Mahmoud Shawky Abd- El moneum, Benha University Hospital, Egypt
Title : Assessment of the relation between pulmonary hypertension severity and left ventricular diastolic dysfunction in patients with ischemic heart disease
Background: Association between pulmonary hypertension and left ventricular (L.V.) diastolic dysfunction in patients with ischemic heart disease has been observed. However, the relation between the severity of pulmonary hypertension and left ventricular diastolic dysfunction is still unclear
Objectives: To explore the relationship between pulmonary hypertension severity and L.V. diastolic dysfunction in patients with ischemic heart disease .
Patients and methods: 200 symptomatic patients with ischemic heart disease were included in this study. History taking, clinical examination, and echocardiography were performed to all patients, LV dimensions, systolic and diastolic function, and systolic pulmonary artery pressure (SPAP) were measured. the patients were divided into two groups as indicated by the presence or absence of diastolic dysfunction.
Results: Patients with diastolic dysfunction had significantly higher SPAP (p < 0.00001), and significantly higher incidence of severe pulmonary hypertension (p = 0.034). Autonomous indicators for the presence of severe pulmonary hypertension were E/E\ > 15, E/A< 1, and E-wave DT < 160
Conclusion: patients with ischemic heart disease in addition to left ventricular diastolic dysfunction had a higher systolic pulmonary artery pressure and a higher incidence of severe pulmonary hypertension. Systolic pulmonary artery pressure was essentially connected with LV diastolic dysfunction.
Benha University Hospital