Evaluation of coronary sinus strain in patients with dipper and nondipper hypertension

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dc.contributor.authorAkcay S.
dc.contributor.authorTurker Y.
dc.contributor.authorKobat M.A.
dc.contributor.authorCetin N.
dc.contributor.authorBilge A.R.
dc.contributor.authorTezcan U.K.
dc.date.accessioned2024-07-22T08:14:08Z
dc.date.available2024-07-22T08:14:08Z
dc.date.issued2015
dc.description.abstractObjective: Hypertension has been reported to affect both the left and the right ventricular functions, but its effect on the coronary sinus has not been investigated. The aim of this study was to investigate the effect of systemic hypertension on the cardiac venous system by evaluating the coronary sinus strain (CSS). Methods: One-hundred and twelve hypertensive patients without diabetes and 44 healthy individuals (the control group) were evaluated consecutively at the outpatient clinic and enrolled in the study. CSS was evaluated by echocardiography in all the participants before blood pressure evaluations. Twenty-four-hour ambulatory blood pressure monitoring enabled the study population to be divided into two groups: 52 patients with dipper pattern hypertension and 60 with nondipper pattern hypertension. Results: Nondipper pattern patients had significantly lower values of CSS compared with the participants in the control group (140.8±54.2 and 193.9±48.1, P<0.001). Similarly, dipper pattern patients had significantly lower values of CSS values compared with the controls (164±68.4 and 193.9±48.1, P=0.036). On comparing the three groups, the CSS values showed a progressive decrease from normal individuals to dipper and nondipper hypertension patients. Correlation analysis indicated a positive correlation between the aortic strain and the CSS (r= 0.247, P=0.002). There was a weak correlation between left ventricular mass and CSS (r =-164, P= 0.041). Conclusion: Our study suggests that systemic hypertension may affect the cardiac venous system as well as the arterial system, which has been reported in many papers. The effect on the venous system may be more pronounced in nondipper pattern hypertension. © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins.
dc.identifier.DOI-ID10.1097/MBP.0000000000000065
dc.identifier.issn13595237
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/16474
dc.language.isoEnglish
dc.publisherLippincott Williams and Wilkins
dc.subjectAdult
dc.subjectCoronary Circulation
dc.subjectCoronary Sinus
dc.subjectFemale
dc.subjectHeart Ventricles
dc.subjectHumans
dc.subjectHypertension
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectVentricular Function, Left
dc.subjectVentricular Function, Right
dc.subjectadult
dc.subjectArticle
dc.subjectblood pressure measurement
dc.subjectblood pressure monitoring
dc.subjectbody surface
dc.subjectcardiovascular parameters
dc.subjectclinical evaluation
dc.subjectcontrolled study
dc.subjectcoronary sinus
dc.subjectcoronary sinus strain
dc.subjectdiastolic blood pressure
dc.subjectdipper hypertension
dc.subjectfemale
dc.subjectheart ejection fraction
dc.subjectheart left ventricle mass
dc.subjectheart size
dc.subjecthuman
dc.subjecthypertension
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmean arterial pressure
dc.subjectnondipper hypertension
dc.subjectoutpatient department
dc.subjectpeak expiratory flow
dc.subjectpriority journal
dc.subjectreal time ultrasound scanner
dc.subjectsystolic blood pressure
dc.subjecttransthoracic echocardiography
dc.subjectclinical trial
dc.subjectcomparative study
dc.subjectcoronary artery blood flow
dc.subjectcoronary sinus
dc.subjectheart left ventricle function
dc.subjectheart right ventricle function
dc.subjectheart ventricle
dc.subjecthypertension
dc.subjectmiddle aged
dc.subjectpathology
dc.subjectpathophysiology
dc.titleEvaluation of coronary sinus strain in patients with dipper and nondipper hypertension
dc.typeArticle

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