E.G. AKRAMOVA

Municipal Clinical Hospital No. 18, 2 Mavlyutov Str., Kazan, Russian Federation, 420101

Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, 36 Butlerov Str., Kazan, Russian Federation, 420012

  Akramova E.G. — D. Med. Sc., Head of the Department of Functional Diagnostics, Associate Professor of the Department of Ultrasound Diagnostics, tel. +7-917-274-06-71, e-mail: akendge@rambler.ru

The article presents the results of two-dimensional speckle tracking echocardiography of 57 patients with arterial hypertension and 24 practically healthy persons. With a preserved ejection fraction, the global longitudinal systolic deformation of the left ventricular myocardium during arterial hypertension is sufficiently informative to detect the progression of the disease and the effectiveness of the antihypertensive therapy received. The card-chart of the “bull’s eye” enables to objectify the data on hypertensive crises before examinations, excluding or leveling the anamnesis errors.

Key words: arterial hypertension, speckle-tracking echocardiography, global systolic longitudinal deformation.

REFERENCES

1. Sengupta P.P., Krishnamoorthy V.K., Korinek J.et al. Left ventricular form and function revisited: applied translational science to cardiovascular ultrasound imaging. J. Am. Soc. Echocardiogr, 2007, no. 20, rr. 539–551.
2. Lang R.M., Badano L.P., Mor-Avi V.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, no. 28, rr. 1–39.
3. Beaumont A., Grace F., Richards J.et al. Left Ventricular Speckle Tracking-Derived Cardiac Strain and Cardiac Twist Mechanics in Athletes: A Systematic Review and Meta-Analysis of Controlled Studies. Sports Med, 2017, no. 47, rr. 1145–1170.
4. Schiano-Lomoriello V., Galderisi M., Mele D. et al. Longitudinal strain of left ventricular basal segments and E/e’ ratio differentiate primary cardiac amyloidosis at presentation from hypertensive hypertrophy: an automated function imaging study. Echocardiography, 2016, no. 33, rr. 1335–1343.
5. Hein S., Arnon E., Kostin S. et al. Progression from compensated hypertrophy to failure in the pressure-overloaded human heart: structural deterioration and compensatory mechanisms. Circulation, 2003, no. 107, rr. 984–991.
6. Kang S.J., Lim H.S., Choi B.J. et al. Longitudinal strain and torsion assessed by two-dimensional speckle tracking correlate with the serum level of tissue inhibitor of matrix metalloproteinase-1, a marker of myocardial fibrosis, in patients with hypertension. J. Am. Soc. Echocardiogr, 2008, no. 21, rr. 907–911.
7. Cameli M., Mondillo S., Righini F.M.et al. Left Ventricular Deformation and Myocardial Fibrosis in Patients With Advanced Heart Failure Requiring Transplantation. Journal of Cardiac Failure, 2016, no. 22, rr. 901–907.
8. Roes S.D., Mollema S.A., Lamb H.J.et al. Validation of echocardiographic two-dimensional speckle tracking longitudinal strain imaging for viability assessment in patients with chronic ischemic left ventricular dysfunction and comparison with contrast-enhanced magnetic resonance imaging. American Journal of Cardiology, 2009, no. 104, rr. 312–317.
9. Popović Z.B., Kwon D.H., Mishra M.et al. Association between regional ventricular function and myocardial fibrosis in hypertrophic cardiomyopathy assessed by speckle tracking echocardiography and delayed hyperenhancement magnetic resonance imaging. J. Am. Soc. Echocardiogr, 2008, no. 21, rr. 1299–1305.
10. Alekhin M.N., Zvereva L.V., Polyakova T.Yu. Echocardiographic evaluation of myocardial deformation of the left ventricle by the method of automatic functional imaging in patients with hypertensive disease. Kremlevskaya meditsina. Klinicheskiy vestnik, 2011, no. 1, pp. 52–55 (in Russ.).