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Published on: June 15, 2020
Prevalence of left ventricular hypertrophy in a hypertensive population
J Tingleff1, M Munch, T J Jakobsen
1Department of Internal Medicine C, Glostrup County Hospital, University of Copenhagen, Denmark.
Insights
Left ventricular hypertrophy (LVH) is more common in hypertensive individuals, but the association with blood pressure is weak overall. Significant differences in LVH prevalence between hypertensive and normotensive groups were only observed in older adults.
Area of Science:
- Cardiology
- Hypertension Research
- Diagnostic Imaging
Background:
- Left ventricular hypertrophy (LVH) is a structural adaptation to increased cardiac workload.
- Hypertension is a primary risk factor for cardiovascular disease, often leading to LVH.
- Understanding LVH prevalence in hypertensive populations is crucial for risk stratification.
Purpose of the Study:
- To determine the prevalence of left ventricular hypertrophy (LVH) in a hypertensive population.
- To compare LVH prevalence between hypertensive and normotensive individuals.
- To investigate the influence of age and sex on the association between hypertension and LVH.
Main Methods:
- Echocardiography was used to assess LVH in 552 participants (358 hypertensive, 194 normotensive).
- Participants were selected from a general population aged 35-65 years.
- LVH was defined using established criteria (Penn conventions) indexed for body surface area.
Main Results:
- Overall LVH prevalence was 14% in normotensive men and 20% in normotensive women.
- LVH prevalence was higher in hypertensive individuals (25% men, 26% women) compared to normotensives (P < 0.01).
- A significant difference in LVH prevalence between groups was found only in 65-year-olds (P < 0.02 for men, P < 0.05 for women).
Conclusions:
- The association between elevated blood pressure and left ventricular hypertrophy in the general population is weak.
- Hypertension is significantly linked to increased LVH prevalence primarily in older individuals.
- Age is a critical factor modulating the relationship between hypertension and cardiac structural changes.
Aims:
This investigation was set up to study the prevalence of left ventricular hypertrophy in a hypertensive population with reference to a normotensive control group. From the general population 3498 men and women aged 35, 45, 55 and 65 years old were invited to a health examination. Participants with blood pressure above 160 mmHg systolic or 95 mmHg diastolic or those taking antihypertensive medication or having done so during the previous 6 months were asked to undergo an echocardiographic examination. Normotensive controls were randomly selected from the same population. Of 552 participants in the final study population, 194 were normotensive controls and 358 were in the hypertensive group. Echocardiographic measurements were made according to the Penn conventions and indexed for body surface. Cut-off values for left ventricular hypertrophy were 134 g.m-2 for males and 102 g.m-2 for women.
Results:
Overall, the prevalence of left ventricular hypertrophy was 14%/20% (men/women) in normotensives and 25%/26% in hypertensives (P < 0.01). After subdivision by age and sex, there was a significant difference in the prevalence of left ventricular hypertrophy between normotensives and hypertensives only in the 65-year-old group (P < 0.02 for males and P < 0.05 for females).
Conclusions:
The association between blood pressure and left ventricular hypertrophy in the general population is weak. Left ventricular hypertrophy is only significantly more frequent among hypertensives as compared to normotensives in older people.
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