Left atrial volume and function in patients with white-coat hypertension assessed by real-time three-dimensional echocardiography

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dc.authoridSelçuk, Engin Burak/0000-0001-8484-0223
dc.authoridAkaycan, Jülide/0000-0002-9174-6777
dc.authoridHidayet, Şıho/0000-0002-4103-9345
dc.authoridAfsin, Abdulmecit/0000-0001-9301-9525
dc.authoridCansel, Mehmet/0000-0003-4740-4371;
dc.authorwosidSelçuk, Engin Burak/AAR-7556-2020
dc.authorwosidColak, M. Cengiz/ABI-3394-2020
dc.authorwosidAkaycan, Jülide/ABI-2397-2020
dc.authorwosidHidayet, Şıho/ABI-2256-2020
dc.authorwosidAfsin, Abdulmecit/JVP-2159-2024
dc.authorwosidCansel, Mehmet/ABI-6324-2020
dc.authorwosidErmis, Necip/A-5184-2018
dc.contributor.authorErmis, Necip
dc.contributor.authorAfsin, Abdulmecit
dc.contributor.authorCuglan, Bilal
dc.contributor.authorAcikgoz, Nusret
dc.contributor.authorCansel, Mehmet
dc.contributor.authorYagmur, Julide
dc.contributor.authorHidayet, Siho
dc.date.accessioned2024-08-04T20:41:37Z
dc.date.available2024-08-04T20:41:37Z
dc.date.issued2016
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackgroundWhite-coat hypertension (WCH) is a disease based on the disparity of a patient's blood pressure measurements between the physician's office and the patient's home environment. The aim of the present study is to evaluate the left atrial (LA) volume and functions in WCH.MethodsIn total, this study included 37 WCH (17 women, 20 men, mean age 48.45.7 years) and 30 healthy individuals (18 women, 20 men, mean age 47.97.5 years). All patients underwent real-time three-dimensional and comprehensive two-dimensional echocardiography (2DE) with tissue Doppler evaluation to estimate left atrial volumes and mechanical functions.ResultsLA diameters were significantly higher in the patients compared with the controls (37 +/- 2.8 vs. 35 +/- 3.1mm, P=0.017). LA total systolic volume and LA maximal volume were significantly higher in the patients. (41.1 +/- 6.9 vs. 35.5 +/- 3.7ml, P<0.001; 25.8 +/- 5.4 vs. 21.3 +/- 3.3ml, P<0.001, respectively). LA volume before LA contraction and LA active stroke volume were significantly higher in the patients with WCH than in the normotensives (24.4 +/- 6.3 vs. 20.9 +/- 2ml, P=0.002; 9.1 +/- 4.8 vs. 6.7 +/- 2.5ml, P=0.007, respectively). Moreover, the LA expansion index was significantly higher in the patients with WCH than in the normotensives (178.7 +/- 53.6 vs. 155.3 +/- 36.3, P=0.037). However, the total emptying volume fraction of the LA was similar between the two groups.ConclusionWe showed that LA structural functions and volumes were increased in the WCH group. Although increased LA volume has been observed in many diseases, structural changes in LA may be accepted as an early sign for clinical cardiac remodeling in patients with WCH, suggesting the necessity of early intervention for preventing clinical cardiovascular disease.en_US
dc.identifier.doi10.1097/MBP.0000000000000188
dc.identifier.endpage237en_US
dc.identifier.issn1359-5237
dc.identifier.issn1473-5725
dc.identifier.issue4en_US
dc.identifier.pmid27007549en_US
dc.identifier.scopus2-s2.0-84961392129en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage231en_US
dc.identifier.urihttps://doi.org/10.1097/MBP.0000000000000188
dc.identifier.urihttps://hdl.handle.net/11616/97231
dc.identifier.volume21en_US
dc.identifier.wosWOS:000381008800005en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofBlood Pressure Monitoringen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectleft atrial functionen_US
dc.subjectreal-time three-dimensional echocardiographyen_US
dc.subjectwhite-coat hypertensionen_US
dc.titleLeft atrial volume and function in patients with white-coat hypertension assessed by real-time three-dimensional echocardiographyen_US
dc.typeArticleen_US

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