Decreased plasma adiponectin is associated with impaired left ventricular longitudinal systolic function in hypertensive patients: a two-dimensional speckle tracking study

被引:7
|
作者
Ozkan, Birol [1 ]
Acar, Goksel [1 ]
Alici, Gokhan [1 ]
Alizade, Elnur [1 ]
Tabakci, Mehmet Mustafa [1 ]
Sahin, Muslum [1 ]
Yazicioglu, Mehmet Vefik [1 ]
Ozkok, Abdullah [2 ]
Tanboga, Ibrahim Halil [3 ]
Coskun, Cihan [4 ]
Esen, Ali Metin [1 ]
机构
[1] Kartal Kosuyolu High Specialty Educ & Res Hosp, Dept Cardiol, TR-34846 Istanbul, Turkey
[2] Istanbul Medeniyet Univ, Goztepe Training & Res Hosp, Istanbul, Turkey
[3] Ataturk Univ, Sch Med, Dept Cardiol, Istanbul, Turkey
[4] Dr Lutfi Kirdar Kartal Educ & Res Hosp, Dept Biochem, Istanbul, Turkey
关键词
Adiponectin; hypertension; left ventricular hypertrophy; strain; two-dimensional speckle-tracking; MYOCARDIAL FIBROSIS; DIASTOLIC FUNCTION; HEART-FAILURE; HYPERTROPHY; DYSFUNCTION; ACTIVATION; EXPRESSION; ECHOCARDIOGRAPHY; PROGRESSION; RECEPTORS;
D O I
10.3109/10641963.2013.783053
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
The influence of plasma adiponectin levels on myocardial contractile function has not been fully examined. We aimed to investigate the relationship between three-directional systolic function and plasma adiponectin levels in asymptomatic hypertensive patients using two-dimensional speckle-tracking echocardiography. The study population consisted of 78 patients with hypertension and 40 healthy controls. Longitudinal strain was significantly reduced in all patients, including those without LV hypertrophy (p = 0.009). In multiple-regression analysis, plasma adiponectin levels (beta = -0.273, p = 0.008) and LV mass index (beta = 0.458, p < 0.001) independently correlated with LV longitudinal strain. Decreased plasma adiponectin concentrations were associated with the progression of LV hypertrophy with impaired LV longitudinal systolic function.
引用
收藏
页码:46 / 51
页数:6
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