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Published on: December 2, 2016
[Left ventricular hypertrophy in patients with nephrogenic arterial hypertension]
Insights
Hypertrophy of the left ventricle of the heart (HLVH) affects 30.2% of patients with chronic glomerulonephritis and hypertension. HLVH incidence increases with hypertension severity and duration, but geometric patterns are not associated with kidney function.
Area of Science:
- Cardiology
- Nephrology
- Medical Imaging
Context:
- Chronic glomerulonephritis (ChGN) often coexists with arterial hypertension (AH).
- Left ventricular hypertrophy (LVH) is a known complication of AH.
- Understanding LVH in ChGN patients with preserved or early renal insufficiency is crucial.
Purpose:
- To investigate the incidence and geometric characteristics of left ventricular hypertrophy (HLVH) in patients with ChGN and AH.
- To determine correlations between HLVH and clinical factors including AH severity, duration, and renal function.
Summary:
- Echocardiography in 86 ChGN patients with AH revealed HLVH in 30.2%.
- Concentric (80.8%) and symmetric (76%) patterns predominated.
- HLVH incidence correlated positively with AH degree and duration, but not with sex, ChGN variant, or renal function.
Impact:
- Identifies a significant prevalence of HLVH in this patient cohort.
- Highlights the impact of arterial hypertension on cardiac remodeling in chronic kidney disease.
- Informs clinical management strategies for hypertensive ChGN patients.
Abstract:
Incidence and geometric peculiarities of hypertrophy of the left ventricle of the heart (HLVH) were studied on the basis of findings from the echocardiographic investigation done in 86 patients with chronic glomerulonephritis (ChGN) with arterial hypertension (AH), with the renal function being preserved and at the early stages of renal insufficiency. HLVH was detected in 30.2% of the patients, in 80.8% of whom it was concentric, and in 19.2% eccentric, in 76%--symmetric and in 23.1%--asymmetric. Incidence of HLVH did not correlate with sex, clinical variant of ChGN, renal function status, and increased with the degree and duration of AH. There was no difference in geometric peculiarities between sexes, clinical variants of ChGN, and no association with degree and duration of AH as well as with functional state of the kidneys.
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