Left Ventricular Hypertrophy is Associated with Increased Ostial Pulmonary Vein Diameter
Abstract
Background:Hypertensive heart disease, characterized with left ventricular hypertrophy (LVH), which is usually accompanied with left ventricular dysfunction, is prevalent in the community and associated with increased of ostial pulmonary vein diameter. We investigate pulmonary vein diameter in its relationship to left ventricular hypertrophy.Methods and Results: Ostial pulmonary veins divided into four parts, left superior (LS), right superior (RS), left inferior (LI), and right inferior (RI), were assessed by spiral multisliced computed tomography (MSCT) in 46 sinus rhythm subjects. LVH was analyzed by measuring the thickness of interventricular septum by MSCT. There were 23 patients with LVH, and the rest were normal. According to Pearson correlation analysis, we found a significant positive correlation between the degree of LVH and ostial diameter of RS, RI, and LS (p<0.05).
Conclusion:Left ventricular hypertrophy is associated with right superior, right inferior and left superior pulmonary veins dilatation.
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References
Tsang TSM, Gersh BJ, Appleton CP et al. Left ventricular diastolic dysfunction as a predictor of the first diagnosed non valvular atrial fibrillation in 840 elderly men and women. J Am Coll Cardiol 2002;40:1636-44.
Tsang TSM, Barnes ME, Gersh BJ, Bailey KR, Seward JB. Left atrial volume as a morphophysiologic expression of left ventricular diastolic dysfunction and relation to cardiovascular risk burden. Am J Cardiol 2002;90:1284-9.
Schwartzman D, Lacomis J, Wigginton WG. Characterization of left atrium and distal pulmonary vein morphology using multidimensional computed tomography. J Am Coll Cardiol 2003;41:1349-57.
Bruzzi JF, Rémy-Jardin M, Delhaye D, Teisseire A, Khalil C, Rémy J. When, why, and how to examine the heart during thoracic CT: Part 1, Basic Principles. Am J Roentgenol. 2006;186(2):324-32.
Redfield M, Burnett, Jacobsen S, Mahoney D, Rodheffer R. Prevalence of left ventricular systolic and diastolic dysfunction in Olmsted County, MN: a population-based, cross-sectional Doppler survey. J Am Coll Cardiol 2001;37 (Supple A):145A.
Herweg B, Sichrovsky T, Polosajian L, Rozenshtein A, Steinberg JS. Hypertension and hypertensive heart disease are associated with increased ostial pulmonary vein diameter. J Cardiovasc Electrophysiol 2005;16:2-5.
Polosajian L, Herweg B, Sichrovsky T, Hever D, Rozenshtein A, Steinberg JS. Pulmonary vein diameter is increased in patients with paroxysmal atrial fibrillation compared to age-matched controls. J Am Coll Cardiol 2002;39:116A.
Yamane T, Shah DC, Jais P, et al. Dilatation as a marker of pulmonary veins initiating atrial fibrillation. J Interv Card Electrophysiol 2002;6:245-9.
Tsang TSM, Barnes ME, Gersh BJ, Bailey KR, Seward JB. Left atrial volume as a morphophysiologic expression of left ventricular diastolic dysfunction and relation to cardiovascular risk burden. Am J Cardiol 2002;90:1284-9.
Schwartzman D, Lacomis J, Wigginton WG. Characterization of left atrium and distal pulmonary vein morphology using multidimensional computed tomography. J Am Coll Cardiol 2003;41:1349-57.
Bruzzi JF, Rémy-Jardin M, Delhaye D, Teisseire A, Khalil C, Rémy J. When, why, and how to examine the heart during thoracic CT: Part 1, Basic Principles. Am J Roentgenol. 2006;186(2):324-32.
Redfield M, Burnett, Jacobsen S, Mahoney D, Rodheffer R. Prevalence of left ventricular systolic and diastolic dysfunction in Olmsted County, MN: a population-based, cross-sectional Doppler survey. J Am Coll Cardiol 2001;37 (Supple A):145A.
Herweg B, Sichrovsky T, Polosajian L, Rozenshtein A, Steinberg JS. Hypertension and hypertensive heart disease are associated with increased ostial pulmonary vein diameter. J Cardiovasc Electrophysiol 2005;16:2-5.
Polosajian L, Herweg B, Sichrovsky T, Hever D, Rozenshtein A, Steinberg JS. Pulmonary vein diameter is increased in patients with paroxysmal atrial fibrillation compared to age-matched controls. J Am Coll Cardiol 2002;39:116A.
Yamane T, Shah DC, Jais P, et al. Dilatation as a marker of pulmonary veins initiating atrial fibrillation. J Interv Card Electrophysiol 2002;6:245-9.
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How to Cite
Prakoso, R., Maharani, E., Rohman, M., Nagawidjaja, B., & Yuniadi, Y. (1). Left Ventricular Hypertrophy is Associated with Increased Ostial Pulmonary Vein Diameter. Indonesian Journal of Cardiology, 28(6), 411-414. https://doi.org/10.30701/ijc.v28i6.206
Section
Clinical Research
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