Stručni rad
https://doi.org/10.20471/acc.2022.61.s1.04
Diagnostic value of cardiac ultrasound in estimating the duration of arterial hypertension
Nikola Kočet
; Department of Emergency Medicine of Varaždin County, Varaždin
Damir Rošić
; Department of Emergency Medicine of Primorje-Gorski Kotar County, Rijeka; The Medical School of Catholic University of Croatia, Zagreb
Višnja Nesek Adam
; University Hospital „Sveti Duh“, Emergency Department, Zagreb; Josip Juraj Strossmayer University in Osijek, Faculty of Medicine, Osijek; Clinical Department of Anesthesiology, Resuscitation and Intensive Care, University Hospital „Sveti Duh“, Zagreb
Martina Matolić
; Clinical Department of Anesthesiology, Resuscitation and Intensive Care, University Hospital „Sveti Duh“, Zagreb
Maja Svetec
; Department of Emergency Medicine of Varaždin County, Varaždin
Anđela Simić
; Department of Emergency Medicine of Varaždin County, Varaždin
Sažetak
The aim of the study was to assess the correlation between the degree and duration
of arterial hypertension and the hypertrophy of the left ventricle and the ejection fraction of the heart,
with cardiac ultrasound. Our prospective study included 50 patients with arterial hypertension as
leading diagnosis. All 50 patients were consecutively examined in the Emergency Department and
then referred to the Cardiac clinic of the Clinical Hospital “Sveti Duh” for further evaluation. The
inclusion criteria were male and female aged 18 and older and arterial hypertension as leading diagnosis
during Emergency Department visit. Exclusion criteria were pathological conditions that alter
myocardial architecture and impair contractility. Measurement of the left ventricle thickness based on
the thickness of the intraventricular septum and the posterior wall of the left ventricle, and the ejection
fraction was ultrasonically determined. The highest proportion of subjects was with the first degree
of arterial hypertension, followed by subjects with a third degree. The average duration of arterial
hypertension was 6.14 years. Of the total number of subjects, 28% did not take any antihypertensive
drugs. A statistically significant association was found between the degree and duration of arterial
hypertension with the development of left ventricular hypertrophy. Significant association wasn’t
found between the degree or duration of arterial hypertension and the heart ejection fraction. Our
study have shown strong correlation between the degree and duration of arterial hypertension and the
development of left ventricular hypertrophy and ultrasound could be a useful method in the evaluation
of some patients with arterial hypertension in the emergency department.
Ključne riječi
arterial hypertension; left ventricular hypertrophy; ejection fraction; ultrasound; emergency department
Hrčak ID:
281155
URI
Datum izdavanja:
1.6.2022.
Posjeta: 625 *