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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

A Journal on Internal Medicine and Pharmacology


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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2005 October;164(5):357-62

language: English, Italian

The early diastole and the early systole of the left ventricle in the young hypertensive patients

Indovina A.

Insitute of Clinical Medicine, University of Palermo, Palermo, Italy


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Aim. The bout of this study is to investigate the systolic parameters of the left ventricle as the ejection fraction and the peak ejection rate and the parameters of the first systolic phase as the first third ejection fraction or the first third ejection rate in the case of absence of significant ventricular filling changes.
Methods. The author wanted to execute the gated equilibrium radionuclide ventriculography at rest to investigate this in 20 young hypertensive patients and in 20 patients without signs of heart and vascular disease.
Results. The author found a significant difference between the two groups tested by the t of Student in the parameters exploring the ventricular empting namely the empting fraction and the ejection rate at the first third of the systole and the peak ejection rate but he didn’t find some difference in the ejection fraction. This happens without some difference in the diastolic parameters.
Conclusion. The first part of the systole alteration without the diastole alteration that the author found in this group of young hypertensive patients means that the hypertension changes precociously the heart function and that this can be measured since the first phase of the disease. The utility of executing these measures is of to find some index that precociously says which patients will develop the heart failure.

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