Influence of White-Coat Hypertension on Left Ventricular Deformation 2- and 3-Dimensional Speckle Tracking Study

Marijana Tadic, Cesare Cuspidi, Branislava Ivanovic, Irena Ilic, Vera Celic, Vesna Kocijancic

Research output: Contribution to journalArticlepeer-review

Abstract

We sought to compare left ventricular deformation in subjects with white-coat hypertension to normotensive and sustained hypertensive patients. This cross-sectional study included 139 untreated subjects who underwent 24-hour ambulatory blood pressure monitoring and completed 2- and 3-dimensional examination. Two-dimensional left ventricular multilayer strain analysis was also performed. White-coat hypertension was diagnosed if clinical blood pressure was elevated and 24-hour blood pressure was normal. Our results showed that left ventricular longitudinal and circumferential strains gradually decreased from normotensive controls across subjects with white-coat hypertension to sustained hypertensive group. Two- and 3-dimensional left ventricular radial strain, as well as 3-dimensional area strain, was not different between groups. Two-dimensional left ventricular longitudinal and circumferential strains of subendocardial and mid-myocardial layers gradually decreased from normotensive control to sustained hypertensive group. Longitudinal and circumferential strains of subepicardial layer did not differ between the observed groups. We concluded that white-coat hypertension significantly affects left ventricular deformation assessed by 2-dimensional traditional strain, multilayer strain, and 3-dimensional strain.

Original languageEnglish
Pages (from-to)592-596
Number of pages5
JournalHypertension
Volume67
Issue number3
DOIs
Publication statusPublished - Mar 1 2016

Keywords

  • ambulatory blood pressure monitoring
  • left ventricle
  • three-dimensional echocardiography
  • two-dimensional speckle tracking
  • white-coat hypertension

ASJC Scopus subject areas

  • Internal Medicine

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