The Hidden Value of Assessing Right Ventricular Performance with Exercise in Hypertensive Patients with Left Ventricular Diastolic Dysfunction

作     者：Mohamed Sanhoury Samir Rafla Tarek El Badawy Radwa Momtaz Khalil Mohamed Sanhoury;Samir Rafla;Tarek El Badawy;Radwa Momtaz Khalil

作者机构：Cardiology Department Faculty of Medicine Alexandria University Alexandria Egypt 

出 版 物：《World Journal of Cardiovascular Diseases》 (心血管病（英文）)

年 卷 期：2021年第11卷第6期

页      面：261-276页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Right Ventricular Dysfunction Left Ventricular Dysfunction Exercise Echocardiography Tricuspid Annular Plane Systolic Excursion (TAPSE) 

摘      要：Background: Right ventricular (RV) dysfunction could develop during exercise inpatients with both hypertension and left ventricular diastolic dysfunction and may contribute to the patient symptoms. The objective is to assess RV function, both at rest and during exercise in patients with hypertension and left ventricular diastolic dysfunction. Methods: We included 30 patients with hypertension and resting LV diastolic dysfunction. The systolic function of the right ventricle was assessed by TAPSE (Tricuspid Annular Plane Systolic Excursion) and S, while E/A ratio, annular lateral E’, E/E’ and E’/A’ were used to measure diastolic function. The global function of the right ventricle was assessed by measuring the right indexed myocardial performance. The dimensions and pulmonary pressures were also measured. Results: The following parameters of RV systolic function were increased significantly with exercise: TAPSE (P = 0.0054), S’ (P= 0.0045). Moreover, the following diastolic parameters of the RV increased significantly with exercise: E/E’ (P=0.05), A’(P=0.04). The global RV function showed also a significant increase (P=0.0011). The th