The correlation of ABMP and RV dysfunction detected by speckle tracing in obese hypertensive patients

Fathy Ahmed Nada; Ahmed Emad Eldin Mohamed; Mohammed Ahmed El Merry

doi:10.53730/ijhs.v5nS2.12673

Authors

Fathy Ahmed Nada Cardiology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
Ahmed Emad Eldin Mohamed Cardiology Department, Military Medical Academy, Cairo, Egypt
Mohammed Ahmed El Merry Cardiology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Keywords:

ABMP, RV Dysfunction, Speckle Tracing, Obesity, Hypertension

Abstract

Background: Obesity significantly raises the risk of high blood pressure as well as heart conditions. Ambulatory blood pressure monitoring (ABPM) is a reliable way to diagnose and manage hypertension, providing more accurate predictions for cardiovascular results than standard office readings. Right ventricular (RV) dysfunction, evaluated using speckle tracking echocardiography, is becoming a new indicator of cardiovascular risk. Objective: To investigate the connection between ABPM parameters and right ventricular dysfunction in patients who have elevated blood pressure with excess body weight. Methods: Cross-sectional research involved 346 hypertensive patients, categorized into three groups based upon their BMI and waist circumference. ABPM was performed, and RV function was assessed using speckle tracking echocardiography. Data analysis was conducted based on the mean of the absolute changes among consecutive measurements as well as usage to compute the short-term blood pressure changes as well as the individuals' wake-up intervals. Results: Obese individuals exhibited significantly higher systolic blood pressure between 1 and 6 hours before waking compared to those of normal weight. Moreover, both diastolic and systolic blood pressure variations raised with elevated BMI. Lastly, strain imaging revealed that obese hypertensive patients had more right ventricular impairments compared to their normal-weight counterparts.

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References

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