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[THE INFLUENCE OF ABDOMINAL OBESITY ON LEFT VENTRICULAR MYOCARDIALREMODELING IN PATIENTS WITH ARTERIAL HYPERTENSION]
Klinicheskaia Meditsina
|November 25, 2015
Summary
Obesity influences arterial hypertension (AH) complications. Abdominal obesity is linked to eccentric left ventricular hypertrophy and coronary insufficiency in hypertensive patients.
Area of Science:
- Cardiology
- Internal Medicine
- Clinical Research
Context:
- Arterial hypertension (AH) is a prevalent condition.
- Obesity, particularly abdominal obesity, is a growing health concern.
- Understanding the impact of obesity on AH comorbidities is crucial for patient management.
Purpose:
- To investigate the relationship between obesity and clinical/instrumental characteristics in patients with Grade II hypertensive disease (HD).
- To compare left ventricular (LV) hypertrophy patterns and cardiac issues between hypertensive patients with normal weight and those with abdominal obesity.
Summary:
- A study compared 79 patients with Grade II HD and normal weight (Group I) to 61 with Grade II HD and abdominal obesity (Group 2).
- Both groups exhibited high rates of left ventricular hypertrophy (59.2% in Group I, 73.8% in Group II).
- Concentric LV hypertrophy was more common in Group I, while eccentric hypertrophy predominated in Group 2. Relative coronary insufficiency was more frequent in Group 2, and cardiac rhythm disturbances were more common in Group I.
Impact:
- Abdominal obesity is associated with specific patterns of left ventricular hypertrophy (eccentric) in hypertensive patients.
- Hypertensive patients with abdominal obesity face a higher risk of relative coronary insufficiency.
- These findings highlight the importance of weight management in controlling AH and its cardiovascular complications.
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