Effect of Gender Difference on Left Ventricular and Left Atrial Parameters in Patients with Essential Hypertension

Abstract

Background: arterial hypertension has a high impact on the heart including structural and functional changes, these changes may differ between males and females according to multiple causes. Aim: Establish if there is any difference in LV and LA parameters between males and females with hypertension. Patient and Methods: cross-sectional analytic study. The study samples were obtained from the Al-Furat Teaching Hospital's Echocardiographic Consultation Unit in the Al-Najaf Governorate between 1st September 2023, and 20th April 2024. Sixty-eight known cases of hypertensive patients with age of (18-60 years old). All patients are males and females. Clinical evaluation, anthropometric assessments, Doppler echocardiography were done for each one of them to assess the left atrial volumes and function and LV parameters. Results: the hypertensive patients show a significant difference in accordance with weight, height, age, and BSA (all P<0.05). at the same time IVS, LVPW and LVM shows a significant difference between males and females (all P<0.05). LA parameters (LA passive volume and conduit function) also shows a significant difference between two groups (P<0.05). conclusion: LV parameters affected by gender difference while LA parameters affected by age, ethnicity, type of treatment and compliance to it rather than the gender difference.