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M E D I C U S - Shoqata e Mjekëve Shqiptarë të Maqedonisë-Hipokrati

M E D I C U S - Shoqata e Mjekëve Shqiptarë të Maqedonisë-Hipokrati

M E D I C U S - Shoqata e Mjekëve Shqiptarë të Maqedonisë-Hipokrati

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1 Internal Clinic, Service of Cardiology<br />

2 Clinic of Ophtalmology<br />

Arterial hypertension is the cause of many cardiovascular diseases. Dilation of<br />

aortic root is the main pathophysiologic mechanism for occurrence of aortic regurgitation<br />

in many diseases, whereas high blood pressure may have a direct impact in the presence<br />

of aortic regurgitation. In this study were included 84 patients, 54 with high blood<br />

pressure and 30 subjects of the control group, without arterial hypertension. Aortic<br />

measurements on two dimensional echocardiography showed that average dimensions of<br />

aortic annulus, aortic bulb and sino-tubular junction were always larger in hypertensive<br />

group as compared to the control group (27.82 ± 3.89 mm compared to 23.6 ± 3.45 mm;<br />

34.02 ± 4.65 vs. 31.4 ± 4.69 mm; 30.07 ± 3.51 vs. 28.51 ± 2.91). Aortic regurgitation was<br />

found in 38.89% of hypertensive patients, while in 10% of normotensive subjects<br />

(p=0.03). Patients with arterial hypertension without aortic regurgitation have suffered<br />

from high blood pressure for 7.42 ± 5.95 years, whereas those with severe aortic<br />

regurgitation for 14.3 ± 6.03 years. CONCLUSION: arterial hypertension has an impact<br />

on aortic root size and on the occurrence of aortic regurgitation. Arterial hypertension<br />

duration influences on occurrence of more severe forms of aortic regurgitation.<br />

Key words: arterial hypertension, aortic regurgitation, aortic root.<br />

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PUNIM PROFESIONAL/ PROFESIONAL PAPER PULMOLOGJI<br />

MEDICUS<br />

SEMUNDJA PULMONARE OBSTRUKTIVE KRONIKE NE PUNONJESIT E<br />

INDUSTRISE SE ÇELIKUT<br />

Silvana Bala 1 , Afrim Tabaku 2<br />

1 Spitali Universitar i Sëmundjeve <strong>të</strong> Mushkërive, Tiranë<br />

2 Instituti Shëndetit Publik, Tiranë

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