Affordable Access

Echocardiographic assessment of the different left ventricular geometric patterns in hypertensive patients

Authors
  • Cunha, Delma Maria
  • Cunha, Ademir Batista da
  • Martins, Wolney de Andrade
  • Pinheiro, Luís Augusto de Freitas
  • Romêo, Luís José Martins
  • Moraes, Álvaro Vilela de
  • Morcerf, Fernando Portugal
Publication Date
Jan 01, 2001
Source
Scientific Electronic Library Online - Brazil
Keywords
Language
English
License
Unknown
External links

Abstract

OBJECTIVE: To identiy left ventricular geometric patterns in hypertensive patients on echocardiography, and to correlate those patterns with casual blood pressure measurements and with the parameters obtained on a 24-hour ambulatory blood pressure monitoring. METHODS: We studied sixty hypertensive patients, grouped according to the Joint National Committee stages of hypertension.. Using the single- and two-dimensional Doppler Echocardiography, we analyzed the left ventricular mass and the geometric patterns through the correlation of left ventricular mass index and relative wall thickness. On ambulatory blood pressure monitoring we assessed the means and pressure loads in the different geometric patterns detected on echocardiography RESULTS: We identified three left ventricular geometric patterns: 1) concentric hypertrophy, in 25% of the patients; 2) concentric remodeling, in 25%; and 3) normal geometry, in 50%. Casual systolic blood pressure was higher in the group with concentric hypertrophy than in the other groups (p=0.001). Mean systolic pressure in the 24h, daytime and nighttime periods was also higher in patients with concentric hypertrophy, as compared to the other groups (p=0.003, p=0.004 and p=0.007). Daytime systolic load and nighttime diastolic load were higher in patients with concentric hypertrophy ( p=0.004 and p=0.01, respectively). CONCLUSIONS: Left ventricular geometric patterns show significant correlation with casual systolic blood pressure, and with means and pressure loads on ambulatory blood pressure monitoring.

Report this publication

Statistics

Seen <100 times