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Hyperleptinemia--non-haemodynamic risk factor for the left ventricular hypertrophy development in hypertensive
Kristina Selthofer-Relatić1, Radivoje Radić, Vedrana Vizjak
1Clinic of Internal Medicine, University Hospital "Osijek", Osijek, Croatia. kristina.selthofer@os.t-com.hr
Insights
Obesity is linked to hypertension and left ventricular hypertrophy (LVH). This study found higher leptin levels in overweight women with LVH, suggesting hyperleptinemia is a non-hemodynamic factor contributing to LVH.
Area of Science:
- Cardiology
- Endocrinology
- Obesity Research
Background:
- Obesity is strongly associated with hypertension and left ventricular hypertrophy (LVH).
- LVH development involves both hemodynamic and non-hemodynamic factors.
- Humoral mechanisms contributing to LVH require further elucidation.
Purpose of the Study:
- To investigate if hyperleptinemia acts as a non-hemodynamic factor in LVH development.
- To explore the role of hyperleptinemia alongside hemodynamic factors in overweight females.
Main Methods:
- Study included 36 overweight, non-diabetic females (BMI 25-30 kg/m²).
- Patients were categorized into hypertensive with LVH (n=21) and hypertensive without LVH (control, n=15).
- Measurements included metabolic profiles, anthropometrics, 2D ultrasound for cardiovascular assessment, and serum leptin via RIA.
Main Results:
- Serum leptin levels were significantly elevated in hypertensive, overweight females with LVH compared to controls.
- This indicates a correlation between hyperleptinemia and the presence of LVH in this cohort.
Conclusions:
- Hyperleptinemia may be a significant non-hemodynamic factor contributing to LVH.
- This finding is relevant for understanding LVH development in hypertensive, overweight adult females.
Abstract:
Obesity is directly and strongly associated with hypertension and left ventricular hypertrophy (LVH). Development of LVH is multifactorial, caused both by haemodynamic and non-haemodynamic factors. Hypertension is the main haemodynamic factor. Humoral mechanisms, as a non-haemodynamic factor for LVH development, have not been completely explained. The aim of this study is to determine whether hyperleptinemia can be one of humoral--non-haemodynamic factor inducing LVH together with haemodynamic factors in overweight females. The study was done on thirty six adult, overweight female patients, body mass index in range 25-30 kg/m2. Patients are nondiabetic with regular renal function. Twenty one female patients were hypertensive with left ventricular hypertrophy. Control group included fifteen hypertensive female patients without left ventricular hypertrophy. In all patients was determined glucose profile and creatinine clearance, cholesterol, triglycerides, LDL, HDL. Weight, high, circumference of the waist and hips was taken. Cardiovascular determination was done applying two-dimensional ultrasound. Serum leptin level was measured using radioimmunoassay method (RIA). Results showed that serum leptin level was significantly higher in hypertensive, overweight females with LVH. This suggests that non-haemodynamic factors, such as hyperleptinemia, participate in left ventricular hypertrophy development together with haemodynamic factors in adult hypertonic, overweight females.
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