Left ventricular dysfunction in hypertensive patients: an echocardiographic assessment

• DOI: 10.3126/jcmc.v8i3.23751
• Publication Date: 2019-04-21T21:07:37Z
• Authors: Rishi Khatri; Devendra Khatri; Dhan Bahadur Shre...; Parag Karki; Chiranjeevi Panta; Raj Kumar Shrestha; Binod Karki
• Keywords: Hypertensive heart disease; Concentric hypertrophy

Introduction: Echocardiography is noninvasive procedure to assess heart. Ventricular mass increases due left ventricular hypertrophy and performance of ventricle decreases with increase in blood pressure. Left ven­tricular diastolic dysfunction (LVDD) early sign heart weakness which can be picked up Echo. This study was aimed cardiac anatomic functional parametric alteration echocardiography among hypertensive patients. 
 Methods: a non-invasive, cross sectional hospital based retrospective review the patient record from echo room who undergone echocardiographic as­sessment September 2017-February 2018 Shree Birendra Hospital (SBH), Chhauni, Kathmandu. Results: Among 447 cases, 232(51.9%) were having normal function while rest 215(48.1%) total cases evaluated, only 12(2.7%) patients ejec­tion fraction lower than 55%, it normal. There 53 (11.9%) some form as­sociated complication. Gender, Concentric Hypertrophy atrial dilatation has significant difference (p<0.05) LVDD. Statistically differences age distribution individuals different categories systolic (LVSD) LVDD (p˂0.001) observed. Conclusion: Signifi­cant number though most individual LV ejection maintained.