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[Echocardiographic evaluation in the course of hypertension in the elderly]

Monika Rynkowska-Kidawa1, Michał Kidawa2, Joanna Kapusta3

  • 1Department of Internal Diseases and Geriatrics, MCM Jonscher, Łódź.

Polski Merkuriusz Lekarski : Organ Polskiego Towarzystwa Lekarskiego
|January 5, 2018
PubMed

Insights

Long-term hypertension in the elderly leads to significant changes in heart structure, including hypertrophy of the left atrium and right ventricle. Echocardiography reveals these cardiac alterations, impacting prognosis.

Area of Science:

  • Cardiology
  • Geriatrics
  • Medical Imaging

Background:

  • Hypertension is prevalent in the elderly due to increased survival rates and aging.
  • Assessing systemic complications is crucial for hypertension diagnosis and prognosis.
  • Echocardiography is the primary tool for evaluating cardiac structure and diagnosing ventricular hypertrophy.

Purpose of the Study:

  • To perform an echocardiographic evaluation of cardiac changes in elderly patients with hypertension.

Main Methods:

  • Eighty hypertensive patients (75-93 years old) were enrolled.
  • Patients were grouped based on hypertension duration and age.
  • Echocardiography was used to assess cardiac dimensions and wall thickness.

Main Results:

  • Hypertension duration significantly affected left ventricular chamber dimensions.
  • Ventricular septum and posterior wall thickness were significantly influenced by hypertension duration.
  • Echocardiography demonstrated structural cardiac changes related to hypertension in the elderly.

Conclusions:

  • Long-term hypertension causes left atrium and right ventricular hypertrophy.
  • Diminished left ventricular systolic and diastolic dimensions were observed.
  • Increased ventricular septal and posterior wall thickness occurred without affecting right ventricle diastolic dimension.

Keywords:
hypertensionold agetransthoracic echocardiography

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