Sistemik Hypertansiyon’da Sol Ventrikül Diyastolik Fonksiyonları

The left ventricular diastolic function in the cases of systemic hypertension ✓In this study the left ventricular diastolic functions (LVDF) of the 50 cases with systemic hy¬pertension were ewaluated by means of pulsed Doppler echocardiography. Our findings were compared with the findings of die 20 cases in the control group. When the control group and the patient group were compared with each other for the Doppler parameters, early peak fill¬ing rate (E) , Late peak filling rate (A), the ratio of E/A, deceleration half time (DHT), decelera¬tion rate (DR), it was found significant differences for the parameters of A, E/A, DHT and DR (p<0.01, p<0.001, p<0.001, p<0.001) The thickness of interventricular septum (IVS) and posterior wall (PW) were increased in the patients group comparing with the control group. (p<0.001, p<001). As a result, it has been shown that LV diastolic functions have been distrubed significantly in the patients with moder ate and grave systemic hypertension. ✓ Bu calismada, Sistemik Hipertansiyonlu 50 olgunun sol ventrikul diyastolik fonksiyonu (LVDF) "pulsed" Doppler Ekokardiyografi ile degerlendirildi. Buldugumuz degerler 20 kontrol grubu degerleri ile karsilastirildi. Kontrol grubu ve hasta grubu erken zirve dolus hizi (E), gec zirve dolus hizi (A), E/A orani, deselerasyon yan zamani (DHT), deselerasyon hizi (DR) gibi Doppler parametreleri ile karsilastirildiklarinda sirasiyla A, E/A, DHT ve DR parametrele¬rinde anlamli farklilikl bulundu. (p<0.01, p<0.001. p<0.001, p<0.001) Kontrol grubuna kiyasla hasta grubunda interventrikuler septum (IVS) ve posteriyor duvar kalinliklannin (PW) artmis oldugu bulundu. (p<0.001, p<001). Sonuc olarak calismamiz orta ve agir derecelerde sistemik hypertansiyon LV diyastolik fonk¬siyonlarinin onemli sekilde bozuldugu gostermistir.