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.