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Left Ventricular Geometry and Left Ventricular Hypertrophy Phenotype in Newly Diagnosed Hypertension in North-eastern

Ibrahim Abubakar Galtimari1,2, Chiroma Ijuptil2,3, Sulaiman Mohammad Maina2,4

  • 1Cardiology Unit, Department of Internal Medicine, University of Maiduguri Teaching Hospital, Nigeria.

Nigerian Medical Journal : Journal of the Nigeria Medical Association
|July 24, 2025
PubMed

Insights

Left Ventricular Hypertrophy (LVH) affects over half of newly diagnosed hypertension patients. Concentric hypertrophy is the most common LVH geometry, with concentric non-dilated hypertrophy being the predominant phenotype.

Area of Science:

  • Cardiology
  • Hypertension Research
  • Diagnostic Imaging

Background:

  • Left Ventricular Hypertrophy (LVH) is a critical indicator of hypertensive heart disease.
  • Prevalence of LVH in Nigerian hypertensive patients (46%-63%) is notably higher than in Western populations (19%-48%).

Purpose of the Study:

  • To determine the prevalence of LVH in newly diagnosed hypertensive patients.
  • To characterize the patterns of left ventricular (LV) geometry and LVH phenotype in this population.

Main Methods:

  • A cross-sectional, observational study conducted from June 2019 to June 2021.
  • Involved 300 newly diagnosed hypertensive adults and 300 healthy controls.
  • Echocardiography was performed, utilizing American Society of Echocardiography and European Association of Cardiovascular Imaging criteria.

Main Results:

  • 59% of newly diagnosed hypertensive patients exhibited LVH.
  • Concentric LVH was the most prevalent geometry (37%).
  • Concentric non-dilated hypertrophy was the most common LVH phenotype (55.4%).

Conclusions:

  • LVH is highly prevalent in newly diagnosed hypertensive individuals, exceeding 50%.
  • Concentric hypertrophy is the predominant LV geometry.
  • Concentric non-dilated hypertrophy represents the most frequent LVH phenotype.
Abstract

Keywords:
Hypertensive Heart DiseaseLeft Ventricular GeometryLeft Ventricular HypertrophyLeft Ventricular Remodeling

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