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

dc.contributor.authorAkçay, Salaheddin
dc.contributor.authorTürker, Yasin
dc.contributor.authorKobat, Mehmet Ali
dc.contributor.authorÇetin, Nurullah
dc.contributor.authorBilge, Ali Rıza
dc.contributor.authorTezcan, Uğur Kemal
dc.date.accessioned2020-05-01T12:11:57Z
dc.date.available2020-05-01T12:11:57Z
dc.date.issued2014
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionCETIN, NURULLAH/0000-0002-4158-5469en_US
dc.descriptionWOS: 000345117900002en_US
dc.descriptionPubMed: 25000542en_US
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. Blood Press Monit 19: 320-326 (C) 2014 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.en_US
dc.identifier.doi10.1097/MBP.0000000000000065en_US
dc.identifier.endpage326en_US
dc.identifier.issn1359-5237
dc.identifier.issn1473-5725
dc.identifier.issue6en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage320en_US
dc.identifier.urihttps://doi.org/10.1097/MBP.0000000000000065
dc.identifier.urihttps://hdl.handle.net/20.500.12684/6306
dc.identifier.volume19en_US
dc.identifier.wosWOS:000345117900002en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofBlood Pressure Monitoringen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectcoronary sinusen_US
dc.subjectechocardiographyen_US
dc.subjecthypertensionen_US
dc.titleEvaluation of coronary sinus strain in patients with dipper and nondipper hypertensionen_US
dc.typeArticleen_US

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