| About the author: |
Kuzminova N.V., Ivankova A.V., Ivanov V.P., Lozinsky S.E., Knyazkova I.I., Gavrylyuk A.O. |
| Heading |
CLINICAL MEDICINE |
| Type of article |
Scentific article |
| Annotation |
The total of 156 patients (65 men and 91 women) with stage II hypertension (EH II) were examined, with an average age of 58.2 ± 0.9 years. The main clinical array consisted of 124 patients with frequent symptomatic supraventricular (SVE) (74 (59.7%) patients) or ventricular extrasystoles (VE) (50 (40.3%) pts) according to Holter monitoring of the electrocardiogram (HM ECG). The comparison group included 32 patients with EH II without cardiac arrhythmias. Echocardiographic evaluation of structural and functional changes of the heart showed that the presence of frequent extrasystoles was associated with an increase of right ventricular (RV) size and signs of its overload, more pronounced left ventricular hypertrophy (LVH), a significant decrease in LV systolic function and impaired myocardial relaxation with the prevalence of the rigid type of transmitral flow. Patients with EH II and frequent VE compared with patients with EH II and SVE had a more significant decrease in LV systolic function and more pronounced disorders of diastolic function, whereas patients with SVE had a more expressed LVH. |
| Tags |
arterial hypertension, essential hypertension, supraventricular extrasystole, ventricular extrasystole, echocardiography, Holter ECG monitoring |
| Bibliography |
- Belenkov YuN, Mareev YuV. Serdechno-sosudystui kontinuum. Serdechnaya nedostatochnost. 2012; 1: 7-11. [in Russian]
- Zharinov OI, Talaieva TV, Lishchyshyna OM, Bozhko LI, Hetman TV, Zalevskyi VP. [ta in.] Adaptovana klinichna nastanova, zasnovana na dokazakh. Fibryliatsiia peredserd. Rekomendatsii Robochoi hrupy z porushen rytmu sertsia Asotsiatsii kardiolohiv Ukrainy. 2016: 11-7. [in Ukrainian]
- Kovalenko VM, Dolzhenko MM., Potashev SV. Nastanovy z klinichnoi ekhokardiohrafiyi. 2018. 327s. [in Ukrainian]
- Nedostup AV, Blahova OV. Kak lechyt arytmiyu. Narusheniya ritma i provodimosti v klynycheskoy praktike. 2011. 365s. [in Russian]
- Rebrova OYu. Statystycheskyi analiz meditsinskikh dannykh. Primeneniye paketa prikladnykh programm STATISTICA. 2006. 312s. [in Russian]
- Sychov OS, Lutai MI, Romanova OM. Ambulatorne EKH-monitoryuvannya. Rekomendatsiyi Asotsiatsiyi kardiolohiv Ukrainy. 2010. 44s. [in Ukrainian]
- Kuzminova NV, Ivankova AV, Ivanov VP, Lozinsky SE, Knyazkova II, Gavriluk AO. Daily blood pressure pattern disorders in patients with stage II essential hypertension and frequent premature beats. Svit medytsyny ta biolohiyi. 2020; 1(71): 72-7. https://doi.org/10.26724/2079-8334-2020-1-71-72-77
- Lang RM, Badano LP, Mor-Avi V, Afilalo J, Armstrong A, Ernande L. [et al.] Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2015; 28(1): 1–39.
- Leung AA, Daskalopoulou SS, Dasgupta K, McBrien K, Butalia S, Zarnke KB. [et al.] Hypertension Canada's 2017 guidelines for diagnosis, risk assessment, prevention, and treatment of hypertension in adults. Canadian Journal of Cardiology. 2017; 33(5): 557-76.
- Lip G, Coca A, Kahan T, Boriani G, Manolis AS, Olsen MH. [et al.] Hypertension and cardiac arrhythmias: a consensus document from the EHRA and ESC Council on Hypertension, endorsed by the HRS, Asia-Pacific Heart Rhythm Society APHRS and SOLEACE. Europace. 2017; 19 (6): 891-911. https://doi.org/doi:10.1093/europace/eux091.
- Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Bohm M. [et al.] 2013 ESH/ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J. Hypertens. 2013; 31(7): 1281–357.
- Purmah Y, Proietti M, Laroche C, Mazurek M, Tahmatzidis D, Novo S. Rate vs. rhythm control and adverse outcomes among European patients with atrial fibrillation. Europace. 2017; 19 (3): 241-50. PMID: 28160483. DOI: 10.1093/europace/euw421.
- Xu TY, Yang Y, Li JJ, Li Y, Wang JG. Left ventricular deformation in relation to the geometric pattern in hypertensive patients. Medicine. 2019; 98(4): 1-6.
- Zeng Z, Zhou R, Liang O. Comparison of arrhythmias different left ventricular geometric patterns in essential hypertension. J. Tongji. Med. Univ. 2011; 21 (2): 93-6.
|
| Publication of the article |
«World of Medicine and Biology» №2(72), 2020 year, 079-085 pages, index UDK 616-072.7: 616.12-008.331.1: 616.12-008.318.4 |
| DOI |
10.26724/2079-8334-2020-2-72-79-85 |
