| Revista: | Arquivos brasileiros de cardiologia |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000288069 |
| ISSN: | 0066-782X |
| Autors: | Cunha, Delma Maria1 Cunha, Ademir Batista da Martins, Wolney de Andrade Pinheiro, Luis Augusto de Freitas Romeo, Luis Jose Martins Moraes, Alvaro Vilela de Morcerf, Fernando Portugal |
| Institucions: | 1Universidade Federal Fluminense, Niteroi, Rio de Janeiro. Brasil |
| Any: | 2001 |
| Període: | Ene |
| Volum: | 76 |
| Número: | 1 |
| Paginació: | 22-28 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Experimental, caso clínico |
| Resumen en inglés | OBJECTIVE: To identiy left ventricular geometric patterns in hypertensive patients on echocardiography, and to correlate those patterns with casual blood pressure measurements and with the parameters obtained on a 24-hour ambulatory blood pressure monitoring. METHODS: We studied sixty hypertensive patients, grouped according to the Joint National Committee stages of hypertension.. Using the single- and two-dimensional Doppler Echocardiography, we analyzed the left ventricular mass and the geometric patterns through the correlation of left ventricular mass index and relative wall thickness. On ambulatory blood pressure monitoring we assessed the means and pressure loads in the different geometric patterns detected on echocardiography RESULTS: We identified three left ventricular geometric patterns: 1) concentric hypertrophy, in 25% of the patients; 2) concentric remodeling, in 25%; and 3) normal geometry, in 50%. Casual systolic blood pressure was higher in the group with concentric hypertrophy than in the other groups (p=0.001). Mean systolic pressure in the 24h, daytime and nighttime periods was also higher in patients with concentric hypertrophy, as compared to the other groups (p=0.003, p=0.004 and p=0.007). Daytime systolic load and nighttime diastolic load were higher in patients with concentric hypertrophy ( p=0.004 and p=0.01, respectively). CONCLUSIONS: Left ventricular geometric patterns show significant correlation with casual systolic blood pressure, and with means and pressure loads on ambulatory blood pressure monitoring |
| Disciplines | Medicina |
| Paraules clau: | Sistema cardiovascular, Hipertensión arterial, Hipertrofia ventricular izquierda, Ecocardiografía, Patrones geométricos, Ventrículo izquierdo |
| Keyword: | Medicine, Cardiovascular system, Arterial hypertension, Left ventricular hypertrophy, Echocardiography, Geometric patterns, Left ventricle |
| Text complet: | Texto completo (Ver HTML) |
