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Association between left ventricular hypertrophy with retinopathy and renal dysfunction in patients with essential
A Shirafkan1, M Motahari, M Mojerlou
1Golestan Heart Research Center and Department of Cardiology, 5th Azar Hospital, Golestan University of Medical Sciences, 5th Azar Avenue, Gorgan, Iran.
Insights
Hypertension-induced left ventricular hypertrophy (LVH) correlates with blood pressure and serum creatinine levels. Controlling blood pressure is key to preventing LVH and cardiovascular risks in hypertensive patients.
Area of Science:
- Cardiology
- Nephrology
- Ophthalmology
Background:
- Hypertension (HTN) is linked to target organ damage (TOD).
- Left ventricular hypertrophy (LVH) is an independent risk factor for cardiovascular events and mortality.
- This study investigates the connection between HTN-induced LVH and TOD, specifically retinopathy and renal failure.
Purpose of the Study:
- To examine the relationship between hypertension-induced left ventricular hypertrophy (LVH) and target organ damage (retinopathy and renal failure).
Main Methods:
- 102 hypertensive patients (mean age 60.2 years) were assessed.
- LVH was defined by left ventricular mass index (LVMI) thresholds for men and women.
- Ophthalmological examination (Keith-Wagener classification), serum creatinine, blood urea nitrogen, and urine protein were measured.
Main Results:
- Hypertensive retinopathy was prevalent in 92.2% of cases.
- Mean systolic and diastolic blood pressures and serum creatinine significantly correlated with LVH severity.
- No significant relationship was found between LVH severity and retinopathy or proteinuria.
Conclusions:
- Tight blood pressure control in essential hypertension may delay LVH progression.
- Routine serum creatinine measurement can predict cardiovascular complication risk in hypertensive patients.
Introduction:
It has been suggested that hypertension (HTN) is associated with certain target organ damage (TOD) and related clinical conditions. On the other hand, left ventricular hypertrophy (LVH) has been considered as an independent risk factor of cardiovascular events and death. The aim of this study was to examine the relationship between HTN-induced LVH and TOD (retinopathy and renal failure).
Methods:
We assessed 102 hypertensive subjects (43 males and 59 females) with a mean age of 60.2 +/- 8.8 (range 35-81) years. LVH was defined as a left ventricular mass index (LVMI) of more than 51 and 47 g/(m [to the power of 2.7]), in men and women, respectively. The degree of retinopathy on ophthalmological examination was defined according to the Keith-Wagener classification. Serum creatinine, blood urea nitrogen and urine protein concentrations were also measured.
Results:
Hypertensive retinopathy was found in 94 (92.2 percent) cases (Grades I 55.9 percent; II 28.5 percent; III 3.9 percent; IV: 3.9 percent). The mean systolic and diastolic blood pressures and serum creatinine concentration showed significant correlation with the severity of LVH. There was no significant relationship between LVH severity and retinopathy or proteinuria.
Conclusion:
The tight control of systolic and diastolic blood pressures in the first step of essential hypertension can assist to postpone LVH. Furthermore, routine measurement of serum creatinine can predict the risk of cardiovascular complications in the hypertensive patient.
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