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Updated: Jul 16, 2026

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
Published on: October 28, 2020
Relationship between left ventricle geometric patterns and lymphocyte DNA damage in patients with untreated essential
Mustafa Gur1, Ali Yildiz, Recep Demirbag
1Harran University, Faculty of Medicine, Department of Cardiology, Sanliurfa, Turkey. drmugur@yahoo.com
Insights
Hypertension (HT) patients show increased lymphocyte DNA damage, particularly with concentric hypertrophy. Oxidative stress, indicated by total antioxidant status (TAS), is linked to this DNA damage, not left ventricle geometry.
Area of Science:
- Cardiology
- Genetics
- Oxidative Stress Research
Background:
- Hypertension (HT) is a significant cardiovascular risk factor.
- Left ventricle (LV) geometry changes are common in HT.
- Lymphocyte DNA damage may serve as a biomarker for HT-related cellular damage.
Purpose of the Study:
- To examine the relationship between distinct LV geometric patterns and lymphocyte DNA damage in hypertensive patients.
- To assess the role of total antioxidant status (TAS) in this association.
Main Methods:
- Study included 84 hypertensive patients and 24 healthy controls.
- LV geometric patterns were classified based on LV mass index and relative wall thickness.
- Lymphocyte DNA damage and plasma TAS levels were measured.
Main Results:
- Hypertensive patients exhibited significantly higher lymphocyte DNA damage than controls (p=0.001).
- Concentric hypertrophic LV geometry showed the greatest increase in DNA damage (p<0.001).
- Lymphocyte DNA damage was independently correlated with TAS (beta=-0.444, p<0.001) but not LV geometry (p>0.05).
Conclusions:
- Concentric hypertrophic LV geometry is associated with the most significant increase in lymphocyte DNA damage.
- Elevated oxidative stress, suggested by lower TAS, may underlie the observed DNA damage in hypertensive patients.
Objective:
To investigate the association between different the left ventricle (LV) geometric patterns and lymphocyte DNA damage in patients with hypertension (HT).
Methods:
We studied 84 patients (50.0+/-6.1, years) with HT and 24 healthy control subjects (48.6+/-3.3, years). Four different geometric patterns were identified in patients according to LV mass index and relative wall thickness. Peripheral lymphocyte DNA damages and plasma levels of total antioxidant status (TAS) were determined in all subjects.
Results:
DNA damage was increased in hypertensive patients compared with control group (p=0.001). The major increase in DNA damage was observed in concentric hypertrophic geometric pattern compared with all other geometric patterns (p<0.001, for all). In multiple linear regression analysis, lymphocyte DNA damage was independently correlated with only TAS (beta=-0.444, p<0.001), but not LV geometry (p>0.05).
Conclusion:
The major increase in lymphocyte DNA damage was observed in concentric hypertrophic geometric pattern. This result may be related to increased oxidative stress.
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