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Published on: February 20, 2017
The prevalence of left ventricular hypertrophy and associated factors in a Thai population
C Sriratanasathavorn1, K Bhuripanyo, N Mahanonda
1Her Majesty Cardiac Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Insights
Electrocardiographic left ventricular hypertrophy (LVH) is a poor prognostic indicator. In Thai adults, hypertension, lower body weight, and male sex were significantly associated with LVH prevalence.
Area of Science:
- Cardiology
- Public Health
Background:
- Electrocardiographic left ventricular hypertrophy (LVH) is a known predictor of adverse cardiovascular outcomes.
- The prevalence and prognostic impact of LVH vary across different populations and ethnicities.
- Identifying associated factors, particularly modifiable ones like hypertension, is crucial for risk stratification.
Purpose of the Study:
- To determine the prevalence of electrocardiographic left ventricular hypertrophy (LVH) in a selected Thai population.
- To investigate factors associated with LVH in this demographic.
Main Methods:
- Prospective study of 1,606 Shinawatra employees aged 30 years and older.
- Data collection included electrocardiographic assessments and anthropometric measurements.
- Statistical analysis to identify significant associations with LVH.
Main Results:
- The prevalence of LVH was 13% (210 participants).
- Significant associations with LVH included hypertension (25.6% in LVH group vs. 9.8% without), male sex (5:1 ratio in LVH group vs. 2:1 without), and lower mean body weight (57.7 kg in LVH group vs. 62.3 kg without).
Conclusions:
- LVH is prevalent in this Thai population.
- Hypertension, male sex, and lower body weight are significant risk factors for LVH in this group.
- These findings highlight potential targets for cardiovascular risk reduction strategies in Thailand.
Abstract:
Electrocardiographic left ventricular hypertrophy (LVH) has been a bad prognostic factor for cardiovascular morbidity and mortality. However the prevalence and prognostic value of LVH are varied among nationalities and populations. Several factors have been shown to associate with LVH. Some factors are treatable such as hypertension. We prospectively studied the prevalence of LVH and associated factors in selected group of Thai population. The study population was 1,606 Shinawatra employees who were 30 year old or more. The prevalence of LVH was 13 per cent (210) among study population. Hypertension, lower body weight and male sex were significantly associated factors. In the subjects with LVH, the prevalence of hypertension was 25.6 per cent, male ratio was 5:1 and mean body weight was 57.7 kg, compare to 9.8 per cent prevalence of hypertension, 2:1 female ratio and mean body weight was 62.3 kg in the group without LVH.
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