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Published on: March 1, 2022
Progress in diagnosis and treatment of hypertension combined with left ventricular hypertrophy
Yongjin Han1, Yanqiu Li2, Zhen Wu2
1Department of Cardiology, First Hospital of China Medical University, Shenyang, Liaoning Province, China.
Insights
This review synthesizes research on hypertension and left ventricular hypertrophy, highlighting recent progress in diagnosis, pathophysiology, and treatment, including promising new drug trials for this cardiovascular condition.
Area of Science:
- Cardiovascular Medicine
- Clinical Research
- Public Health
Background:
- Hypertension is a global cardiovascular problem causing significant left ventricular damage.
- Left ventricular hypertrophy (LVH) increases cardiovascular disease risk and mortality.
- LVH is a critical indicator of hypertension's impact on heart health.
Purpose of the Study:
- To systematically review the literature on the prevalence and associations of hypertension and LVH.
- To explore the progression and clinical outcomes related to hypertension-induced LVH.
- To identify current research trends and therapeutic advancements.
Main Methods:
- A scoping review methodology was employed, following Arksey & O'Malley's framework.
- A comprehensive search of the PubMed database was conducted without language restrictions.
- Data were extracted from 110 selected articles published between 1987 and 2024.
Main Results:
- The review included 110 studies, with a significant portion (55.5%) published in the last five years.
- Research spanned diagnosis, epidemiology, pathophysiology, prognosis, and treatment of hypertension with LVH.
- A notable increase in studies from 2024 (14.5%) indicates current research activity.
Conclusions:
- The literature reveals diverse clinical progress in managing hypertension and LVH.
- Recent clinical trials of novel drugs offer significant hope for improved treatment outcomes.
- Continued research is vital for understanding and combating the effects of hypertension on the left ventricle.
Background:
Hypertension, a worldwide cardiovascular issue, is known to result in significant damage to the left ventricle. Left ventricular hypertrophy refers to an increase in ventricular mass, which is not only the primary independent risk factor for cardiovascular disease onset but also independently related to the risk of death.
Objectives:
We sought to synthesize the existing literature on the occurrence and correlation between hypertension and left ventricular hypertrophy and the progress.
Methods:
A scoping review was performed based on the methodological framework developed by Arksey & O'Malley. Search in the Pubmed database with no language restrictions, as of September 1, 2024.
Results:
Of the 8110 articles retrieved, 110 were finally included. The selected articles were published between 1987 and 2024, with 55.5% (61/110) of the studies in the last five years and 14.5% (16/110) of 2024. The studies covered diagnosis, epidemiology, pathophysiology, prognosis, and treatment of hypertension with left ventricular hypertrophy.
Conclusion:
The literature reviewed suggests that studies on hypertension combined with left ventricular hypertrophy covered a variety of clinical progress, especially the clinical trial results of some new drugs that may bring great hope for treatment.
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