Indexation criteria of ventricular mass and predictive role of blood pressure and body composition.

作者: L FERRARA , O VACCARO , O CARDONI , M LAURENZI , M MANCINI

DOI: 10.1016/J.AMJHYPER.2005.05.020

关键词: Internal medicineLeft ventricular hypertrophyWaist–hip ratioMedicineMegalencephalic leukoencephalopathy with subcortical cystsBody surface areaCardiologyEndocrinologyBlood pressureBody mass indexPopulationPercentile

摘要: Background There is no definite consensus on which indexation of left ventricular mass (LVM) should be used to better identify hypertrophy (LVH). Left has been adjusted height, height 2.7 (h ) and body surface area (BSA). The aims the present study were evaluate prevalence LVH according different indexations cut-offs most useful LVM detect hypertension-related LVH. Methods Echocardiographic was defined as h , BSA, values in upper 5th percentile our gender-related distribution, using partition suggested previous population-based studies. Results Prevalence general population 32% less restrictive criterion (LVH 49.2/46.7 g/m ), 15% with 116/104 2 3.8% one 134/110 ). hypertensive subjects almost twice than normotensive all criteria. Only 20 out 707 evaluated found have six In multiple regression analysis SBP independently associated nonindexed indexed both BSA . On other hand, fat-free a poweful predictor or whereas index strongest Conclusions possibly cut-off 116/104, probably best for identifying blood pressure–related

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