Gender differences of voltage electrocardiographic criteria of left ventricular hypertrophy in hypertensive individuals living in the North

Objective. To estimate the changes of voltage electrocardiographic criteria of the left ventricular hypertrophy in arterial hypertension in subjects of different gender. Design and methods. The study included 94 hypertensive patients (55 males, 39 females). Mean age was 51 ± 6 years. Based on gender and the presence of left ventricular hypertrophy patients were divided into four groups. Results. There were significant differences of indices of Sokolow-Lyon and Cornell in males with I and II stages of arterial hypertension (р = 0,012 and р = 0,017, respectively). The same differences were found in females with I and II stages of arterial hypertension (р = 0,037 and р = 0,001, respectively). Specificity was 92 % for both indices, and the sensitivity was 26 % for Sokolow-Lyon index, and 39 % for Cornell index. In women sensitivity was 0 and 72 % for Sokolow-Lyon and Cornell indices, respectively, and specificity was more than 90 % for both criteria. Conclusion. Gender differences should be considered when voltage electrocardiographic criteria of the left ventricular hypertrophy are assessed in hypertensive patients.

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Serum Zinc and Selenium Concentrations in Patients with Hypertrophy and Remodelling of the Left Ventricle Secondary to Arterial Hypertension

Antioxidants ◽

10.3390/antiox10111803 ◽

2021 ◽

Vol 10 (11) ◽

pp. 1803

Author(s):

Paweł Gać ◽

Karolina Czerwińska ◽

Małgorzata Poręba ◽

Adam Prokopowicz ◽

Helena Martynowicz ◽

...

Keyword(s):

Left Ventricle ◽

Left Ventricular Hypertrophy ◽

Arterial Hypertension ◽

Ventricular Hypertrophy ◽

Serum Zinc ◽

Left Ventricular ◽

Left Ventricular Geometry ◽

Serum Selenium ◽

Hypertensive Patients ◽

Concentric Hypertrophy

The aim of the study was to assess the relationship between serum selenium and zinc concentrations (Se-S and Zn-S) and the left ventricle geometry in patients suffering from arterial hypertension. A total of 78 people with arterial hypertension (mean age: 53.72 ± 12.74 years) participated in the study. Se-S and Zn-S were determined in all patients. The type of left ventricular remodelling and hypertrophy was determined by the left ventricular mass index (LVMI) and relative wall thickness (RWT) measured by echocardiography. Se-S and Zn-S in the whole group were 89.84 ± 18.75 µg/L and 0.86 ± 0.13 mg/L. Normal left ventricular geometry was found in 28.2% of patients; left ventricular hypertrophy (LVH) in 71.8%, including concentric remodelling in 28.2%, concentric hypertrophy in 29.5%, and eccentric hypertrophy in 14.1%. LVH was statistically significantly more frequent in patients with Se-S < median compared to patients with Se-S ≥ median (87.2% vs. 56.4%, p < 0.05), as well as in patients with Zn-S < median compared to patients with Zn-S ≥ median (83.8% vs. 60.9%, p < 0.05). In hypertensive patients, older age, higher LDL cholesterol, higher fasting glucose, lower Se-S, and lower Zn-S were independently associated with LVH. In conclusion, in hypertensive patients, left ventricular hypertrophy may be associated with low levels of selenium and zinc in the serum.

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Comparison of efficacy of fixed combinations of verapamil SR+ trandolapril and captopril + HCTZ in high risk hypertensive patients

Arterial’naya Gipertenziya (Arterial Hypertension) ◽

10.18705/1607-419x-2007-13-2-141-144 ◽

2007 ◽

Vol 13 (2) ◽

pp. 141-144

Author(s):

S. V. Nedogoda ◽

Т. A. Chalabi ◽

V. V. Tsoma ◽

U. A. Brel

Keyword(s):

Blood Pressure ◽

High Risk ◽

Left Ventricular Hypertrophy ◽

Arterial Hypertension ◽

Glucose Level ◽

Ventricular Hypertrophy ◽

Randomized Study ◽

Left Ventricular ◽

Hypertensive Patients ◽

Vascular Elasticity

The blinded randomized study the clinical effecacy and tolerability during 6 month therapy with one of two fixed combinations Tarka (verapamil SR+trandolapril) and Capozide (captopril+HCTZ) were compared patients (20 patients at every group) with arterial hypertension who did not achiev target blood pressure on monotherapy. Tarka was more effective decreased of left ventricular hypertrophy and improved vascular elasticity. Tarka also had better T/P coefficient. Tarka improved glucose level, Capozide worsen potassium levels.

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GENDER DIFFERENCES IN LEFT VENTRICULAR HYPERTROPHY AMONG HYPERTENSIVE PATIENTS: PP.22.406

Journal of Hypertension ◽

10.1097/01.hjh.0000379332.56838.ab ◽

2010 ◽

Vol 28 ◽

pp. e366 ◽

Cited By ~ 1

Author(s):

B Jakovljevic ◽

V Stojanov ◽

K Paunovic ◽

D Lovic

Keyword(s):

Gender Differences ◽

Left Ventricular Hypertrophy ◽

Ventricular Hypertrophy ◽

Left Ventricular ◽

Hypertensive Patients

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Assessment of left ventricular hypertrophy by voltage electrocardiographic criteria in males with coronary atherosclerosis in Yakutia

Arterial’naya Gipertenziya (Arterial Hypertension) ◽

10.18705/1607-419x-2009-15-5-600-602 ◽

2009 ◽

Vol 15 (5) ◽

pp. 600-602

Author(s):

N. V. Makharova ◽

M. I. Voevoda ◽

F. F. Lyutova ◽

N. V. Nasonova ◽

M. I. Tomskiy

Keyword(s):

Left Ventricular Hypertrophy ◽

Arterial Hypertension ◽

Coronary Atherosclerosis ◽

Ventricular Hypertrophy ◽

Left Ventricular ◽

Male Population ◽

Underlying Causes ◽

Ecg Criteria ◽

Design And Methods ◽

Cornell Voltage

The present research addresses left ventricular hypertrophy (LVH) frequency by voltage criteria in male population (representatives of native-born population and non-residents) with verified coronary atherosclerosis in Yakutia. Design and methods. Electrocardiography (ECG) analysis of LVH voltage criteria in patients with verified coronary atherosclerosis was carried out. ECG was analyzed in age-matched male groups - native-born (n = 200) and non-residents (n = 174). LVH criteria included the following measurements: RaVL > 11 mm, RV5(V6) ≥ 27 mm, Sokolow-Lyon voltage > 35 mm, Cornell voltage criteria > 28 mm for men, Cornell voltage duration product > 2440 mm/ms and Gubner-Ungerleider voltage > 25 mm. Results. The following ECG criteria of LVH are more often identified in Yakut inhabitants with verified coronary atherosclerosis: Cornell voltage duration product, RaVL > 11 mm, Cornell voltage criteria and Sokolow-Lyon criteria, more rarely RV5 (≥ 27 mm and Gubner-Ungerleider voltage criteria). LVH with one ore more voltage criteria was defined in 42,8 % of cases, more often among native-born population as compared to non-residents. Conclusion. Therefore, LVH by voltage criteria is defined more often in native-born population in Yakutia. Arterial hypertension is one of the underlying causes leading to LVH.

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