Patterns of left ventricular remodeling among patients with essential and secondary hypertension

Background: High blood pressure causes left ventricular hypertrophy, which is a negative prognostic factor among hypertensive patients. Aim: To assess left ventricular geometric remodeling patterns in patients with essential hypertension or with hypertension secondary to parenchymal renal disease. M...

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Autores principales:	Radulescu,Dan, Stoicescu,Laurentiu, Buzdugan,Elena, Donca,Valer
Lenguaje:	English
Publicado:	Sociedad Médica de Santiago 2013
Materias:	Hypertension Hypertension renal Hypertrophy left ventricular Ventricular remodeling
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013001200004
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spelling	oai:scielo:S0034-988720130012000042014-10-10Patterns of left ventricular remodeling among patients with essential and secondary hypertensionRadulescu,DanStoicescu,LaurentiuBuzdugan,ElenaDonca,Valer Hypertension Hypertension renal Hypertrophy left ventricular Ventricular remodeling Background: High blood pressure causes left ventricular hypertrophy, which is a negative prognostic factor among hypertensive patients. Aim: To assess left ventricular geometric remodeling patterns in patients with essential hypertension or with hypertension secondary to parenchymal renal disease. Material and Methods: We analyzed data from echocardiograms performed in 250patients with essential hypertension (150 females) and 100 patients with secondary hypertension (60 females). The interventricular septum and the left ventricular posterior wall thickness were measured in the parasternal long-axis. Left ventricular mass was calculated using the Devereaux formula. Results: The most common remodeling type in females and males with essential hypertension were eccentric and concentric left ventricular hypertrophy (cLVH), respectively. Among patients with secondary arterial hypertension, cLVH was most commonly observed in both genders. The prevalence of left ventricular hypertrophy was higher among patients with secondary hypertension. The left ventricular mass index and the relative left ventricular wall thickness were higher in males and also in the secondary hypertension group. Age, blood pressure values and the duration of hypertension, influenced remodeling patterns. Conclusions: We documented a higher prevalence of LVH among patients with secondary hypertension. The type of ventricular remodeling depends on gender, age, type of hypertension, blood pressure values and the duration of hypertension.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.141 n.12 20132013-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013001200004en10.4067/S0034-98872013001200004
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Hypertension Hypertension renal Hypertrophy left ventricular Ventricular remodeling
spellingShingle	Hypertension Hypertension renal Hypertrophy left ventricular Ventricular remodeling Radulescu,Dan Stoicescu,Laurentiu Buzdugan,Elena Donca,Valer Patterns of left ventricular remodeling among patients with essential and secondary hypertension
description	Background: High blood pressure causes left ventricular hypertrophy, which is a negative prognostic factor among hypertensive patients. Aim: To assess left ventricular geometric remodeling patterns in patients with essential hypertension or with hypertension secondary to parenchymal renal disease. Material and Methods: We analyzed data from echocardiograms performed in 250patients with essential hypertension (150 females) and 100 patients with secondary hypertension (60 females). The interventricular septum and the left ventricular posterior wall thickness were measured in the parasternal long-axis. Left ventricular mass was calculated using the Devereaux formula. Results: The most common remodeling type in females and males with essential hypertension were eccentric and concentric left ventricular hypertrophy (cLVH), respectively. Among patients with secondary arterial hypertension, cLVH was most commonly observed in both genders. The prevalence of left ventricular hypertrophy was higher among patients with secondary hypertension. The left ventricular mass index and the relative left ventricular wall thickness were higher in males and also in the secondary hypertension group. Age, blood pressure values and the duration of hypertension, influenced remodeling patterns. Conclusions: We documented a higher prevalence of LVH among patients with secondary hypertension. The type of ventricular remodeling depends on gender, age, type of hypertension, blood pressure values and the duration of hypertension.
author	Radulescu,Dan Stoicescu,Laurentiu Buzdugan,Elena Donca,Valer
author_facet	Radulescu,Dan Stoicescu,Laurentiu Buzdugan,Elena Donca,Valer
author_sort	Radulescu,Dan
title	Patterns of left ventricular remodeling among patients with essential and secondary hypertension
title_short	Patterns of left ventricular remodeling among patients with essential and secondary hypertension
title_full	Patterns of left ventricular remodeling among patients with essential and secondary hypertension
title_fullStr	Patterns of left ventricular remodeling among patients with essential and secondary hypertension
title_full_unstemmed	Patterns of left ventricular remodeling among patients with essential and secondary hypertension
title_sort	patterns of left ventricular remodeling among patients with essential and secondary hypertension
publisher	Sociedad Médica de Santiago
publishDate	2013
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013001200004
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Patterns of left ventricular remodeling among patients with essential and secondary hypertension

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