Ultrasound evaluation of left ventricular remodeling and systolic synchrony in patients with primary hypertension and the correlation with serum cytokines and MMPs

• Main Authors: Hai-Yan Kou, Li Liang, Jin-Hua Su
• Format: Article
• Language: English
• Published: Editorial Board of Journal of Hainan Medical University 2017-01-01
• Series: Journal of Hainan Medical University
• Subjects: Primary hypertension; Left ventricular remodeling; Systolic synchrony; cytokine; Matrix metalloproteinase
• Online Access: http://www.hnykdxxb.com/PDF/201701/7.pdf

Objective: To study the correlation of the ultrasound parameters of left ventricular remodeling and systolic synchrony in patients with primary hypertension with serum cytokines and matrix metalloproteinases (MMPs). Methods: 134 patients with primary hypertension receiving three-dimensional echocardiography examination in our hospital between May 2013 and March 2016 were selected and divided into the group A with normal pattern (n=71), group B with concentric hypertrophy (n=39) and group C with eccentric hypertrophy (n=24) according to the left ventricular internal diameter at end-diastole (LVIDd) and left ventricular mass index (LVMI), and the ultrasound parameters of left ventricular remodeling and systolic synchrony as well as serum content of cytokines and MMPs were determined. Results: The time to minimal systolic volume of 16-segmental standard deviation (SDI), maximum time difference (DIF), Tpe, Tpe interphase and its correction (Tpec), LVIDd, LVMI and left ventricular remodeling index (LVRI) of group B and group C were significantly higher than those of group A (P＜0.05), and SDI, DIF, Tpe, Tpec, LVIDd, LVMI and LVRI of group C were significantly higher than those of group B (P＜0.05); serum tumor necrosis factor-α (TNF-α), interleukin-17 (IL-17), transforming growth factor-β1 (TGF-β1), matrix metalloproteinase 2 (MMP2), MMP3 and MMP9 content of group B and group C were significantly higher than those of group A (P＜0.05), and serum TNF-α, IL-17, TGF-β1, MMP2, MMP3 and MMP9 content of group C were significantly higher than those of group B (P＜0.05) and positively correlated with LVIDd, LVMI, LVRI, SDI, DIF, Tpe and Tpec; serum TIMP1 and TIMP2 content of group B and group C were significantly lower than those of group A (P＜0.05), and serum TIMP1 and TIMP2 content of group C were significantly lower than those of group B (P＜0.05) and negatively correlated with LVIDd, LVMI, LVRI, SDI, DIF, Tpe and Tpec. Conclusions: The ultrasound parameters of left ventricular remodeling and systolic synchrony significantly change in patients with primary hypertension and are closely related to the changes in the content of serum cytokines and MMPs.