• Małgorzata Peregud-Pogorzelska, Małgorzata Zielska, Miłosz Piotr Kawa, Katarzyna Babiak, Krzysztof Safranow, Bogusław Machaliński, and Anna Machalińska.
• Department of Cardiology, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland.
• Medicina (Kaunas). 2020 Dec 17; 56 (12).

Background And ObjectivesThe goal was to evaluate the association of dynamic retinal vessel analysis (DVA) with echocardiographic parameters assessing systolic and diastolic function of the left ventricle in hypertension (HT) patients with preserved left ventricle ejection fraction.Materials And MethodsThis observational retrospective study recruited 36 patients with HT and 28 healthy controls. Retinal vessel diameter and reactions to flicker light were examined. Each patient was examined with echocardiography to assess left ventricular systolic and diastolic function.ResultsMultivariate analysis revealed that hypertension was an independent factor associated with lower flicker-induced arterial vasodilatation (β = -0.31, p = 0.029). In the HT group, there was a significant positive association between left ventricular ejection fraction and flicker-induced arterial vasodilation (Rs = +0.31, p = 0.007). Additionally, end-diastolic left ventricular diameter negatively correlated with both arterial (Rs = -0.26, p = 0.02) and venous (Rs = -0.27, p = 0.02) flicker responses. Additionally, the echocardiographic characteristics of the left atrium (LA) remodeling in the course of HT, including the area of the LA and its antero-posterior dimension, were both negatively correlated with the arterial flicker response (Rs = -0.34, p = 0.003; Rs = -0.33, p = 0.004, respectively). From tissue Doppler parameters, the left ventricular filling index E/e' negatively correlated with AVR (arteriovenous ratio) values (Rs = -0.36, p = 0.002).ConclusionsWe revealed that systolic and diastolic function of the left ventricle in hypertensive patients is associated with retinal microvascular function.

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