LVMI: A detrimental paradigm shift of left ventricular geometry and function in accidently detected hypertensives
Journal Title: Indian Journal of Clinical Anatomy and Physiology - Year 2018, Vol 5, Issue 4
Abstract
Introduction Left ventricular hypertrophy LVH is an important predictor of mortality and morbidity in hypertension leading to hypertensive heart disease HHD Left ventricular mass LVM therefore chiefly determines the geometrical reorientation of LV in hypertensives and these geometrical patterns are useful determinant of severity and prognosis of congestive heart failure CHF Studies on the geometrical assessment of LV in hypertensive patients involving large number of patients are limited in India 2D Echocardiography is a noninvasive cost effective and a gold standard technique in the early detection of LV hypertrophy in hypertensive patientsAims and Objectives To determines the structural and functional integrity of LV in accordance with the variability of the LV geometry and function in recently detected hypertensive patients by 2D Echocardiography and Colour DopplerMaterial and Methods 2DEchocardiography and colour Doppler was done in 1000 randomly selected patients in OPD with accidently detected hypertension LV geometrical patterns were determined by using Echocardiographic parameters chiefly left ventricular mass LVM left ventricular mass index to the power 27 of ht LVMI and relative wall thickness RWT were recorded according to American society of Echocardiography convention ACEResults and Observations Four patterns of LV geometry were noted ie concentric hypertrophy CH 229 eccentric hypertrophy EH 97 and concentric remodeling CR 50 and normal geometry NG 174In this study we observed that patients with concentric hypertrophy were significantly LV systolic function was significantly lower in patients with eccentric hypertrophy and some degree of diastolic dysfunction was present in abnormal geometryConclusion The study determines that if there are regular screenings of the high blood pressure then early steps can be taken to detect the establishment of LV hypertrophyKeywords LV hypertrophy 2DEchocardiography LV mass Hypertension
Authors and Affiliations
Deepak Kumar Das, Jugal Kishore Bajpai, Sunil Kumar, Praveen Kumar K, Sudhir Modala
Keywords
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- EP ID EP476118
- DOI 10.18231/2394-2126.2018.0114
- Views 78
- Downloads 0
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