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Myocardial dysfunction measured by tissue Doppler echocardiography in children with primary arterial hypertension

Justyna Zamojska1, Katarzyna Niewiadomska-Jarosik, Agnieszka Wosiak

  • 1Department of Paediatric Cardiology and Rheumatology, 2nd Chair of Paediatrics, Medical University of Lodz, Lodz, Poland. j.zamojska@wp.pl.

Kardiologia Polska
|October 10, 2014
PubMed

Insights

Tissue Doppler echocardiography reveals impaired systolic and diastolic myocardial function in children with primary hypertension. These findings indicate potential cardiac deterioration in pediatric hypertension.

Area of Science:

  • Pediatric Cardiology
  • Cardiovascular Imaging
  • Hypertension Research

Background:

  • Primary hypertension in children is a growing concern.
  • Early detection of cardiac involvement is crucial for management.
  • Tissue Doppler echocardiography offers advanced insights into myocardial function.

Purpose of the Study:

  • To assess myocardial function in children with primary hypertension.
  • To utilize tissue Doppler echocardiography (TDE) for evaluating systolic and diastolic parameters.
  • To compare cardiac function between hypertensive children and healthy controls.

Main Methods:

  • Echocardiographic evaluation of 64 children (34 hypertensive, 30 controls).
  • Standard and tissue Doppler echocardiography parameters were employed.
  • Assessment included systolic and diastolic function indices.

Main Results:

  • Hypertensive children showed higher left ventricular myocardial performance index.
  • Diastolic dysfunction was evidenced by altered E/A ratio and prolonged relaxation times.
  • Tissue Doppler echocardiography revealed worse systolic (S', E') and diastolic (E'/A') parameters in hypertensive children.

Conclusions:

  • Children with primary hypertension exhibit significantly impaired systolic and diastolic myocardial function.
  • Tissue Doppler echocardiography is a valuable tool for detecting early myocardial changes in pediatric hypertension.
  • These findings suggest potential myocardial deterioration in pediatric hypertension.
Abstract

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