scholarly journals Heart lesions in individuals with arterial hypertension of various risk levels: the possibility of diagnosis and treatment

2020 ◽  
Vol 11 (2) ◽  
pp. 35-38
Author(s):  
Anatolii N. Britov ◽  
Elena M. Platonova ◽  
Nina A. Eliseeva
Keyword(s):  
Heart Disease ◽  
Ventricular Hypertrophy ◽  
Heart Diseases ◽  
Hypertensive Heart Disease ◽  
Left Ventricular ◽  
Diagnostic Methods ◽  
Risk Levels ◽  
Increased Risk ◽  
Outpatient Practice ◽  
Heart Lesions

Based on scientific literature and own data, the article discusses the problem of hypertensive heart disease in real outpatient practice and especially in conducting preventive examinations in the working population. It is shown that the use of modern diagnostic methods, in particular electrocardiography with dopplerography, including pulse-wave tissue mode, should be an integral study included in the professional examination, as well as medical examination, which covers an increasing number of the population of our country. Echocardiography should be performed to clarify the cardiovascular risk and confirm the electrocardiographic diagnosis of left ventricular hypertrophy (LVH), left atrial dilatation, or suspected heart diseases (coronary heart disease, atrial fibrillation, other rhythm disorders). It has been shown that concentric LVH is the strongest predictor of an increased risk of heart failure, although the degree of LVH is not always directly related to the degree of hypertension and the duration of the disease.

Methods for detection of left ventricular hypertrophy: Application to hypertensive heart disease

1993 ◽  
Vol 14 (suppl D) ◽  
pp. 8-15 ◽  
Author(s):  
R. B. Devereux ◽  
M. J. Koren ◽  
G. de Simone ◽  
P. M. Okin ◽  
P. Kligfield
Keyword(s):  
Heart Disease ◽  
Left Ventricular Hypertrophy ◽  
Ventricular Hypertrophy ◽  
Hypertensive Heart Disease ◽  
Left Ventricular

scholarly journals Left ventricle geometry, echoreflectivity and CYP11B2 polymorphism C-344T in hypertensive males

2019 ◽  
Vol 6 (3) ◽  
pp. 3027-3033
Author(s):  
Lozinska Marina ◽  
Zhebel Vadym ◽  
Lozinsky Sergiy
Keyword(s):  
Heart Disease ◽  
Ventricular Hypertrophy ◽  
Blood Pressure Measurement ◽  
Interventricular Septum ◽  
Hypertensive Heart Disease ◽  
Posterior Wall ◽  
Left Ventricular ◽  
Distinct Cluster ◽  
Lv Mass

Objectives: Hypertensive heart remodeling requires the assumption of different factors, including an increase of left ventricular mass (LVM) and myocardial fibrosis. It was shown that aldosterone stimulates cardiac collagen synthesis and fibroblast proliferation. CYP11B2 is one of the genes responsible for the effects of aldosterone. Therefore, hypertensive remodeling could be partially related to the polymorphism of this gene. The purpose of this study was to assess the association of CYP11B2 polymorphism with structural remodeling by changes in geometry and myocardial density to define their role and interaction in hypertensive heart disease. Methods: The study recruited 150 men aged 45-60 with and without essential hypertension (EH), who possessed no irreversible target organ damages. Fifty of them had normal BP, 58 had EH without left ventricular hypertrophy (LVH) and 42 had EH and LVH. Each participant underwent office blood pressure measurement, echocardiography with echo-reflectivity analysis, and determination of the C-344T polymorphism of the aldosterone synthase gene CYP11B2. Results: Patients with EH and LVH differed not only by LV mass but also by larger body mass, relative wall thickness, and wider echo-reflectivity spectrum. The associations of larger end diastolic diameter with C allele, and the larger thickness of the posterior wall and interventricular septum with T allele, were revealed only in patients with EH and LVH. Conclusions: Hypertensive patients with LVH are likely to be a distinct cluster with their own genetic predisposition to hypertensive heart disease.  

Hypertensive heart disease beyond left ventricular hypertrophy

2018 ◽  
Vol 36 (4) ◽  
pp. 744-753 ◽  
Author(s):  
Marijana Tadic ◽  
Cesare Cuspidi ◽  
Michele Bombelli ◽  
Guido Grassi
Keyword(s):  
Heart Disease ◽  
Left Ventricular Hypertrophy ◽  
Ventricular Hypertrophy ◽  
Hypertensive Heart Disease ◽  
Left Ventricular
Sign in / Sign up

Export Citation Format

Share Document