کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5613915 | 1578013 | 2017 | 27 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Echocardiographic characteristics of hypertensive patients affected by transient ischemic attack: a cross-sectional study
ترجمه فارسی عنوان
ویژگی های اکوکاردیوگرافی بیماران مبتلا به فشار خون بالا تحت تاثیر حمله ایسکمی گذرا: یک مطالعه مقطعی
دانلود مقاله + سفارش ترجمه
دانلود مقاله ISI انگلیسی
رایگان برای ایرانیان
کلمات کلیدی
آنوریسم سپتوم دهلیزی، بازسازی کانکتور هیپرتروفی، بطن چپ،
موضوعات مرتبط
علوم زیستی و بیوفناوری
علم عصب شناسی
سیستم های درون ریز و اتونومیک
چکیده انگلیسی
Atrial septal aneurysm (ASA), common finding in normal echocardiographies, has been described in association with transient ischemic attacks (TIAs)/strokes, as well as hypertensive end-organ damage such as left ventricular (LV) hypertrophy. Aim of this study was to assess if a cluster of echocardiographic aspects could characterize TIA hypertensive patients. A cross-sectional study on patients with history of TIA, referring to a Hypertension Center echolab, has been performed. A total of 5223 patients received transthoracic echocardiography. TIA patients were 292 (5.6%). A total of 102 age/sex-matched patients without TIA have been collected as controls. The main characteristic of TIA patients resulted ASA/bulging (B) (TIA 61%, controls 6%, PÂ =Â .0001). Other aspect was LV concentric remodeling (TIA 32.3%, controls 20.8%, PÂ =Â .029) and mitral flow aspects of diastolic dysfunction. After adjustment for age and hypertension, ASA/B (odds ratio [OR]Â =Â 62.4, 95% confidence interval [CI]: 13.6-73.9, PÂ <Â .001), followed by LV concentric hypertrophy (ORÂ =Â 2.1, 95% CI: 1.1-4.3, PÂ =Â .043), was associated with a positive TIA history. A binary logistic regression performed in ASA/B patients, identified relative wall thickness as the strongest TIA-associated aspect (ORÂ =Â 53.4, 95% CI: 11.9-74.18, PÂ =Â .001). ASA/B, common finds in general population, could carry a significant incremental possibility of association with TIA when concentric geometry, frequent hypertensive aspect, is present as well.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the American Society of Hypertension - Volume 11, Issue 4, April 2017, Pages 213-219
Journal: Journal of the American Society of Hypertension - Volume 11, Issue 4, April 2017, Pages 213-219
نویسندگان
Daniela MD, Simone Stefano MD, Angelo MD, Arrigo F.G. MD, Giovanni MD, Stefano MD, Maria MD, Francesca MD, Claudio MD,