Left ventricle geometric patterns in patients with or without nocturnal hypertension: Hospital Calixto García – 2016-2017
Abstract
Introduction: Changes in ventricular geometry in hypertensive patients are influenced by 24-hour control of blood pressure, as well as its adequate decrease during nighttime.
Objective: To describe the left ventricle geometric patterns in patients with or without nocturnal hypertension.
Method: An ambulatory blood pressure monitoring (ABPM) and an echocardiogram were performed on 54 patients with high blood pressure, from 2016 to 2017. The following ABPM variables were calculated: average and pressure loads of daytime, nighttime, and 24-hour, as well as circadian pattern. In the echocardiogram, the diameters, the interventricular septum and the left ventricular posterior wall were measured; its mass and mass index were calculated, as well as determined its geometric and diastolic function patterns.
Results: The average age was 57.4%±14.1 years old. Females (57.4%) and white skin color (59.3%) predominated. Waking and nocturnal hypertension were found in 38.9% and 51.9% respectively, and the altered dipper phenomenon was found in 68.5% of the patients, significantly associated with increased nocturnal blood pressure (p=0.001). The interventricular septum was considerably higher in patients with nocturnal hypertension when compared to the group without it (11.1±2.2 vs. 9.6±1.4 mm; p=0.006). Altered geometry predominated (53.7%) at the expense of higher concentric remodeling (40.7%), without any association with nocturnal hypertension.
Conclusions: Left ventricle geometric patterns behaved similarly in patients with and without nocturnal hypertension.Downloads
References
1. Organización Mundial de Salud. Información general sobre la hipertensión arterial en el mundo. Día Mundial de la Salud 2013 [Internet]. Ginebra (Suiza): WHO Document Production Services; 2013 [citado 16 Sep 2019]. Disponible en: https://www.who.int/cardiovascular_diseases/publications/global_brief_hypertension/es
2. Castilla-Guerra L, Fernández-Moreno MC, Aguilera-Saborido A, Solanella-Soler J. Importancia de la hipertrofia ventricular izquierda hipertensiva en pacientes con eventos isquémicos coronarios o cerebrales. Hipertens Riesgo Vasc. 2016;33(2):58-62.
3. Gerdts E, Cramariuc D, de Simone G, Wachtell K, Dahlöf B, Devereux RB. Impact of left ventricular geometry on prognosis in hypertensive patients with left ventricular hypertrophy (the LIFE study). Eur J Echocardiogr. 2008;9(6):809-15.
4. Marwick TH, Gillebert TC, Aurigemma G, Chirinos J, Derumeaux G, Galderisi M, Gottdiener J, Haluska B, Ofili E, Segers P, Senior R, Tapp RJ, Zamorano JL. Recommendations on the Use of Echocardiography in Adult Hypertension: A Report from the European Association of Cardiovascular Imaging (EACVI) and the American Society of Echocardiography (ASE). J Am Soc Echocardiogr. 2015;28(7):727-54.
5. Grupo de Trabajo de la Sociedad Europea de Cardiología (ESC) y la European Society of Hypertension (ESH) sobre el diagnóstico y tratamiento de la hipertensión arterial. Guía ESC/ESH 2018 sobre el diagnóstico y tratamiento de la hipertensión arterial. Rev Esp Cardiol [Internet]. 2019 [citado 17 Sep 2019];72(2):160.e1-e78. Disponible en: https://www.revespcardiol.org/es-pdf-S0300893218306791
6. Gorostidi M, Segura J, de la Sierra A. Hipertensión arterial nocturna. Hipertens Riesgo Vasc. 2010;27(Supl 1):26-33.
7. Cantillano-Rodríguez SN, Chávez E, Meza R, Ochoa A. Monitoreo ambulatorio de la presión arterial en pacientes diabéticos con o sin hipertensión arterial. Med Int Mex. 2018;34(6):855-63.
8. Lang RM, Bierig M, Devereux RB, Flachskampf FA, Foster E, Pellikka PA, et al. Recommendations for chamber quantification: a report from the American Society of Echocardiography's Guidelines and Standards Committee and the Chamber Quantification Writing Group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology. J Am Soc Echocardiogr. 2005;18(12):1440-63.
9. Pérez Caballero MD, León Álvarez JL, Dueñas Herrera A, Alfonzo Guerra JP, Navarro Despaigne DA, de la Noval García R, et al. Guía cubana de diagnóstico, evaluación y tratamiento de la hipertensión arterial. Rev Cuban Med [Internet]. 2017 [citado 18 Sep 2019];56(4):242-321. Disponible en: http://scielo.sld.cu/pdf/med/v56n4/med01417.pdf
10. Pizarro Méndez D. La polimedicación y prescipción inadecuada en adultos mayores. Rev Med Cos Cent. 2016;73(619):389-94.
11. Linares Cánovas LP, Lemus Fajardo NM, Linares Cánovas LB, Lazo Herrera LA, Díaz Pita G. Caracterización de pacientes adultos mayores con tratamiento farmacológico antihipertensivo atendidos en el hospital “Dr. León Cuervo Rubio”. Rev Electron Zoilo [Internet]. 2017 [citado 20 Sep 2019];42(6). Disponible en: http://www.revzoilomarinello.sld.cu/index.php/zmv/article/view/1184/pdf_448
12. Nieto E, Fernández MJ, Cabrera R, Turpin C. Detección de subformas de hipertensión arterial por monitorización ambulatoria de la presión arterial. Utilidad clínica. Rev Enferm Albacete [Internet]. 2002 [citado 20 Sep 2019];15. Disponible en: https://ruidera.uclm.es/xmlui/bitstream/handle/10578/386/2002-3.pdf?sequence=1&isAllowed=y
13. Camarena Navarro L, Sáez Méndez L, Castaño Martínez P. Monitorización ambulatoria de la presión arterial en una consulta de medicina interna. Rev Clin Esp. 2016;216(Espec Congr):1199 [Resumen].
14. Ajayi OE, Ajayi EA, Akintomide OA, Adebayo RA, Ogunyemi SA, Oyedeji AT, et al. Ambulatory blood pressure profile and left ventricular geometry in Nigerian hypertensives. J Cardiovasc Dis Res. 2011;2(3):164-71.
15. Sierra C, de la Sierra A, Sobrino J, Segura J, Banegas JR, Gorostidi M, et al. Monitorización ambulatoria de la presión arterial (MAPA): características clínicas de 31.530 pacientes. Med Clin (Barc) 2007;129(1):1-5.
16. Madariaga Galvis WE, Donis JH. Prevalencia de los patrones geométricos del ventrículo izquierdo en una población de hipertensos tratados: efecto de la edad, sexo, índice de masa corporal, control de la presión arterial y tratamiento. Rev Venez Endocrinol Metab. 2015;13(3):156-63.
17. Oladimeji OM, Richard A, Ibrahim B, Sosanya AA, Awobusuyi JO, Daniel F, et al. Prevalence and pattern of left ventricular hypertrophy and function in hypertensive chronic kidney disease patients and hypertensive patients without chronic kidney disease a comparative study. Trop J Nephrol. 2016;11(2):67-80.
18. Domínguez Ardila A, García-Manrique JG. Valoración geriátrica integral. Aten Fam. 2014;21(1):20-3.
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