Clinical correlates in hypertensive patients with left ventricular hypertrophy diagnosed with echocardiography.

Seventy-three hypertensive patients were evaluated with M mode and two dimensional echocardiography. Left ventricular hypertrophy was found in 37 patients (51 percent); 29 had concentric hypertrophy and the remaining 8 had disproportionate septal thickening. Factors that did not influence the distribution of patients in the group with left ventricular hypertrophy and normal subjects included (1) duration of hypertension, (2) level of blood pressure, (3) age, (4) body surface area, and (5) race. More of the patients who had a normal left ventricular mass (32 or 89 percent) than of those who had hypertrophy (22 or 59 percent) were receiving two or more antihypertensive drugs. Electrocardiography was very insensitive in identifying left ventricular hypertrophy in these patients. The presence of increased left ventricular mass was associated with a greater incidence of other target organ disease.

[1]  M. Safar,et al.  Echocardiographic dimensions in borderline and sustained hypertension. , 1979, The American journal of cardiology.

[2]  J. Criley,et al.  Letter: Nonobstructive IHSS. , 1975, Circulation.

[3]  A. Leishman.  The electrocardiogram in hypertension. , 1951, The Quarterly journal of medicine.

[4]  B. Strauer.  Ventricular function and coronary hemodynamics in hypertensive heart disease. , 1979, The American journal of cardiology.

[5]  M. Olivari,et al.  Pulmonary Hemodynamics and Right Ventricular Function in Hypertension , 1978, Circulation.

[6]  E. Frohlich,et al.  Clinical‐Physiological Correlations in the Development of Hypertensive Heart Disease , 1971, Circulation.

[7]  P. Toutouzas,et al.  Impulse cardiogram in early diagnosis of left ventricular dysfunction in hypertension. , 1969, British heart journal.

[8]  R. O'rourke,et al.  Left ventricular performance in patients with left ventricular hypertrophy caused by systemic arterial hypertension. , 1977, British heart journal.

[9]  Y. Koga,et al.  Echocardiographic classification of hypertensive heart disease. A correlative study with clinical features. , 1975, Japanese heart journal.

[10]  Sanford P. Bishop,et al.  Adaptations of the left ventricle to chronic pressure overload , 1976 .

[11]  Meerson Fz.  The myocardium in hyperfunction, hypertrophy and heart failure. , 1969 .

[12]  R. Macalpin,et al.  Left ventricular hypertrophy diagnosed by echocardiography. , 1973, The New England journal of medicine.

[13]  J. Ware,et al.  Echocardiographic Assessment of Cardiac Anatomy and Function in Hypertensive Subjects , 1979, Circulation.

[14]  F. Dunn,et al.  Pathophysiologic assessment of hypertensive heart disease with echocardiography. , 1977, The American journal of cardiology.

[15]  J. Crocco,et al.  Echocardiographic and clinical correlations in systemic hyper‐tension , 1978, Journal of clinical ultrasound : JCU.

[16]  J. Ross,et al.  Hyperfunction with normal inotropic state of the hypertrophied left ventricle. , 1977, The American journal of physiology.

[17]  E. Salcedo,et al.  Left ventricular mass and wall thickness in hypertension. Comparison of M mode and two dimensional echocardiography in two experimental models. , 1979, The American journal of cardiology.

[18]  M. Olivari,et al.  Cardiac load and function in hypertension. Ultrasonic and hemodynamic study. , 1979, The American journal of cardiology.

[19]  S. Sasayama,et al.  Contractile Performance of the Hypertrophied Ventricle in Patients with Systemic Hypertension , 1980, Circulation.

[20]  L. T. Sheffield,et al.  Interventricular Septal Thickness and Left Ventricular Hypertrophy: An Echocardiographic Study , 1979, Circulation.