Relation of Inappropriate Left Ventricular Hypertrophy on Framingham Risk Score and Vascular Stiffness in Hypertensive Women.
10.5646/jksh.2013.19.3.81
- Author:
Hyue Mee KIM
1
;
Ji Hyun JUNG
;
Hak Seung LEE
;
Chee Hae KIM
;
Goo Yeong CHO
Author Information
1. Division of Cardiology, Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Left ventricular hypertrophy;
Vascular stiffness;
Hypertension;
Women
- MeSH:
Adult;
Carotid Intima-Media Thickness;
Echocardiography;
Female*;
Humans;
Hypertension*;
Hypertrophy, Left Ventricular*;
Ultrasonography;
Vascular Stiffness*;
Ventricular Function, Left
- From:Journal of the Korean Society of Hypertension
2013;19(3):81-89
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Although left ventricular hypertrophy (LVH) is a compensatory process to pressure overload, there are gender differences in left ventricular function and vascular stiffness in hypertension. We evaluated that inappropriate LVH was related with Framingham risk score (FRS) and vascular stiffness in hypertensive women. METHODS: Total 226 hypertensive women consecutively underwent carotid ultrasound and echocardiography, from which LV mass (LVM), carotid intima-media thickness (IMT) and beta-stiffness were measured. Inappropriate LVH was calculated by the ratio of observed LVM to the value predicted for sex, height and stroke work at rest and defined as > 128% of predicted. FRS was obtained using by National Cholesterol Education Program Adult Treatment Panel III. RESULTS: Of 226 subjects, 59 subjects (26%) had inappropriate LVH. As compared with appropriate LVH, subject with inappropriate LVH showed older age, higher FRS, and IMT. Although LV ejection fraction was not different, diastolic parameters of E/A ratio and left atrial volume were significantly worse in inappropriate LVH group. CONCLUSIONS: The presence of inappropriate LVH in hypertensive women was strongly associated with higher FRS, decreased diastolic function and increased IMT, which might influence future cardiovascular events.
