Correlation of Arterial Stiffness with Left Ventricular Global Longitudinal Strain and Diastolic Function in Hypertensive Patients

Background: Arterial stiffness is one of the complications of hypertension. It is a hallmark of vascular aging, and when assessed with the carotid–femoral-pulse wave velocity (cf-PWV), it is predictive of outcome regardless of blood pressure components. Objectives: To detect subclinical involvement...

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Main Authors: Ethar Saad Abbas, Oday J. Al-Salihi, Abdulhadi Hameed Alkaaby
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:Medical Journal of Babylon
Subjects:
Online Access:https://doi.org/10.4103/MJBL.MJBL_1309_23
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author Ethar Saad Abbas
Oday J. Al-Salihi
Abdulhadi Hameed Alkaaby
author_facet Ethar Saad Abbas
Oday J. Al-Salihi
Abdulhadi Hameed Alkaaby
author_sort Ethar Saad Abbas
collection DOAJ
description Background: Arterial stiffness is one of the complications of hypertension. It is a hallmark of vascular aging, and when assessed with the carotid–femoral-pulse wave velocity (cf-PWV), it is predictive of outcome regardless of blood pressure components. Objectives: To detect subclinical involvement of left ventricular (LV) systolic and diastolic dysfunction in hypertensive patients in whom arterial stiffness is high. Materials and Methods: A case–control study with 55 randomly taken hypertensive patients aged 30–60 years old (female = 25 and male = 30) was conducted from December 2022 to June 2023. Their findings were contrasted with those of 55 healthy people. The Sample was collected in Marjan Teaching City, Babylon province, Iraq. Arterial stiffness measured by cf-PWV and wide pulse pressure (PP) results in correlation with LV systolic and diastolic function. The LV systolic function was done by measuring global longitudinal strain, and the diastolic function was done according to the new guideline. Results: In comparison to control subjects, hypertensive patients have significant evidence to have subclinical LV systolic dysfunction in whom they have arterial stiffness and demonstrated a strong link (P value <0.001). Conclusion: Arterial stiffness measured by cf-PWV and PP highly correlated with subclinical LV abnormality, and there was no significant relationship between arterial stiffness and diastolic function. Subclinical LV abnormalities and arterial stiffness, as measured by cf-PWV and PP, are highly associated. Arterial stiffness and diastolic function are not significantly correlated.
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spelling doaj-art-52ec636dd97a4cffa38b4bb1be126afd2025-08-20T03:34:18ZengWolters Kluwer Medknow PublicationsMedical Journal of Babylon1812-156X2312-67602025-04-0122261061410.4103/MJBL.MJBL_1309_23Correlation of Arterial Stiffness with Left Ventricular Global Longitudinal Strain and Diastolic Function in Hypertensive PatientsEthar Saad AbbasOday J. Al-SalihiAbdulhadi Hameed AlkaabyBackground: Arterial stiffness is one of the complications of hypertension. It is a hallmark of vascular aging, and when assessed with the carotid–femoral-pulse wave velocity (cf-PWV), it is predictive of outcome regardless of blood pressure components. Objectives: To detect subclinical involvement of left ventricular (LV) systolic and diastolic dysfunction in hypertensive patients in whom arterial stiffness is high. Materials and Methods: A case–control study with 55 randomly taken hypertensive patients aged 30–60 years old (female = 25 and male = 30) was conducted from December 2022 to June 2023. Their findings were contrasted with those of 55 healthy people. The Sample was collected in Marjan Teaching City, Babylon province, Iraq. Arterial stiffness measured by cf-PWV and wide pulse pressure (PP) results in correlation with LV systolic and diastolic function. The LV systolic function was done by measuring global longitudinal strain, and the diastolic function was done according to the new guideline. Results: In comparison to control subjects, hypertensive patients have significant evidence to have subclinical LV systolic dysfunction in whom they have arterial stiffness and demonstrated a strong link (P value <0.001). Conclusion: Arterial stiffness measured by cf-PWV and PP highly correlated with subclinical LV abnormality, and there was no significant relationship between arterial stiffness and diastolic function. Subclinical LV abnormalities and arterial stiffness, as measured by cf-PWV and PP, are highly associated. Arterial stiffness and diastolic function are not significantly correlated.https://doi.org/10.4103/MJBL.MJBL_1309_23arterial stiffnessechocardiographyhypertensionlv hypertrophy
spellingShingle Ethar Saad Abbas
Oday J. Al-Salihi
Abdulhadi Hameed Alkaaby
Correlation of Arterial Stiffness with Left Ventricular Global Longitudinal Strain and Diastolic Function in Hypertensive Patients
Medical Journal of Babylon
arterial stiffness
echocardiography
hypertension
lv hypertrophy
title Correlation of Arterial Stiffness with Left Ventricular Global Longitudinal Strain and Diastolic Function in Hypertensive Patients
title_full Correlation of Arterial Stiffness with Left Ventricular Global Longitudinal Strain and Diastolic Function in Hypertensive Patients
title_fullStr Correlation of Arterial Stiffness with Left Ventricular Global Longitudinal Strain and Diastolic Function in Hypertensive Patients
title_full_unstemmed Correlation of Arterial Stiffness with Left Ventricular Global Longitudinal Strain and Diastolic Function in Hypertensive Patients
title_short Correlation of Arterial Stiffness with Left Ventricular Global Longitudinal Strain and Diastolic Function in Hypertensive Patients
title_sort correlation of arterial stiffness with left ventricular global longitudinal strain and diastolic function in hypertensive patients
topic arterial stiffness
echocardiography
hypertension
lv hypertrophy
url https://doi.org/10.4103/MJBL.MJBL_1309_23
work_keys_str_mv AT etharsaadabbas correlationofarterialstiffnesswithleftventriculargloballongitudinalstrainanddiastolicfunctioninhypertensivepatients
AT odayjalsalihi correlationofarterialstiffnesswithleftventriculargloballongitudinalstrainanddiastolicfunctioninhypertensivepatients
AT abdulhadihameedalkaaby correlationofarterialstiffnesswithleftventriculargloballongitudinalstrainanddiastolicfunctioninhypertensivepatients