LEFT VENTRICULAR MASS INDEX AND PREHYPERTENSION AMONG YOUNG MALES
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 30
Abstract
BACKGROUND Those who have prehypertension are at increased risk of developing hypertension and CVDs, compared to normotensives. Prehypertension has been reported to be associated with LV structural and geometric abnormality. It has also been found that increased LV mass itself may be a predictor of future hypertension. Hence, as PHT and LV mass portend a risk of future hypertension, their simultaneous existence may have an additive role, nevertheless this needs to be determined. Despite this, presently no pharmacotherapy is recommended for pre-hypertensions. This study was aimed to assess effect of prehypertension on LV mass index in young males and to evaluate the clinical associates of abnormal LV mass index. MATERIALS AND METHODS This study was carried among young adult males admitted at a tertiary care teaching hospital. All study subjects underwent physical examination including anthropometric measurements and echocardiographic examination for determination of LV mass. RESULTS We found that 29 (14.5%) had abnormally high LVMI. Among prehypertensives 23% and among normotensives 6% had abnormally high LVMI. Older age and prehypertension were found to have higher odds of abnormal LVMI after multiple variable logistic regression. CONCLUSION It has been proposed that pre-hypertension and high LVMI are associated with significant risk of future adverse events including the emergence of hypertension. Our study further confirms this and supports the notion of screening for prehypertension and high LVMI. Still, no pharmacotherapy is recommended for prehypertension which requires future studies to shed light upon this grey area.
Authors and Affiliations
Anil Wanjari, Tarun Rao
Keywords
Related Articles
- EP ID EP570040
- DOI 10.18410/jebmh/2018/463
- Views 83
- Downloads 0
DEXMEDETOMIDINE AT A DOSE OF 0.6microgram/kg IN ATTENUATION OF HEMODYNAMIC STRESS RESPONSE OF ELECTROCONVULSIVE THERAPY
Electroonvulsive therapy is associated with hemodynamic responses similar to that of laryngoscopy and intubation. Alpha adrenergnic agents have been tried to attenuate this stress response effectively among which dexmede...
SIGNIFICANCE OF CEREBROSPINAL FLUID (CSF) C-REACTIVE PROTEIN (CRP) IN VARIOUS TYPES OF MENINGITIS
BACKGROUND Meningitis often presents as a medical emergency which requires rapid and prompt diagnosis with aggressive management to select appropriate therapy to prevent mortality and long-term morbidity. Sometimes clini...
TO STUDY THE EFFECT OF POSTURAL CHANGES ON INTRAOCULAR PRESSURE AND ITS IMPORTANCE IN GLAUCOMA CONTROL
PURPOSE: To study the changes in IOP on postural variation and thus enable to understand its importance in early detection and treatment of glaucoma. MATERIALS AND METHODS: All 90 patients underwent thorough ophthalmolog...
CLINICAL PROFILE AND OUTCOME OF TERM AND PRETERM NEWBORNS WITH HYPERBILIRUBINEMIA ADMITTED IN SNCU OF A TEACHING HOSPITAL
Hyperbilirubinemia is the most common clinical condition requiring close attention and monitoring to prevent encephalopathy especially in preterm babies AIMS: To study the incidence and causes of neonatal hyperbilirubine...
STUDY OF MENSTRUAL CYCLE DISORDERS IN ADOLESCENT GIRLS IN RELATION TO BMI
BACKGROUND The onset of menstruation or menarche is a hallmark of female pubertal development. Menstrual disorders are common among adolescent girls and are a significant source of morbidity in this population. Several e...