Study of Carotid Intimal Medial Thickness in Essential Hypertension With or Without Left Ventricular Hypertrophy

Autor: Himanshu Khutan, Rupinderjeet Kaur, Simmi Aggarwal, Krishan Singh Kajal, Ravinder Garg, Amanpreet Kaur
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Adult
Male
medicine.medical_specialty
hypertension
030232 urology & nephrology
Blood Pressure
030204 cardiovascular system & hematology
Doppler echocardiography
Left ventricular hypertrophy
Essential hypertension
Severity of Illness Index
Muscle hypertrophy
Carotid intimal medial thickness
03 medical and health sciences
Electrocardiography
0302 clinical medicine
Internal medicine
medicine
Humans
cardiovascular diseases
Prospective Studies
Prospective cohort study
hypertrophie ventriculaire gauche
épaisseur médiale de l’intimité carotidienne
medicine.diagnostic_test
business.industry
Ultrasonography
Doppler
General Medicine
Middle Aged
Tunica intima
medicine.disease
Echocardiography
Doppler
left ventricular hypertrophy
medicine.anatomical_structure
Blood pressure
Cardiology
cardiovascular system
Original Article
Hypertrophy
Left Ventricular
Essential Hypertension
business
Tunica Intima
Zdroj: Annals of African Medicine
ISSN: 0975-5764
1596-3519
Popis: Introduction: Hypertension and atherosclerosis though separate entities, are interrelated as hypertension plays an important role in the pathogenesis of atherosclerosis. This study was undertaken to study the association of carotid intimal medial thickness with left ventricular hypertrophy (LVH) in hypertensive patients. Materials and Methods: Hundred hypertensives (JNC-7, Stage 1 and 2) between 30 and 55 years were enrolled in this prospective observational study conducted at a tertiary care teaching institute of Punjab, India. Electrocardiogram, Carotid Doppler, and Echocardiography were carried out in addition to routine biochemical investigations. Results: Increased carotid intimal medial thickness (CIMT) had statistically significant association with age, duration of hypertension, high systolic and diastolic blood pressure (BP), left ventricular hypertrophy and left ventricular mass index but was not associated with body mass index, low-density lipoproteins, and total cholesterol. Conclusions: LVH and arterial wall changes occur concurrently, and therefore, management of hypertension should not be limited just to control of BP but should also include therapy for carotid plaques and increased CIMT.
Databáze: OpenAIRE
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