Effect of non‐dipper pattern on echocardiographic myocardial work parameters in normotensive individuals
Background It is known that non‐dipper pattern (NDP) is associated with adverse outcomes in hypertensive patients. However, there is insufficient data on the outcome of NDP in normotensive individuals. Using myocardial work (MW) analysis, as a new echocardiographic examination method, this study aim...
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| Veröffentlicht in: | Echocardiography (Mount Kisco, N.Y.) N.Y.), 2021-09, Vol.38 (9), p.1586-1595 |
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| creator | Efe, Süleyman Cagan Cicek, Mahmut Buğrahan Karagöz, Ali Doğan, Cem Bayram, Zübeyde Guvendi, Busra Akbal, Ozgur Yasar Tokgoz, Hacer Ceren Uysal, Samet Karabağ, Turgut Kaymaz, Cihangir Ozdemir, Nihal |
| description | Background
It is known that non‐dipper pattern (NDP) is associated with adverse outcomes in hypertensive patients. However, there is insufficient data on the outcome of NDP in normotensive individuals. Using myocardial work (MW) analysis, as a new echocardiographic examination method, this study aimed to determine the early myocardial effects of NDP in normotensive individuals.
Methods
This study included 70 normotensive individuals who were followed by ambulatory blood pressure monitoring (ABPM). The subjects were divided into two groups according to dipper pattern (DP) and NDP. Conventional, strain, and MW findings were compared between the groups by making echocardiographic evaluations.
Results
The demographic characteristics, laboratory parameters, and measurements of cardiac chambers, and left ventricular (LV) walls were similar between the groups. There was no statistical difference between the groups in terms of LV 3‐2‐4 chambers strains and global longitudinal strain (GLS) values. LVMW parameters, global work index (GWI), and global constrictive work (GCW) were not statistically different between groups (2012 ± 127, 2069 ± 137, p = 0.16; 2327 ± 173, 2418 ± 296, p = 0.18, respectively). However, global waste work (GWW) and global work efficiency (GWE) parameters were different between the groups (144 ± 63.9, 104 ± 24.8, p |
| doi_str_mv | 10.1111/echo.15177 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2564945232</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2564945232</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3297-6b7f20bd19c9403ce94c4d64dd011635d9d0ae5665737fc24e4ab525a214f3023</originalsourceid><addsrcrecordid>eNp9kM1Kw0AURgdRbK1ufADJUoTU-c00SynVCoVudB2mMzd2apKJM6mlOx_BZ_RJTEx16d183MvhwP0QuiR4TNq5Bb12YyKIlEdoSATH8YRIcYyGWHIa0wmlA3QWwgZjLAnhp2jAOGeCTSZDtJnlOegmcnlUuerr49PYugYf1appwFeRq6JOr5U31r14Va-tjsp9f1BFtHP-tYW9KqHlQ2Sr1uNL10AV7Du0u7Hv1mxVEc7RSd4GXBxyhJ7vZ0_TebxYPjxO7xaxZjSVcbKSOcUrQ1Kdcsw0pFxzk3BjMCEJEyY1WIFIEiGZzDXlwNVKUKEo4TnDlI3Qde-tvXvbQmiy0gYNRaEqcNuQUZHwlAvKOvSmR7V3IXjIs9rbUvl9RnDWdZt1z2c_3bbw1cG7XZVg_tDfMluA9MDOFrD_R5XNpvNlL_0GWt6GwA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2564945232</pqid></control><display><type>article</type><title>Effect of non‐dipper pattern on echocardiographic myocardial work parameters in normotensive individuals</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Efe, Süleyman Cagan ; Cicek, Mahmut Buğrahan ; Karagöz, Ali ; Doğan, Cem ; Bayram, Zübeyde ; Guvendi, Busra ; Akbal, Ozgur Yasar ; Tokgoz, Hacer Ceren ; Uysal, Samet ; Karabağ, Turgut ; Kaymaz, Cihangir ; Ozdemir, Nihal</creator><creatorcontrib>Efe, Süleyman Cagan ; Cicek, Mahmut Buğrahan ; Karagöz, Ali ; Doğan, Cem ; Bayram, Zübeyde ; Guvendi, Busra ; Akbal, Ozgur Yasar ; Tokgoz, Hacer Ceren ; Uysal, Samet ; Karabağ, Turgut ; Kaymaz, Cihangir ; Ozdemir, Nihal</creatorcontrib><description>Background
It is known that non‐dipper pattern (NDP) is associated with adverse outcomes in hypertensive patients. However, there is insufficient data on the outcome of NDP in normotensive individuals. Using myocardial work (MW) analysis, as a new echocardiographic examination method, this study aimed to determine the early myocardial effects of NDP in normotensive individuals.
Methods
This study included 70 normotensive individuals who were followed by ambulatory blood pressure monitoring (ABPM). The subjects were divided into two groups according to dipper pattern (DP) and NDP. Conventional, strain, and MW findings were compared between the groups by making echocardiographic evaluations.
Results
The demographic characteristics, laboratory parameters, and measurements of cardiac chambers, and left ventricular (LV) walls were similar between the groups. There was no statistical difference between the groups in terms of LV 3‐2‐4 chambers strains and global longitudinal strain (GLS) values. LVMW parameters, global work index (GWI), and global constrictive work (GCW) were not statistically different between groups (2012 ± 127, 2069 ± 137, p = 0.16; 2327 ± 173, 2418 ± 296, p = 0.18, respectively). However, global waste work (GWW) and global work efficiency (GWE) parameters were different between the groups (144 ± 63.9, 104 ± 24.8, p < 0.001; 93.2 ± 3.17, 95.4 ± 1.28, p < 0.001, respectively). In regression analysis, GWW was independently associated with NDP. GWW model showed better results with higher likelihood chi‐square and R2 values than GLS model in discriminating the predictable capability for NDP status.
Conclusion
The results of MW analysis in this study showed that GWW values were higher and the GWE values were lower in normotensive individuals with NDP.</description><identifier>ISSN: 0742-2822</identifier><identifier>EISSN: 1540-8175</identifier><identifier>DOI: 10.1111/echo.15177</identifier><identifier>PMID: 34435388</identifier><language>eng</language><publisher>United States</publisher><subject>Blood Pressure ; Blood Pressure Monitoring, Ambulatory ; Echocardiography ; Humans ; Hypertension ; myocardial constructive work analysis ; myocardial work analysis ; non‐dipper hypertension ; strain echocardiography ; Stroke Volume ; Ventricular Function, Left</subject><ispartof>Echocardiography (Mount Kisco, N.Y.), 2021-09, Vol.38 (9), p.1586-1595</ispartof><rights>2021 Wiley Periodicals LLC</rights><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3297-6b7f20bd19c9403ce94c4d64dd011635d9d0ae5665737fc24e4ab525a214f3023</citedby><cites>FETCH-LOGICAL-c3297-6b7f20bd19c9403ce94c4d64dd011635d9d0ae5665737fc24e4ab525a214f3023</cites><orcidid>0000-0002-0115-1519 ; 0000-0002-2004-142X ; 0000-0001-8187-7290 ; 0000-0001-7946-1229 ; 0000-0002-6067-6841</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fecho.15177$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fecho.15177$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34435388$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Efe, Süleyman Cagan</creatorcontrib><creatorcontrib>Cicek, Mahmut Buğrahan</creatorcontrib><creatorcontrib>Karagöz, Ali</creatorcontrib><creatorcontrib>Doğan, Cem</creatorcontrib><creatorcontrib>Bayram, Zübeyde</creatorcontrib><creatorcontrib>Guvendi, Busra</creatorcontrib><creatorcontrib>Akbal, Ozgur Yasar</creatorcontrib><creatorcontrib>Tokgoz, Hacer Ceren</creatorcontrib><creatorcontrib>Uysal, Samet</creatorcontrib><creatorcontrib>Karabağ, Turgut</creatorcontrib><creatorcontrib>Kaymaz, Cihangir</creatorcontrib><creatorcontrib>Ozdemir, Nihal</creatorcontrib><title>Effect of non‐dipper pattern on echocardiographic myocardial work parameters in normotensive individuals</title><title>Echocardiography (Mount Kisco, N.Y.)</title><addtitle>Echocardiography</addtitle><description>Background
It is known that non‐dipper pattern (NDP) is associated with adverse outcomes in hypertensive patients. However, there is insufficient data on the outcome of NDP in normotensive individuals. Using myocardial work (MW) analysis, as a new echocardiographic examination method, this study aimed to determine the early myocardial effects of NDP in normotensive individuals.
Methods
This study included 70 normotensive individuals who were followed by ambulatory blood pressure monitoring (ABPM). The subjects were divided into two groups according to dipper pattern (DP) and NDP. Conventional, strain, and MW findings were compared between the groups by making echocardiographic evaluations.
Results
The demographic characteristics, laboratory parameters, and measurements of cardiac chambers, and left ventricular (LV) walls were similar between the groups. There was no statistical difference between the groups in terms of LV 3‐2‐4 chambers strains and global longitudinal strain (GLS) values. LVMW parameters, global work index (GWI), and global constrictive work (GCW) were not statistically different between groups (2012 ± 127, 2069 ± 137, p = 0.16; 2327 ± 173, 2418 ± 296, p = 0.18, respectively). However, global waste work (GWW) and global work efficiency (GWE) parameters were different between the groups (144 ± 63.9, 104 ± 24.8, p < 0.001; 93.2 ± 3.17, 95.4 ± 1.28, p < 0.001, respectively). In regression analysis, GWW was independently associated with NDP. GWW model showed better results with higher likelihood chi‐square and R2 values than GLS model in discriminating the predictable capability for NDP status.
Conclusion
The results of MW analysis in this study showed that GWW values were higher and the GWE values were lower in normotensive individuals with NDP.</description><subject>Blood Pressure</subject><subject>Blood Pressure Monitoring, Ambulatory</subject><subject>Echocardiography</subject><subject>Humans</subject><subject>Hypertension</subject><subject>myocardial constructive work analysis</subject><subject>myocardial work analysis</subject><subject>non‐dipper hypertension</subject><subject>strain echocardiography</subject><subject>Stroke Volume</subject><subject>Ventricular Function, Left</subject><issn>0742-2822</issn><issn>1540-8175</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1Kw0AURgdRbK1ufADJUoTU-c00SynVCoVudB2mMzd2apKJM6mlOx_BZ_RJTEx16d183MvhwP0QuiR4TNq5Bb12YyKIlEdoSATH8YRIcYyGWHIa0wmlA3QWwgZjLAnhp2jAOGeCTSZDtJnlOegmcnlUuerr49PYugYf1appwFeRq6JOr5U31r14Va-tjsp9f1BFtHP-tYW9KqHlQ2Sr1uNL10AV7Du0u7Hv1mxVEc7RSd4GXBxyhJ7vZ0_TebxYPjxO7xaxZjSVcbKSOcUrQ1Kdcsw0pFxzk3BjMCEJEyY1WIFIEiGZzDXlwNVKUKEo4TnDlI3Qde-tvXvbQmiy0gYNRaEqcNuQUZHwlAvKOvSmR7V3IXjIs9rbUvl9RnDWdZt1z2c_3bbw1cG7XZVg_tDfMluA9MDOFrD_R5XNpvNlL_0GWt6GwA</recordid><startdate>202109</startdate><enddate>202109</enddate><creator>Efe, Süleyman Cagan</creator><creator>Cicek, Mahmut Buğrahan</creator><creator>Karagöz, Ali</creator><creator>Doğan, Cem</creator><creator>Bayram, Zübeyde</creator><creator>Guvendi, Busra</creator><creator>Akbal, Ozgur Yasar</creator><creator>Tokgoz, Hacer Ceren</creator><creator>Uysal, Samet</creator><creator>Karabağ, Turgut</creator><creator>Kaymaz, Cihangir</creator><creator>Ozdemir, Nihal</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0115-1519</orcidid><orcidid>https://orcid.org/0000-0002-2004-142X</orcidid><orcidid>https://orcid.org/0000-0001-8187-7290</orcidid><orcidid>https://orcid.org/0000-0001-7946-1229</orcidid><orcidid>https://orcid.org/0000-0002-6067-6841</orcidid></search><sort><creationdate>202109</creationdate><title>Effect of non‐dipper pattern on echocardiographic myocardial work parameters in normotensive individuals</title><author>Efe, Süleyman Cagan ; Cicek, Mahmut Buğrahan ; Karagöz, Ali ; Doğan, Cem ; Bayram, Zübeyde ; Guvendi, Busra ; Akbal, Ozgur Yasar ; Tokgoz, Hacer Ceren ; Uysal, Samet ; Karabağ, Turgut ; Kaymaz, Cihangir ; Ozdemir, Nihal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3297-6b7f20bd19c9403ce94c4d64dd011635d9d0ae5665737fc24e4ab525a214f3023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Blood Pressure</topic><topic>Blood Pressure Monitoring, Ambulatory</topic><topic>Echocardiography</topic><topic>Humans</topic><topic>Hypertension</topic><topic>myocardial constructive work analysis</topic><topic>myocardial work analysis</topic><topic>non‐dipper hypertension</topic><topic>strain echocardiography</topic><topic>Stroke Volume</topic><topic>Ventricular Function, Left</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Efe, Süleyman Cagan</creatorcontrib><creatorcontrib>Cicek, Mahmut Buğrahan</creatorcontrib><creatorcontrib>Karagöz, Ali</creatorcontrib><creatorcontrib>Doğan, Cem</creatorcontrib><creatorcontrib>Bayram, Zübeyde</creatorcontrib><creatorcontrib>Guvendi, Busra</creatorcontrib><creatorcontrib>Akbal, Ozgur Yasar</creatorcontrib><creatorcontrib>Tokgoz, Hacer Ceren</creatorcontrib><creatorcontrib>Uysal, Samet</creatorcontrib><creatorcontrib>Karabağ, Turgut</creatorcontrib><creatorcontrib>Kaymaz, Cihangir</creatorcontrib><creatorcontrib>Ozdemir, Nihal</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Efe, Süleyman Cagan</au><au>Cicek, Mahmut Buğrahan</au><au>Karagöz, Ali</au><au>Doğan, Cem</au><au>Bayram, Zübeyde</au><au>Guvendi, Busra</au><au>Akbal, Ozgur Yasar</au><au>Tokgoz, Hacer Ceren</au><au>Uysal, Samet</au><au>Karabağ, Turgut</au><au>Kaymaz, Cihangir</au><au>Ozdemir, Nihal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of non‐dipper pattern on echocardiographic myocardial work parameters in normotensive individuals</atitle><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle><addtitle>Echocardiography</addtitle><date>2021-09</date><risdate>2021</risdate><volume>38</volume><issue>9</issue><spage>1586</spage><epage>1595</epage><pages>1586-1595</pages><issn>0742-2822</issn><eissn>1540-8175</eissn><abstract>Background
It is known that non‐dipper pattern (NDP) is associated with adverse outcomes in hypertensive patients. However, there is insufficient data on the outcome of NDP in normotensive individuals. Using myocardial work (MW) analysis, as a new echocardiographic examination method, this study aimed to determine the early myocardial effects of NDP in normotensive individuals.
Methods
This study included 70 normotensive individuals who were followed by ambulatory blood pressure monitoring (ABPM). The subjects were divided into two groups according to dipper pattern (DP) and NDP. Conventional, strain, and MW findings were compared between the groups by making echocardiographic evaluations.
Results
The demographic characteristics, laboratory parameters, and measurements of cardiac chambers, and left ventricular (LV) walls were similar between the groups. There was no statistical difference between the groups in terms of LV 3‐2‐4 chambers strains and global longitudinal strain (GLS) values. LVMW parameters, global work index (GWI), and global constrictive work (GCW) were not statistically different between groups (2012 ± 127, 2069 ± 137, p = 0.16; 2327 ± 173, 2418 ± 296, p = 0.18, respectively). However, global waste work (GWW) and global work efficiency (GWE) parameters were different between the groups (144 ± 63.9, 104 ± 24.8, p < 0.001; 93.2 ± 3.17, 95.4 ± 1.28, p < 0.001, respectively). In regression analysis, GWW was independently associated with NDP. GWW model showed better results with higher likelihood chi‐square and R2 values than GLS model in discriminating the predictable capability for NDP status.
Conclusion
The results of MW analysis in this study showed that GWW values were higher and the GWE values were lower in normotensive individuals with NDP.</abstract><cop>United States</cop><pmid>34435388</pmid><doi>10.1111/echo.15177</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-0115-1519</orcidid><orcidid>https://orcid.org/0000-0002-2004-142X</orcidid><orcidid>https://orcid.org/0000-0001-8187-7290</orcidid><orcidid>https://orcid.org/0000-0001-7946-1229</orcidid><orcidid>https://orcid.org/0000-0002-6067-6841</orcidid></addata></record> |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Blood Pressure Blood Pressure Monitoring, Ambulatory Echocardiography Humans Hypertension myocardial constructive work analysis myocardial work analysis non‐dipper hypertension strain echocardiography Stroke Volume Ventricular Function, Left |
| title | Effect of non‐dipper pattern on echocardiographic myocardial work parameters in normotensive individuals |
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