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Updated: May 15, 2026

Echocardiographic Assessment of Cardiac Anatomy and Function in Adult Rats
Published on: December 13, 2019
Echocardiographic assessment of inappropriate left ventricular mass and left ventricular hypertrophy in patients with
Hasan Shemirani1, Rohola Hemmati, Alireza Khosravi
1Hypertension Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
Left ventricular hypertrophy (LVH) correlates with diastolic dysfunction severity. However, inappropriate left ventricular mass (LVM) only slightly predicts diastolic dysfunction in hypertension patients.
Area of Science:
- Cardiology
- Cardiovascular Imaging
- Hypertension Research
Background:
- Early detection of left ventricular mass (LVM) inappropriateness and left ventricular hypertrophy (LVH) is crucial for preventing diastolic left ventricular dysfunction.
- Diastolic dysfunction is a significant contributor to cardiovascular morbidity and mortality.
Purpose of the Study:
- To investigate the association between left ventricular hypertrophy (LVH) and diastolic dysfunction.
- To determine if inappropriate left ventricular mass (LVM) is linked to diastolic dysfunction in hypertensive individuals.
Main Methods:
- 125 patients with uncomplicated hypertension underwent two-dimensional echocardiography.
- Inappropriate LVM and LVH were defined using established criteria based on gender-specific indices and wall thickness.
- Echocardiographic parameters including E/A ratio, deceleration time (DT), and E/E' were measured.
Main Results:
- 21.7% of subjects exhibited inappropriate LV mass, with 5.6% having moderate and 5.6% severe abnormalities.
- Moderate and severe LVH were associated with higher age and BMI.
- LVH severity correlated with E/A ratio and DT, but inappropriate LVM showed only a slight, non-significant association with diastolic dysfunction parameters.
Conclusions:
- Left ventricular hypertrophy (LVH) is significantly correlated with the severity of diastolic dysfunction, as indicated by E/A ratio and deceleration time.
- Inappropriate left ventricular mass (LVM) demonstrates a limited predictive capacity for diastolic dysfunction severity in uncomplicated hypertension.
Background:
Early diagnosis of left ventricular mass (LVM) inappropriateness and left ventricular hypertrophy (LVH) can result in preventing diastolic left ventricular dysfunction and its related morbidity and mortality. This study was performed to determine if diastolic dysfunction is associated with LVH and inappropriate LVM.
Materials And Methods:
One hundred and twenty five uncomplicated hypertension from Isfahan Healthy Heart Program underwent two-dimensional echocardiography. Inappropriate LVM was defined as an LVM index greater than 88 g/m(2) of body-surface area in women and greater than 102 g/m(2) in men. LVH-defined septal and posterior wall thickness greater than 0/9 cm in women and greater than 1 cm in men, respectively. Echocardiographic parameters, including early diastolic peak velocity (E)/late diastolic peak velocity (A), deceleration time (DT), and E/early mitral annulus velocity (E') were measured.
Results:
The mean systolic and diastolic blood pressure at the patients' admission day were 142.87 ± 18.12 and 88.45 ± 9.18 mmHg, respectively. Totally, 21.7% of subjects had inappropriate LV mass that moderate and severe abnormal LV mass was revealed in 5.6% and 5.6%, respectively. The mean of age and BMI was significantly higher in patients with moderate left ventricular hypertrophy (P < 0.05). Adjusted by age, gender, BMI, and systolic and diastolic blood pressures, both E/A ratio and deceleration time were higher in those with the severer ventricular hypertrophy. Subjects with severe showed significantly higher BMI 33. 7 ± 3.7 (P < 0.001). There was a slight difference between the grade of diastolic dysfunction and the severity of inappropriate LV mass (P = 0.065). But no significant difference was found between E/A, E/E', and deceleration time and the level of inappropriate LV mass (P > 0.05). Spearman's Rank test was used to test the correlation between diastolic dysfunction and LV mass (P = 0.025).
Conclusion:
LVH is correlated with the severity of diastolic dysfunction manifested by the E/A value and deceleration time, but inappropriate LVM can slightly predict diastolic dysfunction severity in uncomplicated hypertension.
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