Left ventricular hypertrophy are associated with increased ostial pulmonary vein diameter

Yoga Yuniadi, Radityo Prakoso, Erika Maharani, Budi Nagawijaya, Muhammad Munawar
2006 Medical Journal of Indonesia  
Latar Belakang : Penyakit jantung hipertensi yang ditandai dengan hipertrofi ventrikel kiri dan biasanya disertai disfungsi ventrikel kiri, sering dijumpai pada populasi umum. Kondisi ini diikuti oleh penambahan diameter osteum vena pulmonal. Penelitian ini mencari hubungan antara diameter vena pulmonal dengan hipertrofi ventrikel kiri. Metoda dan Hasil : Osteum vena pulmonal terdiri atas empat bagian yaitu superior kiri, superior kanan, inferior kiri, dan inferior kanan, Empat puluh enam
more » ... at puluh enam subyek diikutkan dalam penelitian ini, kesemuanya dalam irama sinus. Hipertrofi ventrikel kiri ditentukan dengan pencitraan multisliced computed tomography (MSCT), dengan mengukur ketebalan septum interventrikular. Ada dua puluh tiga pasen dengan hipertrofi ventrikel kiri. Dengan menggunakan analisis korelasi Pearson, didapat korelasi positif bermakna antara derajat hipertrofi ventrikel kiri dan diameter osteum vena pulmonal superior kanan, inferior kanan dan superior kiri (p<0.05). Kesimpulan : Dilatasi vena-vena pulmonal superior kanan, inferior kanan dan superior kiri menyertai hipertrofi ventrikel kiri. (J Kardiol Ind 2007;28:411-414) 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.
doi:10.13181/mji.v15i3.234 fatcat:kydktl6va5dcxhcfinso7aso2i