Cengiz Başar1, Feyzullah Beşli, Yasin Türker, Serkan Ordu, Serkan Bulur, Feyza Başar. 1. aDepartment of Cardiology, Düzce Atatürk State Hospital, Turkey Düzce State Hospital Departments of bCardiology cPathology, Düzce University Faculty of Medicine Hospital, Düzce dDepartment of Cardiology, Anatolia Hospital, Kastamonu eDepartment of Cardiology, Medeniyet University Faculty of Medicine Hospital, İstanbul, Turkey.
Abstract
BACKGROUND: The aim of this study was to evaluate the relationship between left ventricular (LV) myocardial performance index (MPI) and nondipper pattern in hypertensive patients. METHODS: Between June 2012 and November 2012, patients admitted to the Cardiology Department of Düzce University Faculty of Medicine and diagnosed previously with essential hypertension were included in the study. Patients were divided into two groups, nondippers and dippers, using ambulatory blood pressure measurement. All patients were evaluated by two-dimensional and Doppler echocardiography. LV MPI was calculated from tissue Doppler imaging parameters. RESULTS: There was no significant difference between the two groups in the proportion of each class of antihypertensive medications. Dippers and nondippers had similar age, BMI, lipid profiles, and smoking status. The MPI value was significantly higher in nondippers than in dippers, and was correlated negatively with the rate of systolic and diastolic blood pressure fall at night (P<0.001). CONCLUSION: Our study showed that MPI is disturbed in patients with nondipper hypertension. MPI may be used in the diagnosis and follow-up of global LV dysfunction in patients with a nondipper pattern, but further prospective studies are needed.
BACKGROUND: The aim of this study was to evaluate the relationship between left ventricular (LV) myocardial performance index (MPI) and nondipper pattern in hypertensivepatients. METHODS: Between June 2012 and November 2012, patients admitted to the Cardiology Department of Düzce University Faculty of Medicine and diagnosed previously with essential hypertension were included in the study. Patients were divided into two groups, nondippers and dippers, using ambulatory blood pressure measurement. All patients were evaluated by two-dimensional and Doppler echocardiography. LV MPI was calculated from tissue Doppler imaging parameters. RESULTS: There was no significant difference between the two groups in the proportion of each class of antihypertensive medications. Dippers and nondippers had similar age, BMI, lipid profiles, and smoking status. The MPI value was significantly higher in nondippers than in dippers, and was correlated negatively with the rate of systolic and diastolic blood pressure fall at night (P<0.001). CONCLUSION: Our study showed that MPI is disturbed in patients with nondipper hypertension. MPI may be used in the diagnosis and follow-up of global LV dysfunction in patients with a nondipper pattern, but further prospective studies are needed.