Echocardiographic assessment of the different left ventricular geometric patterns in middle‐aged men and women in Tallinn
| Autor: | Kalju Meigas, Jüri Kaik, Maie Kalev, Jaanus Lass, O. Volozh, Jelena Abina, Pshenichnikov I, Shipilova T |
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| Rok vydání: | 2003 |
| Předmět: |
Estonia
Male medicine.medical_specialty Geometric pattern Cardiovascular risk factors Concentric hypertrophy Blood Pressure Left ventricular hypertrophy Body Mass Index Electrocardiography Age Distribution Sex Factors Internal medicine Prevalence Internal Medicine medicine Humans Body surface area Ventricular Remodeling business.industry General Medicine Eccentric hypertrophy medicine.disease Obesity Cardiology Population study Female Hypertrophy Left Ventricular Cardiology and Cardiovascular Medicine business |
| Zdroj: | Blood Pressure. 12:284-290 |
| ISSN: | 1651-1999 0803-7051 |
| DOI: | 10.1080/08037050310016529 |
| Popis: | The aim of this study was to determine the association of left ventricular (LV) geometry with sex, age, arterial hypertension and obesity in Tallinn. In a framework of a population study for cardiovascular risk factors, echocardiography was carried out in 325 men and 398 women (69.3% of all 1043 participants aged 35-59) in 1999-2001. Left ventricular hypertrophy was defined if left ventricular mass (LVM), LVM/height and LVM/body surface area were 294 g, 163 g/m and 150 g/m2 in men, and 198 g, 121 g/m and 120 g/m2 in women, respectively. LV geometry was analysed according to four types generally recognized (with regard to relative wall thickness0.45). The prevalence of concentric hypertrophy was similar in men and women: 7.7% and 9.1%. The prevalence of eccentric hypertrophy was significantly higher in women than in men (33.3% vs 4.9%). Concentric remodelling was also found in women more often than in men (9.5 vs 5.5%; p0.05). Regardless of sex and age, concentric hypertrophy was never found in participants with blood pressure140/90. In hypertensives, there was a tendency for age-related increase of concentric hypertrophy prevalence: the latter was higher in women than in men: 39.1% vs 25.5%; p0.05. In examinees with BMI30, this type of LV geometry was seldom found: in 3.1% of men and 5.0% of women; p0.05. In obese persons, it increased with age, reaching 26.5% in men and 21.2% in women (p0.05). The prevalence of eccentric hypertrophy in men increased with age, and with hypertension and obesity. The prevalence of concentric remodelling in men was not related to BMI; it was significantly more often found in older age groups and in hypertensives. In women, the prevalence of eccentric hypertrophy and concentric remodelling was not related to age, hypertension or obesity. |
| Databáze: | OpenAIRE |
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