Left ventricular dysfunction in hypertensive patients: an echocardiographic assessment

  • Rishi Khatri Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal
  • Devendra Khatri Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal
  • Dhan Bahadur Shrestha Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal
  • Parag Karki Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal
  • Chiranjeevi Panta Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal
  • Raj Kumar Shrestha Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal
  • Binod Karki Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal
Keywords: Echocardiography, Hypertension, Left verntricular diastolic dysfunction, Nepal

Abstract

Introduction: Echocardiography is noninvasive procedure to assess heart. Ventricular mass increases due to left ventricular hypertrophy and performance of left ventricle decreases with increase in blood pressure. Left ven­tricular diastolic dysfunction (LVDD) is early sign of heart weakness which can be picked up early with Echo. This study was aimed to study cardiac anatomic and functional parametric alteration in echocardiography among hypertensive patients.

Methods: This was a non-invasive, cross sectional hospital based retrospective review of the patient record from echo room among the hypertensive patient who undergone echocardiographic as­sessment from September 2017-February 2018 in Shree Birendra Hospital (SBH), Chhauni, Kathmandu.

Results: Among 447 hypertensive cases, 232(51.9%) were having normal diastolic function while rest 215(48.1%) were having diastolic dysfunction of the heart. Among total cases evaluated, only 12(2.7%) patients were having ejec­tion fraction lower than 55%, while in rest it was normal. There were 53 (11.9%) cases having some form of as­sociated complication. Gender, Concentric Left Ventricular Hypertrophy and left atrial dilatation has significant difference (p<0.05) with LVDD. Statistically significant differences in age distribution of individuals with different categories of left ventricular systolic dysfunction (LVSD) and LVDD (p˂0.001) was observed.

Conclusion: Signifi­cant number of hypertensive individuals were having LVDD though in most of the individual LV ejection fraction was maintained.

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Author Biographies

Rishi Khatri, Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal

Department of Internal Medicine

Devendra Khatri, Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal

Department of Internal Medicine

Dhan Bahadur Shrestha, Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal

Department of Internal Medicine

Parag Karki, Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal

Department of Internal Medicine

Chiranjeevi Panta, Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal

Deparment of Internal Medicine

Raj Kumar Shrestha, Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal

Department of Internal Medicine

Binod Karki, Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal

Department of Internal Medicine

Published
2018-09-30
How to Cite
Khatri, R., Khatri, D., Shrestha, D., Karki, P., Panta, C., Shrestha, R., & Karki, B. (2018). Left ventricular dysfunction in hypertensive patients: an echocardiographic assessment. Journal of Chitwan Medical College, 8(3), 51-56. https://doi.org/10.3126/jcmc.v8i3.23751
Section
Original Research Articles