Association between left atrial stiffness and aortic plaque thickness in hypertensive patients with stroke

OBJECTIVE: Our aim was to investigate the relation between left atrial stiffness (LASt) and thoracic aortic plaque thickness in hypertensive patients with stroke. METHOD: A total of 97 hypertensive patients were recruited (age: 59.2 ± 7.5 years), including 56 consecutive patients with undefined stroke and 41 age-matched hypertensive patients without stroke. Left atrial strain and stiffness were measured using speckle tracking echo. Thoracic aortic plaque detection and evaluation was performed using transesophageal echocardiography. RESULTS: Hypertensive patients with stroke, when compared with those without stroke, had a significantly higher LASt value (P   .05). While the percentage of plaque ≥4 mm thickness was much higher in hypertensive patients with stroke (71.4% vs 4.9%; P   0.63 was the best cutoff value in predicting aortic plaque thickness ≥ 4 mm. CONCLUSION: Left atrial stiffness was significantly associated with aortic plaque thickness ≥ 4 mm, in hypertensive patients with stroke. These finding prevailed the importance of LASt in risk stratification of hypertension.