Differences in left ventricular geometry in hypertensive African-Europeans and Caucasian patients
| Autor: | Francesco Antonini-Canterin, Bogdan A. Popescu, Laurence Ejiofor, Andreea Ravasel, Concetta Di Nora, Eugenio Cervesato, Iulian Cosei |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Heart Ventricles Diastole Black People Concentric hypertrophy Blood Pressure 030204 cardiovascular system & hematology White People Body Mass Index Muscle hypertrophy Ventricular Dysfunction Left 03 medical and health sciences 0302 clinical medicine Internal medicine Internal Medicine medicine Humans Left ventricular geometry Mass index 030212 general & internal medicine Interventricular septum Ventricular Remodeling business.industry Eccentric hypertrophy Middle Aged medicine.anatomical_structure Italy Echocardiography Hypertension Cardiology Female Hypertrophy Left Ventricular business Body mass index |
| Zdroj: | European Journal of Internal Medicine. 62:43-47 |
| ISSN: | 0953-6205 |
| DOI: | 10.1016/j.ejim.2019.01.006 |
| Popis: | Background There are data showing race-related differences regarding left ventricular (LV) geometry in hypertensive patients. Several authors reported that concentric remodeling is the most common remodeling pattern in hypertensive African-Americans, and this pattern may be related to prognosis. There is little information about the LV remodeling patterns in hypertensive Africans that migrated to Europe, which might have different distributions from those seen in African-Americans. The aim our study was to describe the prevalence of LV remodeling patterns in hypertensive African-Europeans and to compare it with that of hypertensive Caucasians. Methods This is a descriptive study that included 135 consecutive treated hypertensive African-Europeans and 128 hypertensive Caucasians. Patients were examined by transthoracic echocardiography and categorized into the four classic geometric patterns according to LV mass index (LVMi) and relative wall thickness (RWT). Results The mean age and gender distribution were similar in the 2 groups. Caucasians had significantly higher body mass index, LV diastolic and systolic diameters, while African-Europeans had higher RWT and interventricular septum thickness. No differences in LVMi was found. In the African-European group, the prevalence of normal pattern, concentric remodeling, concentric hypertrophy and eccentric hypertrophy were 13%, 36%, 45% and 6% respectively, while in Caucasians they were 21%, 33%, 34% and 12%, respectively. African-Europeans had a higher prevalence of concentric remodeling and hypertrophy compared to Caucasians (81% vs. 67%, p = .005). Conclusions This study shows important differences in LV geometry between treated African-European and Caucasian hypertensive patients. Also, African-Europeans may have slightly different characteristics compared to African-Americans. |
| Databáze: | OpenAIRE |
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