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[Cardiac function estimated by Doppler echocardiography in patients with hypertensive intracerebral hemorrhage]
1Department of Neurosurgery, Shioya General Hospital, Japan.
Insights
Transthoracic Doppler echocardiography revealed that patients with hypertensive intracerebral hemorrhage often have myocardial hypertrophy and aortic regurgitation, alongside impaired left ventricular diastolic function.
Area of Science:
- Cardiology
- Neurology
- Medical Imaging
Context:
- Hypertensive intracerebral hemorrhage (ICH) is a serious neurological condition.
- Cardiac dysfunction can be associated with ICH.
- Evaluating cardiac function in ICH patients is crucial for comprehensive care.
Purpose:
- To investigate cardiac functions in patients with hypertensive intracerebral hemorrhage (ICH).
- To assess myocardial hypertrophy, valvular regurgitation, and diastolic function using transthoracic Doppler echocardiography.
Summary:
- Transthoracic Doppler echocardiography was performed on 38 patients with hypertensive ICH.
- Results indicated myocardial hypertrophy in 39.5% and a trend towards higher aortic regurgitation prevalence.
- A significantly lower E/A ratio, indicating impaired diastolic function, was observed in ICH patients compared to controls.
Impact:
- Transthoracic Doppler echocardiography is a valuable tool for evaluating cardiac status in hypertensive ICH patients.
- Findings suggest a link between hypertensive ICH and specific cardiac abnormalities.
- Highlights the importance of cardiac assessment in the management of hypertensive ICH.
Abstract:
We carried out transthoracic Doppler echocardiography on 38 patients with hypertensive intracerebral hemorrhage(ICH) to examine cardiac functions. The ratio of myocardial hypertrophy and the prevalence of valvular regurgitation were investigated. The E/A ratio which reflects left ventricular diastolic function and the ejection fraction(EF) of each patient were also studied to demonstrate cardiac functions in patients with hypertensive ICH. Myocardial hypertrophy was found in 39.5% of patients with hypertensive ICH. The aortic regurgitation showed a trend to have a higher prevalence in patients with hypertensive ICH when compared to normal volunteer group. Although there was no significant differences in the ejection fraction between groups, the E/A ratio in patients with hypertensive ICH showed a significantly lower value than in normal volunteer group. Therefore, transthoracic Doppler echocardiography demonstrated that patients with intracerebral ICH showed a trend to have a myocardial hypertrophy, aortic valvular regurgitation, and the lower ventricular diastolic function. Thus, transthoracic Doppler echocardiography is useful to evaluate cardiac functions in patients with hypertensive ICH.