Non-invasive Evaluation of Electromechanical Transmission in Patients with Hypertensive Response to Exercise Stress Test
Objective: Excessive hypertensive response to exercise testing is associated with adverse cardiovascular events such as left ventricular hypertrophy and atrial fibrillation (AF). In this study, we examined the relationship between electromechanical delay and excessive hypertensive response to exerci...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2023-09-01
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| Series: | Medeniyet Medical Journal |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-42027 |
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| author | Ahmet Ferhat KAYA Mehmet Hasan OZDIL Cemalettin YILMAZ Raif KILIC Mehmet OZBEK Hasan KAYA |
| author_facet | Ahmet Ferhat KAYA Mehmet Hasan OZDIL Cemalettin YILMAZ Raif KILIC Mehmet OZBEK Hasan KAYA |
| author_sort | Ahmet Ferhat KAYA |
| collection | DOAJ |
| description | Objective: Excessive hypertensive response to exercise testing is associated with adverse cardiovascular events such as left ventricular hypertrophy and atrial fibrillation (AF). In this study, we examined the relationship between electromechanical delay and excessive hypertensive response to exercise testing.
Methods: Twenty-five people who had a hypertensive response to the exercise stress test and 28 people who were similar in age and gender with a normal blood pressure response in the exercise stress test as the control group were included in the study.
Results: There was no statistical difference between the study groups in blood pressure holter values, conventional echocardiography findings, and exercise stress test findings. Lateral PA-TDI time (the time from the beginning of the P wave measured by tissue Doppler imaging to the beginning of the A' wave), left atrial electromechanical delay, and interatrial electromechanical delay were observed to be significantly longer in the hypertensive response group to exercise stress test compared with the control group (74.0+-6.3 vs. 68.8+-5.7, p=0.003; 24.7+-7.0 vs. 19.6+-7.1, p=0.013; 36.8+-8.5 vs. 30.6+-6.6, p=0.003, respectively).
Conclusions: Early detection of electromechanical delay non-invasively may be useful in this patient group in predicting the development of new AF risk. |
| format | Article |
| id | doaj-art-346f9453670b4cd2837b5cb9a656077c |
| institution | Kabale University |
| issn | 2149-2042 2149-4606 |
| language | English |
| publishDate | 2023-09-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Medeniyet Medical Journal |
| spelling | doaj-art-346f9453670b4cd2837b5cb9a656077c2025-01-30T07:02:58ZengGalenos Publishing HouseMedeniyet Medical Journal2149-20422149-46062023-09-0138318018610.4274/MMJ.galenos.2023.42027MEDJ-42027Non-invasive Evaluation of Electromechanical Transmission in Patients with Hypertensive Response to Exercise Stress TestAhmet Ferhat KAYA0Mehmet Hasan OZDIL1Cemalettin YILMAZ2Raif KILIC3Mehmet OZBEK4Hasan KAYA5Dicle University Hospital, Department of Cardiology, Diyarbakir, TurkeyMus State Hospital, Clinic of Cardiology, Mus, TurkeyMalazgirt State Hospital, Clinic of Cardiology, Mus, TurkeyDiyarlife Hospital, Clinic of Cardiology, Diyarbakir, TurkeyDicle University Hospital, Department of Cardiology, Diyarbakir, TurkeyDicle University Hospital, Department of Cardiology, Diyarbakir, TurkeyObjective: Excessive hypertensive response to exercise testing is associated with adverse cardiovascular events such as left ventricular hypertrophy and atrial fibrillation (AF). In this study, we examined the relationship between electromechanical delay and excessive hypertensive response to exercise testing. Methods: Twenty-five people who had a hypertensive response to the exercise stress test and 28 people who were similar in age and gender with a normal blood pressure response in the exercise stress test as the control group were included in the study. Results: There was no statistical difference between the study groups in blood pressure holter values, conventional echocardiography findings, and exercise stress test findings. Lateral PA-TDI time (the time from the beginning of the P wave measured by tissue Doppler imaging to the beginning of the A' wave), left atrial electromechanical delay, and interatrial electromechanical delay were observed to be significantly longer in the hypertensive response group to exercise stress test compared with the control group (74.0+-6.3 vs. 68.8+-5.7, p=0.003; 24.7+-7.0 vs. 19.6+-7.1, p=0.013; 36.8+-8.5 vs. 30.6+-6.6, p=0.003, respectively). Conclusions: Early detection of electromechanical delay non-invasively may be useful in this patient group in predicting the development of new AF risk.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-42027exercise stress testhypertensive responseelectromechanical transmission |
| spellingShingle | Ahmet Ferhat KAYA Mehmet Hasan OZDIL Cemalettin YILMAZ Raif KILIC Mehmet OZBEK Hasan KAYA Non-invasive Evaluation of Electromechanical Transmission in Patients with Hypertensive Response to Exercise Stress Test Medeniyet Medical Journal exercise stress test hypertensive response electromechanical transmission |
| title | Non-invasive Evaluation of Electromechanical Transmission in Patients with Hypertensive Response to Exercise Stress Test |
| title_full | Non-invasive Evaluation of Electromechanical Transmission in Patients with Hypertensive Response to Exercise Stress Test |
| title_fullStr | Non-invasive Evaluation of Electromechanical Transmission in Patients with Hypertensive Response to Exercise Stress Test |
| title_full_unstemmed | Non-invasive Evaluation of Electromechanical Transmission in Patients with Hypertensive Response to Exercise Stress Test |
| title_short | Non-invasive Evaluation of Electromechanical Transmission in Patients with Hypertensive Response to Exercise Stress Test |
| title_sort | non invasive evaluation of electromechanical transmission in patients with hypertensive response to exercise stress test |
| topic | exercise stress test hypertensive response electromechanical transmission |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-42027 |
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