventricular hypertrophy (LVH) and LV systolic/diastolic function indices, integrated assessment of carotid IMT and echotracking of a.s. and wave reflection parameters. Results: The following parameters were identified as independent determinants of indexed LA volume on multivariate regression analysis: diastolic blood pressure (beta = −0.229, p < 0.001), left ventricular mass index (LVMI; beta = 0.258, p < 0.001), E/e′ index (ratio of early mitral flow wave velocity - E to early diastolic mitral annular velocity-e′; beta = 0.266, p = 0.001), augmentation index (AI; beta = 0.143, p = 0.008) and bodymass index (BMI; beta = 0.132, p = 0.017). No correlations between indexed LA volume and IMT were found. Conclusion: There is a significant relationship of carotid arterial stiffness but not intima-media thickness to LA volume in patients with untreated hypertension.
abstract_unstemmed	The contribution of arterial functional and structural changes to left ventricular (LV) diastolic dysfunction has been the area of latest research. There are some studies on the relationship of arterial stiffness (a.s.) and left atrial (LA) remodeling as a marker of diastolic burden. Little is known on the association of arterial structural changes and LA remodeling in hypertension (H). The aim of this study was to examine the relationship of carotid a.s. and intimamedia thickness (IMT) to LA volume in subjects with H. The study included 245 previously untreated hypertensives (166 women and 79 men, mean age 53.7 ± 11.8 years). Each patient was subjected to echocardiography with measurement of LA volume, evaluation of left ventricular hypertrophy (LVH) and LV systolic/diastolic function indices, integrated assessment of carotid IMT and echotracking of a.s. and wave reflection parameters. Results: The following parameters were identified as independent determinants of indexed LA volume on multivariate regression analysis: diastolic blood pressure (beta = −0.229, p < 0.001), left ventricular mass index (LVMI; beta = 0.258, p < 0.001), E/e′ index (ratio of early mitral flow wave velocity - E to early diastolic mitral annular velocity-e′; beta = 0.266, p = 0.001), augmentation index (AI; beta = 0.143, p = 0.008) and bodymass index (BMI; beta = 0.132, p = 0.017). No correlations between indexed LA volume and IMT were found. Conclusion: There is a significant relationship of carotid arterial stiffness but not intima-media thickness to LA volume in patients with untreated hypertension.
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title_short	4.6 RELATIONSHIP OF CAROTID ARTERIAL FUNCTIONAL AND STRUCTURAL CHANGES TO LEFT ATRIAL VOLUME INUNTREATED HYPERTENSION
url	https://doi.org/10.1016/j.artres.2015.10.025 https://doaj.org/article/545eb4a5998f4f828cfb46ba6622efa6 https://www.atlantis-press.com/article/125930716/view https://doaj.org/toc/1876-4401
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author2	Barbara Rzyczkowska Zbigniew Bociaga Olga Vriz Caterina Driussi Maria Loboz-Rudnicka Krzysztof Dudek Krystyna Loboz-Grudzien
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up_date	2024-07-03T18:50:05.526Z
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Results: The following parameters were identified as independent determinants of indexed LA volume on multivariate regression analysis: diastolic blood pressure (beta = −0.229, p &lt; 0.001), left ventricular mass index (LVMI; beta = 0.258, p &lt; 0.001), E/e′ index (ratio of early mitral flow wave velocity - E to early diastolic mitral annular velocity-e′; beta = 0.266, p = 0.001), augmentation index (AI; beta = 0.143, p = 0.008) and bodymass index (BMI; beta = 0.132, p = 0.017). No correlations between indexed LA volume and IMT were found. 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4.6 RELATIONSHIP OF CAROTID ARTERIAL FUNCTIONAL AND STRUCTURAL CHANGES TO LEFT ATRIAL VOLUME INUNTREATED HYPERTENSION

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