Naslov
The impact of individual blood pressure components on the type and degree of the left ventricular hypertrophy

Autori
Kunišek, Juraj ; Zaputović, Luka ; Žuvić Butorac, Marta ; Kunišek, Leon ; Vučković Rapaić, Slobodanka

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Kidney&Blood Pressure Research 2010 ; 33:413-441 / Drenjančević, Ines ; Jelaković, Bojan ; Koller, Akos - Basel : Karger Publishers, 2010, 422-422

Skup
2nd International Symposium on Hypertension

Mjesto i datum
Osijek, Hrvatska, 18.11.2010. - 21.11.2010

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
blood pressure; left ventricular hypertrophy

Sažetak
Aim: We sought to determine which of the individual components of arterial pressure has the greatest impact on the shaping of left ventricular hypertrophy (LVH) pattern/degree. Methods: The study included 192 pts (87 men), aged 43-80 years (median 68 years) with LVH. The subjects were classified into three groups with regard to the type of hypertrophy (concentric, eccentric and asymetric) and into three subgroups with regard to the degree of hypertrophy (mild, moderate and severe). After discontinuing all medications for a period of 48 hours, blood pressure was measured, electrocardiography, and echocardiography were performed. Antihypertensive drugs and the duration of previous treatment were taken into consideration. What was sought was the correlation between the systolic, diastolic, mean arterial pressure and pulse pressure on one side, and the LVH type/degree on the other. Results: The pulse pressure was significantly greater in the case of concentric LVH, more so than in cases of eccentric and asymmetric LVH (p=0.029), the values of which were mutually identical. It rose with the LVH degree (not significantly, p=0.217). The systolic pressure has a similar tendency (p=0.177). The diastolic and mean arterial pressure were not siginificantly different, neither in regard to the type, nor the degree of LVH. Conclusion: The pulse pressure has the strongest impact on the shaping of the LV geometry, particularly in the case of the concentric type. With the reduction of pulse pressure (primarily systolic pressure in elderly) we shall prevent the adverse (primarily concentric) remodelling of the left ventricle.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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