Abstract
Introduction: It has been known that there is a complex
interaction between asthma and cardiovascular physiology. Some
investigations on echocardiography and electrocardiography (ECG) in
asthmatic patients revealed many findings such as pulmonary hypertension
(PHT) and arrhythmia. In this study, we aimed to perform tissue doppler
imaging (TDIE) and conventional echocardiographic (CEI) assessment with
many indexes of arrhythmia on electrocardiography (ECG) in asthmatic
patients.
Methods: A total of 89 patients, 63 female (70.8%) and 26 male
(29.2%), was included in this study. Patients were divided into three
groups, and then each group was separated in two 2 groups as
mild-moderate and severe asthma.
Results: There is no difference among groups with respect to
age, gender and anthropometric data and no difference between groups
with respect to indexes of arrhythmia on ECG (p> 0.05). It
was determined that ventricular outflow systolic velocity recordings at
aortic and pulmonary valve were similar (p> 0.05). MAPSE,
TAPSE and both ventricular diastolic velocities on CEI were similar
between groups, except for left ventricular A wave velocity which was
higher in severe asthmatic patients (p< 0.05). No difference
between groups was detected in left atrium (LA) TDIE diastolic
velocities (P> 0.05). Investigation of time intervals of
both ventricular diastolic filling velocities (e’ and a’) at the mitral
lateral, septal and tricuspid lateral annulus revealed significant
difference at Pa’m- 3 and Pa’s- 3 intervals based on TDEI
(p<0.05). Investigation of the LA volumes determined that only
maximal volume of the LA was higher in severe asthmatic patients
(p< 0.05). However, there is no significant difference between
LA-VpreA and LA-Vmin (p> 0.05).
Conclusions: Based on these results, it can be suggested that
LA mechanical functions and intra-atrial LA electromechanical durations
were impaired in severe asthmatic patients.
Keywords: Electromechanical Conduction Delay, Atrial Volume,
Asthma