Quantitative assessment of left atrial functions by speckle tracking echocardiography in hypertensive patients with and without retinopathy
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2022Author
Çelik, Mehmetİzci, Servet
Kıvrık, Ulviye
Kup, Ayhan
Kahyaoğlu, Muzaffer
Yılmaz, Yusuf
Uslu, Abdulkadir
Yılmaz, Ahmet Seyda
Çelik, Fatma Betül
Avcı, Anıl
Çakmak, Ender Özgün
Candan, Özkan
Kanal, Yücel
Geçmen, Çetin
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Celik, M., Izci, S., Kivrak, U., Kup, A., Kahyaoglu, M., Yilmaz, Y., Uslu, A., Yilmaz, A. S., Celik, F. B., Avci, A., Cakmak, E. O., Candan, O., Kanal, Y., & Gecmen, C. (2022). Quantitative assessment of left atrial functions by speckle tracking echocardiography in hypertensive patients with and without retinopathy. Journal of clinical ultrasound : JCU, 50(6), 759–768. https://doi.org/10.1002/jcu.23248Abstract
Purpose:The association between hypertensive retinopathy and left atrial(LA) impairment is unknown. Accordingly, it was aimed to investigate the possiblerelationship between hypertensive retinopathy and LA phasic functions by means oftwo-dimensional speckle-tracking echocardiography (2D-STE).Methods:A total of 124 hypertensive patients and 27 control subjects were includedin the study. LA reservoir strain (LAS-S), LA conduit strain (LAS-E), and LA boosterstrain (LAS-A) parameters were used to evaluate LA myocardial functions.Results:Hypertensive patients (with and without retinopathy) displayed an obviousreduction in the LA reservoir strain (LAS-S),and LA conduit strain (LAS-E). Moreover,further impairment in LA reservoir and conduit strain was found in patients withhypertensive retinopathy than in the isolated hypertensive patients. There were nosignificant differences in LA booster strain (LAS-A) among the three groups. ImpairedLAS-S(OR: 0.764, CI: 0.657–0.888, andp< 0.001), LAS-E(OR: 0.754, CI: 0.634–0.897,andp=0.001), and hypertension (HT) duration (OR: 2.345, CI: 1.568–3.507, andp< 0.001) were shown to be independent predictors of hypertensive retinopathy.Conclusion:Impaired LA reservoir and conduit strain may be used to predict hyper-tensive patients at higher risk of developing hypertensive retinopathy, and to deter-mine which patients should be followed more closely for hypertensive retinopathy