scholarly journals PREVALENCE AND DETERMINANTS OF ECHOCARDIOGRAPHIC LEFT VENTRICULAR HYPERTROPHY AMONG HYPERTENSIVE PATIENTS IN A TERTIARY CARE HOSPITAL

2018 ◽  
Vol 11 (4) ◽  
pp. 56
Author(s):  
Anugya Aparajita Behera ◽  
Priyambada Panda ◽  
Dipti Mohapatra ◽  
Suresh Kumar Behera ◽  
Arati Mohanty
Keyword(s):  
Left Ventricular Hypertrophy ◽  
Ventricular Hypertrophy ◽  
Tertiary Care ◽  
Treatment Decision ◽  
Positive Association ◽  
Left Ventricular ◽  
Care Hospital ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
Hypertensive Patients

 Objectives: This cross-sectional study was conducted during the year 2014–15 to determine the prevalence, pattern, and factors associated with left ventricular hypertrophy (LVH) among hypertensive patients attending a tertiary care hospital.Methods: A total of 400 eligible adult patients having essential hypertension were included in this study. After obtaining informed consent, all participants were examined with echocardiography and relevant information was collected using a well-structured questionnaire.Results: The mean age of study population was 52.3 ± 12.8 in years. Mean systolic (SBP) and diastolic blood pressure (DBP) was 149.8 ± 11.2 and 94.7 ± 4.9 mmHg, respectively. Among the study participants, 266 (66.5%) had LVH and concentric hypertrophy was the predominant (64.3%) LV geometric pattern. Multivariate logistic regression revealed that obesity, SBP, and DBP had significant positive association with LVH (p<0.05).Conclusion: Liberal use of echocardiography in hypertensive patients could be useful in early diagnosis of LVH and guiding treatment decision. There should be emphasis on controlling SBP, DBP, and body mass index of hypertensive patients so that further cardiovascular complications can be prevented.

scholarly journals A Study on Microalbuminuria in Non-Diabetic Hypertensive Patients Attending a Tertiary Care Hospital in South India

2021 ◽  
Vol 10 (43) ◽  
pp. 3665-3669
Author(s):  
Sunil Abdul Salim ◽  
Sajan Christopher
Keyword(s):  
Essential Hypertension ◽  
Left Ventricular Hypertrophy ◽  
Ventricular Hypertrophy ◽  
Target Organ Damage ◽  
Tertiary Care ◽  
Left Ventricular ◽  
Diabetic Patients ◽  
Hypertensive Retinopathy ◽  
Care Hospital ◽  
Hypertensive Patients

BACKGROUND Essential hypertension represents 90 – 95 % of all instances of hypertension. Microalbuminuria was observed to be related to increased chances of coronary artery disease even in patients already on treatment for hypertension. Microalbuminuria was identified with left ventricular hypertrophy recommending equal heart harm and albuminuria in hypertensive patients. However, the pervasiveness of hypertension is high in India, the connection between microalbuminuria and target organ damage in hypertension isn't well studied. This study intended to decide the extent of microalbuminuria in non-diabetic patients with essential hypertension and concentrate on the relationship of microalbuminuria with the worsening of left ventricular hypertrophy (LVH) and hypertensive retinopathy (HRP). METHODS This was a hospital-based cross-sectional analysis conducted in a hospital from January 2019 to September 2019. Information was gathered from 93 patients fulfilling the consideration standards utilizing a formerly planned semi-structured questionnaire. Urine microalbumin level, echocardiography, ECG and fundus assessment were done. The study variables were recorded and dissected utilizing SPSS software. RESULTS The mean age of the group populace was 55 + 8.89 years. Microalbuminuria was present in 68 %. There was a measurably critical relationship between the age group studied and the predominance of microalbuminuria. There was a huge factual affiliation between the presence of microalbuminuria and LVH in hypertensive patients (P < 0.0001), with microalbuminuria and HRP (P < 0.0001) and with microalbuminuria and long-standing hypertensives (P < 0.0001). CONCLUSIONS The larger part of microalbuminuria positives was found disseminated among higher ages. There was a positive relationship among patients with microalbuminuria and LVH, with retinopathy in hypertensive patients, with grade 2 hypertension and with long-standing hypertensives. KEY WORDS Hypertension, Microalbuminuria, LVH, Hypertensive Retinopathy

scholarly journals Comparative study of echocardiography and electrocardiography criteria for detecting left ventricular hypertrophy in hypertensive patients

2021 ◽  
Vol 9 (11) ◽  
pp. 3364
Author(s):  
Abhishek Golla ◽  
Ramkumar V. S. ◽  
Ashok Kumar P. ◽  
Ravindranath S. ◽  
Indira Ramaiah ◽  
...  
Keyword(s):  
Left Ventricular Hypertrophy ◽  
Predictive Value ◽  
Ventricular Hypertrophy ◽  
Tertiary Care ◽  
Total Duration ◽  
Left Ventricular ◽  
Care Hospital ◽  
Framingham Score ◽  
Hypertensive Patients ◽  
Cornell Voltage

Background: The study aimed to compare seven different electrocardiogram (LVH) criteria for diagnosing left ventricular hypertrophy (LVH) with echocardiogram as diagnostic standard in hypertensive patients.Methods: This was a hospital-based, cross-sectional study conducted in out-patient department and at medical wards of a tertiary care hospital at Bangalore. The study was carried out for a total duration of 12 months. All hypertensive patients underwent examination for prevalence of LVH using echocardiogram and ECG. Seven different ECG criteria were applied to diagnose the presence of LVH. Then the specificity, sensitivity, kappa measurement value, positive predictive value and negative predictive value for all criteria was calculated subsequently.Results: Out of the 100 patients studied, 34 had LVH as diagnosed by echocardiography. Sokolow-Lyon criteria had a sensitivity of 35% and specificity of 94%. Cornell voltage had a sensitivity of 26% and specificity of 95%. Modified Cornell voltage had a sensitivity of32% and specificity of 94%. Framingham adjusted Cornell voltage, Minnesota code and Cornell product had a sensitivity of 23.5% and specificity of 98.4%. Framingham score had a sensitivity of 38% and specificity of 95.4%.Conclusions: It can be concluded that among all the different criteria used in the study, Framingham score showed better sensitivity compared to others. In the evaluation of hypertensive patients for LVH, the role of ECG with all the commonly used criteria is of limited value and echocardiography is the method of choice.

scholarly journals Left ventricular dysfunction in hypertensive patients: an echocardiographic assessment

2018 ◽  
Vol 8 (3) ◽  
pp. 51-56
Author(s):  
Rishi Khatri ◽  
Devendra Khatri ◽  
Dhan Bahadur Shrestha ◽  
Parag Karki ◽  
Chiranjeevi Panta ◽  
...  
Keyword(s):  
Left Ventricular Hypertrophy ◽  
Diastolic Dysfunction ◽  
Ventricular Hypertrophy ◽  
Left Ventricular Systolic Dysfunction ◽  
Systolic Dysfunction ◽  
Age Distribution ◽  
Left Ventricular ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Significant Difference

Introduction: Echocardiography is noninvasive procedure to assess heart. Ventricular mass increases due to left ventricular hypertrophy and performance of left ventricle decreases with increase in blood pressure. Left ven­tricular diastolic dysfunction (LVDD) is early sign of heart weakness which can be picked up early with Echo. This study was aimed to study cardiac anatomic and functional parametric alteration in echocardiography among hypertensive patients. Methods: This was a non-invasive, cross sectional hospital based retrospective review of the patient record from echo room among the hypertensive patient who undergone echocardiographic as­sessment from September 2017-February 2018 in Shree Birendra Hospital (SBH), Chhauni, Kathmandu. Results: Among 447 hypertensive cases, 232(51.9%) were having normal diastolic function while rest 215(48.1%) were having diastolic dysfunction of the heart. Among total cases evaluated, only 12(2.7%) patients were having ejec­tion fraction lower than 55%, while in rest it was normal. There were 53 (11.9%) cases having some form of as­sociated complication. Gender, Concentric Left Ventricular Hypertrophy and left atrial dilatation has significant difference (p<0.05) with LVDD. Statistically significant differences in age distribution of individuals with different categories of left ventricular systolic dysfunction (LVSD) and LVDD (p˂0.001) was observed. Conclusion: Signifi­cant number of hypertensive individuals were having LVDD though in most of the individual LV ejection fraction was maintained.

scholarly journals Frequency and determinants of timely arrival among patients of acute myocardial infarction at a public sector tertiary care hospital in Karachi

2020 ◽  
Vol 36 (5) ◽  
Author(s):  
Faryal Akbar Jalbani ◽  
Shiraz Shaikh ◽  
Subhani Fatima
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Public Sector ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Positive Association ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Significant Positive Association ◽  
Cross Sectional

Objective: To determine the time from onset of symptoms to start of fibrinolysis and treatment in acute ST elevated myocardial infarction patients and identify the factors which cause delay in treatment. Methods: A cross sectional study was conducted at National Institute of Cardiovascular Diseases, Karachi on 360 conveniently selected patients of ST elevated myocardial infarction from July to September in the year 2017. Structured questionnaire was used to obtain detailed information on socio-demographics, factors which cause delay and timing of onset of symptoms to arrival of patient in emergency ward. Results: Overall, the total average time from the start of symptoms to initiation of treatment was 119.85±63.32 minutes. Only 5.1% patient reached within one hour while 57.7% reached within two hours. Old age group of 60 and above was positively associated with timely arrival (OR=2.75, 95% CI 1.33-5.68, p=0.006). Significant positive association of using personal car as mode of transport to reach the hospital (OR=5.25, 95% CI 2.94-9.35, p<0.001) was also found as compared to using ambulance. Distance from facility was suggestive of negative association in the model but was statistically insignificant. Conclusion: According to the findings of this study, more than one third of patients reached the hospital within two hours of initiation of symptoms while only 5.1% reached within one hour. The delay was mostly pre-hospital attributed to arranging transport, stay at first medical contact and time taken from first medical contact to the hospital. doi: https://doi.org/10.12669/pjms.36.5.2104 How to cite this:Jalbani FA, Shaikh S, Fatima S. Frequency and determinants of timely arrival among patients of acute myocardial infarction at a public sector tertiary care hospital in Karachi. Pak J Med Sci. 2020;36(5):---------.  doi: https://doi.org/10.12669/pjms.36.5.2104 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Correlation of microalbuminuria with its clinical outcome in pre-hypertensives: a cross-sectional study from South India

2021 ◽  
Author(s):  
K. Manoj Kumar ◽  
K. M. Jeyabalaji
Keyword(s):  
Left Ventricular Hypertrophy ◽  
Diastolic Dysfunction ◽  
Tamil Nadu ◽  
Ventricular Hypertrophy ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Left Ventricular ◽  
Health Concern ◽  
Sectional Study ◽  
Cross Sectional

Background: Prehypertension is a major public health concern. The condition is much prevalent in India and is often associated with other cardiovascular (CV) risk factors and independently increases the risk of hypertension and subsequent cardiovascular events. Several studies have shown microalbuminuria as a sensitive marker for predicting CV risk in pre-hypertensive. The objective of this study was to assess the prevalence of microalbuminuria in prehypertension and to determine its association with electrocardiogram (ECG) and echocardiographic (Echo) parameters indicative of CV risk.Methods: This cross-sectional study included a total of 75 subjects aged between 22 and 50 years, with prehypertension attending the medicine department of a tertiary care teaching hospital in Chennai, Tamil Nadu from April 2012 to November 2012. All the study subjects were evaluated with ECG and echo for cardiac changes. Statistical analysis was performed using SPSS software trial version-16 to determine the association of microalbuminuria with cardiac changes.Results: The prevalence of microalbuminuria among the included subjects was 60%. Mean value of urinary excretion of microalbuminuria was 90±2.1 µg/dl with a male preponderance in this study. Pre-hypertensive subjects with microalbuminuria had significant changes of left ventricular hypertrophy (LVH) as evident in ECG than those without microalbuminuria. Microalbuminuric prehypertensive subjects also had significant echocardiographic changes like LVH and diastolic dysfunction than those without microalbuminuria.Conclusions: The cardiovascular changes like left ventricular hypertrophy and diastolic dysfunction were evident in younger age among pre-hypertensives with microalbuminuria than those without microalbuminuria. 

Common Carotid Artery Stiffness and Patterns of Left Ventricular Hypertrophy in Hypertensive Patients

Hypertension ◽  
1995 ◽  
Vol 25 (4) ◽  
pp. 651-659 ◽  
Author(s):  
Pierre Boutouyrie ◽  
Stéphane Laurent ◽  
Xavier Girerd ◽  
Athanase Benetos ◽  
Patrick Lacolley ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Left Ventricular Hypertrophy ◽  
Common Carotid Artery ◽  
Ventricular Hypertrophy ◽  
Left Ventricular ◽  
Hypertensive Patients ◽  
Artery Stiffness

scholarly journals Prevalence and associated factors of electrocardiographic left ventricular hypertrophy in a rural community, central Thailand

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Patipan Viwatrangkul ◽  
Sakda Lawanwisut ◽  
Pondfah Leekhaphan ◽  
Tatchamon Prasart-intara ◽  
Pathomphon Phiensuparp ◽  
...  
Keyword(s):  
Left Ventricular Hypertrophy ◽  
Rural Community ◽  
Associated Factors ◽  
Ventricular Hypertrophy ◽  
Strong Predictor ◽  
Hypertensive Crisis ◽  
Cross Sectional Study ◽  
Left Ventricular ◽  
Cross Sectional ◽  
Cardiac Condition

AbstractLeft ventricular hypertrophy (LVH) is considered a cardiac condition with life-threatening complications. Detected LVH is a strong predictor of cardiovascular diseases and death. This condition is normally diagnosed at offices. We aimed to determine the prevalence and associated factors of electrocardiographic-LVH (ECG-LVH) among adults in a Thai rural community. A cross-sectional study was conducted in Na-Yao rural community of Thailand in 2020. A total of 638 individuals aged ≥ 20 years were interviewed using standardized structured questionnaires related to demographic information, risk behaviors, comorbidities and anthropometric measurements. LVH was determined by Sokolov-Lyon and Cornell criteria based on the collected electrocardiograms. The prevalence of ECG-LVH among adults was 6.6%. The factors independently associated with ECG-LVH were being male (AORs 2.04, 95% CI 1.05–3.98), history of diabetes mellitus (AORs 1.01, 95% CI 1.01–1.02), and hypertensive crisis ≥ 180/110 mmHg (AORs 7.24, 95% CI 1.31–39.92). However, resting heart rate was negatively associated with ECG-LVH (p < 0.05). Our data emphasized that LVH was one of the significant health problems among adults in a rural community. This condition could lead to severe complications. Thus, effective detection and public health interventions should be provided at the community level.

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