Is it only diastolic dysfunction? Segmental relaxation patterns and longitudinal systolic deformation in systemic hypertension
European Journal of Echocardiography 2008 9(6):741-747
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Conclusion
Longitudinal systolic dysfunction maybe be present in hypertensive patients with diastolic dysfunction, despite their normal overall systolic function based on EF.
Altered segmental relaxation patterns correlate highly with longitudinal systolic dysfunction.
A cut-off value of ≤5.9 for Septal Ea appears to associated with concurrent presence of longitudinal systolic dysfunction. LV hypertrophy, SBP and aging are important determinants of both diastolic and longitudinal systolic dysfunction, whereas obesity appears to contribute to the appearance of diastolic dysfunction.
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Nós acreditamos que toda disfunção diastólica inclui algum grau de disfunção sistólica, nunca é isolada.
Faltava provar.
Eles estão chegando lá.
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