Prevalence and determinants of left ventricular geometric abnormalities in hypertensive patients: A study based on the updated classification system of left ventricular geometry

Tao, Sha; Huang, Yu-Qing; Cai, Anping; Huang, Cheng; Zhang, Ying; Chen, Jiyan; Zhou, Yingling; Yu, Xin; Zhou, Dan; Tang, Songtao; Feng, Yingqing; Tan, Ning

doi:10.1016/j.hjc.2016.12.011

Cited by 8 publications

(6 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…At cardiac echo Doppler, the high frequency of echographic LVH in our sample is superimposed on those reported by Sha et al (65.8%) [15]. Jaleta in Ethiopia and Ikama in Congo reported a prevalence of LVH of 52% and 47.9% respectively [16,17].…”

Section: Left Ventricular Hypertrophy In the Black Racesupporting

confidence: 78%

24-Hour Electrocardiographic (ECG) Holter Recording during Hypertensive Cardiopathy in Health Facilities in Lome

Pio¹,

Pessinaba²,

Sama³

et al. 2022

JICOA

View full text Add to dashboard Cite

Objective: To evaluate the 24-hour Holter ECG recording in hypertensive heart disease. Methods: This was a descriptive and analytical cross-sectional study on files of patients with hypertensive heart disease, carried out from October 2016 to October 2019, in two health facilities in Lome (TOGO). Electrical left ventricular hypertrophy (LVH) was defined by the Sokolow-Lyon and Cornell indices. On echocardiography, the HVG according to the criteria of the American Society of Echocardiography, was the characteristic retained for a CH. Holter-ECG recordings were carried out over 24 hours by two Holter devices. Results: 107 patients were included, with a sex ratio of 1.89 (M / F). The mean age was 62.2 ± 12 years. The mean duration of the evolution of hypertension was 10.8 ± 9.1 years. On standard ECG, arrhythmias were more frequent (32.6%) with ACFA in 5.6% of cases. The prevalence of echocardiographic HVG was 74.8%, predominantly concentric, and was significantly found in hypertensive patients over 10 years of age. During the 24-hour Holter ECG recording, ACFA was the common arrhythmia (30%), episodic in 90.6% of cases and permanent 9.4% and was statistically associated with OG size, sex and age. The Holter ECG detected sustained ventricular tachycardia in 7 patients (6.5%). The Recording was normal 12.1% of the time. Conclusion: Hypertensive heart disease is the first of the cardiac complications of hypertension. The Holter ECG is a tool for the detection of fatal severe paroxysmal events that go unnoticed on the surface ECG such as AC/AF, sustained ventricular tachycardias.

show abstract

Section: Left Ventricular Hypertrophy In the Black Racesupporting

confidence: 78%

24-Hour Electrocardiographic (ECG) Holter Recording during Hypertensive Cardiopathy in Health Facilities in Lome

Pio¹,

Pessinaba²,

Sama³

et al. 2022

JICOA

View full text Add to dashboard Cite

show abstract

“…Left ventricular hypertrophy (LVH) is a sensitive and specific marker of left ventricular remodeling (Huang et al, 2017;Sha et al, 2017). LVH progression results in the development of congestive heart failure, which is associated with great health and economic burdens (Yancy et al, 2013;Ponikowski et al, 2016;Cai et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Association Between Intermittent Hypoxia and Left Ventricular Remodeling in Patients With Obstructive Sleep Apnea-Hypopnea Syndrome

Deng

Huang

et al. 2021

Front. Physiol.

View full text Add to dashboard Cite

The present study was undertaken to examine the association between intermittent hypoxia and left ventricular (LV) remodeling and explore which parameter of intermittent hypoxia is most relevant to LV remodeling in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS). Two hundred eighty six patients underwent polysomnographic examination were enrolled. Based on apnea-hypoxia index (AHI), patients were divided into no, mild, moderate and severe OSAHS groups. Between-group differences in LV remodeling and the association between parameters of intermittent hypoxia and LV remodeling was evaluated. Patients with severe OSAHS were more likely to have hypertension, and higher values of LV mass (LVM) and LVM index (LVMI). In univariate regression analysis, male, body mass index (BMI), systolic and diastolic blood pressure (BP), statins, antihypertensive drugs, creatinine, and parameters of intermittent hypoxia (AHI, obstructive apnea index [OAI], lowest oxygen saturation [LSpO2], oxygen desaturation index [ODI], time spent below oxygen saturation of 90% [TS90%], and mean nocturnal oxygen saturation [MSpO2]) were associated with LVMI. After multivariate regression analyses, only male gender, BMI, systolic BP, creatinine, and ODI remained significantly associated with LVMI. Compared to those without LV hypertrophy (LVH), patients with LVH had higher ODI. Compared to patients with normal LV, concentric remodeling and eccentric LVH, those with concentric LVH had higher ODI. In conclusion, intermittent hypoxia was significantly associated with left ventricular remodeling; and among various parameters of intermittent hypoxia, ODI was the most relevant to LV remodeling.

show abstract

“…Sha et al 7 reported the results of a retrospective analysis in patients with hypertension. They implemented a modified classification of geometric patterns first published by the Dallas Heart Study investigators.…”

Section: Discussionmentioning

confidence: 99%

“…They stated that concentric LV geometric abnormalities were more commonly accompanied by more cardiovascular risk factors such as increased waist circumference, neck circumference, old age, systolic BP, hyperuricemia, increased BMI, and alcohol use. 7 In fact, these CV risk factors can partially explain the higher CV risk associated with concentric LV geometric patterns. However, this paper does not report outcomes associated with each geometric pattern, and it is difficult to create the link between the pattern of LVH, risk factors, and the risk itself.…”

Section: Discussionmentioning

confidence: 99%

Frequency and Risk Factors of Left Ventricular Geometric Abnormalities in Hypertensive Patients: A Study Based on the Updated Classification System of Left Ventricular Geometry

Nazir

Iqbal

Kamran

et al. 2021

PAFMJ

View full text Add to dashboard Cite

Objective: To determine the association between cardiovascular risk factors and the abnormalities of left ventricular geometric abnormalities. Study Design: Prospective cross-sectional, single centered study. Place and Duration of Study: Armed Forces Institute of Cardiology, Rawalpindi, from Jun 2018 to Dec 2018. Methodology: This study permission was sought from hospital ethics committee. Written informed consent was taken from participants of study. Particulars of all the patients who meet the inclusion were included i.e., 351 hypertensive. Results: Left ventricular geometric abnormalities were detected in 321 subjects (91%), wherein concentric non dilated left ventricular hypertrophy is the most common left ventricular geometric abnormality (39%). Elevated systolic blood pressure and diabetes mellitus were positively associated with concentric left ventricular remodeling, whereas body mass index and chronic kidney disease were inversely associated with concentric abnormalities. systolic blood pressure and diabetes mellitus, chronic kidney disease, large WC were positively associated with eccentric dilated left ventricular hypertrophy, while body mass index, duration of hypertension, MS were inversely associated with eccentric dilated left ventricular hypertrophy. Elevated systolic blood pressure was the strongest risk factor for eccentric dilated left ventricular hypertrophy. Large WC, systolic blood pressure and diabetes mellitus were positively associated with concentric left ventricular hypertrophy, whereas body mass index was negatively associated with concentric left ventricular hypertrophy. Conclusion: Appropriate risk factor management and compliance can prevent left ventricular geometric abnormalities hence poorer outcomes in our population

show abstract

Prevalence and determinants of left ventricular geometric abnormalities in hypertensive patients: A study based on the updated classification system of left ventricular geometry

Cited by 8 publications

References 36 publications

24-Hour Electrocardiographic (ECG) Holter Recording during Hypertensive Cardiopathy in Health Facilities in Lome

24-Hour Electrocardiographic (ECG) Holter Recording during Hypertensive Cardiopathy in Health Facilities in Lome

Association Between Intermittent Hypoxia and Left Ventricular Remodeling in Patients With Obstructive Sleep Apnea-Hypopnea Syndrome

Frequency and Risk Factors of Left Ventricular Geometric Abnormalities in Hypertensive Patients: A Study Based on the Updated Classification System of Left Ventricular Geometry

Contact Info

Product

Resources

About