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Impact of gender on left ventricular deformation in patients with essential hypertension assessed by cardiac magnetic resonance tissue tracking
Author(s) -
Li XueMing,
Peng LiQing,
Shi Rui,
Han PeiLun,
Yan WeiFeng,
Yang ZhiGang
Publication year - 2021
Publication title -
journal of magnetic resonance imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 160
eISSN - 1522-2586
pISSN - 1053-1807
DOI - 10.1002/jmri.27500
Subject(s) - ejection fraction , medicine , cardiology , bayesian multivariate linear regression , intraclass correlation , magnetic resonance imaging , univariate analysis , cardiac magnetic resonance , essential hypertension , linear regression , blood pressure , heart failure , multivariate analysis , radiology , clinical psychology , machine learning , computer science , psychometrics
Abstract Left ventricular (LV) myocardial strain impairment has been demonstrated in hypertension despite normal LV ejection fraction (LVEF); however, limited data exist on any difference in results between genders. The aim of this study was to investigate the impact of gender on LV deformation in patients with essential hypertension. This was a cross‐sectional study, in which 94 patients (47 men and 47 women) with essential hypertension and 62 age‐ and gender‐matched controls (31 men and 31 women) were enrolled. A 3.0 T/ two‐dimensional balanced steady‐state free precession cine, late gadolinium enhancement was used. The LV endocardial and epicardial contours were drawn by radiologists, then LV volumes, mass, function, and myocardial strain, including peak global radial (GRS), circumferential (GCS), and longitudinal strain (GLS) were automatically calculated. Chi‐square test, Student's t ‐test, general linear model analysis, univariate linear regression analysis, stepwise multivariate linear regression analysis, and intraclass correlation coefficient analysis were performed. Women had significantly higher magnitudes of LV GRS, GCS, and GLS than men in both patients and controls (all p < 0.05). In the overall patients, LV GLS was significantly reduced compared with controls ( p < 0.05), while GRS and GCS were preserved ( p = 0.092 and 0.27, respectively). Compared with their counterpart controls, LV GRS, GCS, and GLS (all p < 0.05) were significantly reduced in hypertensive men, while only GLS ( p < 0.05) was reduced in hypertensive women. Male gender and its interaction with hypertension were associated with higher LV mass and volume, decreased LV GRS, GCS, and GLS compared with hypertensive women. Multivariate analyses revealed that gender and LVEF were independently associated with GRS, GCS, and GLS (all p < 0.001) in hypertension. LV deformation is significantly reduced in hypertension, and gender may influence the response of LV deformation to hypertension, with men suffering more pronounced subclinical myocardial dysfunction. Level of Evidence 3 Technical Efficacy Stage 3