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Heart 2009;95:1626; doi:10.1136/hrt.2009.176511
Copyright © 2009 BMJ Publishing Group Ltd & British Cardiovascular Society

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Strain rate evaluation of phasic atrial function in hypertension

Z Guan1, D Zhang1, K Qiu2

1 First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China
2 Shantou International Eye Centre (JSIEC), Shantou University Medical College, P.R. China

Correspondence to:
Correspondence to Dr Di Zhang, First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China; qiukl@yahoo.com.hk

The first 150 words of the full text of this article appear below.

To the editor: We were interested to read the excellent work by Eshoo et al,1 which investigated phasic atrial function in patients with mild hypertension by using strain and strain rate. One of their main conclusions was that mild hypertension resulted in a reduction in left atrial (LA) conduit volume although maximal LA volume was unchanged. They reported that the early diastolic strain rate (E-Sr) in the hypertension group was significantly lower than in the normal cohort by an average of 14.3% (95% CI 2% to 25.1%, p = 0.02).

Previous studies have investigated the effects of diabetes mellitus on regional myocardial function. Kosmala et al2 reported that both left ventricular (LV) systolic and diastolic dysfunction can be detected in diabetic patients without systemic hypertension. Pattoneri et al3 reported that the myocardial performance index was significantly higher in diabetic patients independently of the hypertension occurrence. Muranaka et al. . . [Full text of this article]


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The authors’ reply:
S Eshoo, A C Boyd, D L Ross, T Marwick, and L Thomas
Heart 2009 95: 1626. [Extract] [Full Text] [PDF]

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