LVMI: A detrimental paradigm shift of left ventricular geometry and function in accidently detected hypertensives

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Original Article

Author Details : Jugal Kishore Bajpai, Deepak Kumar Das*, Sunil Kumar, Praveen Kumar K, Sudhir Modala

Volume : 5, Issue : 4, Year : 2018

Article Page : 491-496

https://doi.org/10.18231/2394-2126.2018.0114

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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. 2-D Echocardiography, is a non-invasive, cost effective, and a gold standard technique in the early detection of LV hypertrophy in hypertensive patients.
Aims 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 Doppler.
Material and Methods: 2D-Echocardiography 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 2.7 of ht. (LVMI) and relative wall thickness (RWT) were recorded according to American society of Echocardiography convention (ACE).
Results and Observations: Four patterns of LV geometry were noted i.e. concentric hypertrophy (CH) (22.9%), eccentric hypertrophy (EH) (9.7%), and concentric remodeling (CR) (50%) and normal geometry (NG) (17.4%).
In this study, we observed that patients with concentric hypertrophy were significantly (<0> LV systolic function was significantly lower in patients with eccentric hypertrophy and some degree of diastolic dysfunction was present in abnormal geometry.
Conclusion: 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 hypertrophy.

Keywords: LV hypertrophy, 2D-Echocardiography, LV mass, Hypertension.

How to cite : Bajpai J K, Das D K, Kumar S, Praveen Kumar K, Modala S , LVMI: A detrimental paradigm shift of left ventricular geometry and function in accidently detected hypertensives. Indian J Clin Anat Physiol 2018;5(4):491-496

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