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Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients
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[Prevalence, characteristics and clinical correlates of left ventricular hypertrophy in stable hypertension.

L Lusiani, G Ronsisvalle, L Nogarin

    Giornale Italiano Di Cardiologia
    |March 1, 1987
    PubMed

    Insights

    Left ventricular hypertrophy (LVH) affects nearly 73% of stable hypertensives, with concentric and eccentric patterns observed. Age, not BMI or hypertension severity, correlates with LVH patterns.

    Area of Science:

    • Cardiology
    • Internal Medicine
    • Medical Imaging

    Context:

    • Hypertension is a prevalent condition associated with cardiovascular complications.
    • Left ventricular hypertrophy (LVH) is a common adaptation to chronic hypertension.
    • Understanding the prevalence and patterns of LVH is crucial for risk stratification.

    Purpose:

    • To evaluate the prevalence and patterns of left ventricular hypertrophy (LVH) in stable hypertensive patients.
    • To identify clinical correlates of different LVH patterns using echocardiography.
    • To investigate the relationship between demographic and clinical factors and LVH morphology.

    Summary:

    • Echocardiography revealed LVH in 73% of 251 stable hypertensive patients.
    • Concentric LVH (39.4%) and eccentric LVH (43.1%) were the predominant patterns.
    • Older age was associated with concentric LVH, while BMI, hypertension duration, and severity showed poor correlation with LVH patterns.

    Impact:

    • Findings suggest that age is a significant factor in LVH development, challenging previous hypotheses on pattern progression.
    • The study highlights the need for further research into distinct hemodynamic profiles associated with concentric versus eccentric LVH.
    • Results contribute to a better understanding of hypertensive heart disease and potential therapeutic targets.

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