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Published on: June 15, 2020
Effect of hepatitis B virus infection on right and left ventricular functions
1Department of Cardiology, Bursa Yuksek Ihtisas Education and Research Hospital, Bursa, Turkey. drmehmetmd@gmail.com
Insights
Hepatitis B virus (HBV) infection is linked to impaired right ventricular systolic function. This study found reduced RV function and elevated pulmonary artery pressure in HBV patients, suggesting potential cardiac complications.
Area of Science:
- Cardiology
- Hepatology
- Infectious Diseases
Background:
- Hepatitis B virus (HBV) infection affects millions globally.
- Cardiac involvement in HBV patients is not fully understood.
- Right and left ventricular functions are crucial for cardiovascular health.
Purpose of the Study:
- To investigate right and left ventricular systolic functions in patients with hepatitis B virus (HBV) infection.
- To compare cardiac parameters between HBV patients and a healthy control group.
Main Methods:
- The study included 50 HBsAg-positive patients and 50 healthy controls.
- Transthoracic echocardiography was used to assess cardiac function.
- Key right and left ventricular systolic parameters were measured and compared.
Main Results:
- HBV patients exhibited significantly lower right ventricular fractional area change (RV FAC), tricuspid annular plane excursion (TAPSE), and RV myocardial systolic velocity (St).
- Right atrium and right ventricle diameters were enlarged in HBV patients.
- Patients with HBV showed elevated systolic pulmonary artery pressure compared to controls.
Conclusions:
- Hepatitis B virus infection is associated with right ventricular systolic dysfunction.
- HBV infection may lead to the development of pulmonary hypertension.
Background:
In this study we examined right and left ventricular systolic functions in hepatitis B virus (HBV) patients.
Material/Methods:
The study included 50 HBsAg-positive patients (mean age; 33±13 years) and 50 other persons (mean age; 28±11 years) as a control group. Transthoracic echocardiography was performed in all the participants. Right and left ventricle systolic parameters were compared between these 2 groups.
Results:
In the group of the patients with HBsAg positivity, the right ventricular fractional area change (RV FAC), tricuspid annular plane excursion (TAPSE) and RV myocardial systolic velocity (St) values were lower than in the control group (33±11 vs. 52±13%, p=0.001; 14.6±1.1 vs. 22.2±2.4 mm, p<0.001; 8.6±1.2 vs. 15.8±2.3 cm/s, p<0,001, respectively); the right atrium (RA) and RV diameters were higher than in controls (5.1±1.2 vs. 3.7±0.5 cm, p<0.001; 4.9±0.8 vs. 3.4±0.5 cm p<0.001, respectively); and systolic pulmonary artery pressure was higher than in control (39.3±9.5 vs. 22±8.4 mmHg, p<0.001).
Conclusions:
The findings showed that HBV infection may be associated with right ventricular systolic dysfunction and pulmonary hypertension.
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