Left Ventricular diastolic dysfunction among hypertensive patients.

Abstract

Objectives: To assess the occurrence of left ventricular diastolic dysfunction among hypertensive patients on echocardiography. Study Design: Cross Sectional study. Setting: South East Hospital and Research Center, Islamabad. Period: August 2021 to January 2022. Material & Methods: By using non probability convenient sampling method technique through pre-structured Performa. We enrolled a two hundred (n=200) patients in our study. Ethical consideration was taken from hospital ethical review board committee. Result: Thirty Six percent respondents were at the age of < 60 years and 64% were at the of > 60 years. Detection of left ventricular diastolic dysfunction shows, 44% had grade I, 40% grade II and 16% grade III. Association of variables towards detection of diastolic dysfunction, Systolic BP, duration of hypertension, EF%, Left ventricular hypertrophy and co-morbidities shows good association towards the detection of diastolic dysfunction at (p-value≤0.01). Conclusion: It is concluded that, Diastolic dysfunction is most common left ventricular functional abnormality in hypertensive patients. Doppler echocardiography is the most important investigational method for the detection of LV diastolic dysfunction. Not only more than 60 years old patients detect left ventricular diastolic dysfunction but less than 60 years old can also develop diastolic dysfunction.