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.

Singapore Medical Journal
|January 21, 2010
PubMed

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.
Abstract

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