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Published on: April 8, 2013
Epidemiology and treatment of left ventricular hypertrophy in the elderly
C Hanratty1, D McAuley, B Silke
1Department of Therapeutics and Pharmacology, Queen's University of Belfast, Northern Ireland, UK.
Insights
Left ventricular hypertrophy (LVH) is a significant risk factor for heart disease, especially in older adults. Antihypertensive treatments can effectively reduce LVH, and findings from younger patients can inform elderly care.
Area of Science:
- Cardiology
- Geriatrics
Background:
- Left ventricular hypertrophy (LVH) is a major independent risk factor for cardiovascular diseases, including heart failure and stroke.
- LVH prevalence increases with age, making its management crucial in the elderly population.
Purpose of the Study:
- To review current knowledge on LVH.
- To discuss LVH management strategies, with a specific focus on elderly patients.
Main Methods:
- Literature review of existing studies on LVH.
- Analysis of evidence regarding antihypertensive treatments and LVH regression.
- Extrapolation of findings from younger populations to the elderly.
Main Results:
- Antihypertensive therapy is effective in preventing or reversing LVH.
- Age does not appear to influence the regression of LVH.
- Meta-analyses have not definitively shown superiority of ACE inhibitors or calcium antagonists over diuretics or beta-blockers for LVH reduction.
Conclusions:
- LVH management is critical, particularly in aging populations.
- Evidence supports the use of antihypertensive treatments for LVH regression in the elderly.
- Current evidence does not conclusively favor specific drug classes for LVH reduction.
Abstract:
Left ventricular hypertrophy (LVH) is an important independent risk factor for cardiovascular disease and is associated with an increased risk of ventricular dysrhythmia, coronary artery disease, myocardial infarction, stroke, heart failure and peripheral artery disease. The prevalence of LVH increases strongly with advancing age and, consequently, the prevention or reduction of LVH should be an important consideration in the older age-group. This review summarises current knowledge on LVH and discusses management issues with particular reference to the elderly. Evidence suggests that antihypertensive treatment can reverse or prevent LVH. There have been few studies of LVH in the elderly, but since age does not appear to be a factor in the regression of LVH, results of studies among younger hypertensive patients can be extrapolated to the elderly population. Meta-analyses of clinical studies have not established conclusively that angiotensin-converting enzyme inhibitors and calcium antagonists are necessarily more effective than diuretics and beta-adrenoceptor antagonists in reducing LVH.
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