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Titre du document / Document title

Hypertrophie ventriculaire gauche et morphologie de l'oreillette gauche chez l'hypertendu jamais traité = Left ventricular hypertrophy and left atria morphology in never treated essential hypertension .

Auteur(s) / Author(s)

DU CAILAR G. ; PASQUIE J. L. ; HALIMI J. M. ; RIBSTEIN J. ; MIMRAN A. (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Hôp. Lapeyronie, serv. médecine interne G, 34059 Montpellier, FRANCE

Résumé / Abstract

The level of arterial pressure is not the sole determinant of cardiac and vascular adaptation to hypertension. In order to identify other factors (such as preload) we categorized by echocardiography, 55 never treated hypertensive patients and 39 age and gender-matched normal subjects, according to values of relative wall thickness and left ventricular mass index. Normal left ventricular anatomy was found in 63 % hypertensives, whereas among hypertensives 7 % had concentric left ventricular remodeling, 16 % concentric left ventricular hypertrophy and 14 % had eccentric left ventricular hypertrophy. Systolic left atrial area (LA) was obtained from the four-chamber views. Mitral peak early diastolic (E) and late diastolic (A) flow velocity was assessed by Doppler. Because clinical characteristics such age and sex differed among the 5 groups only results of ANCOVA were reported (means ± SD). Tableau. We conclude that eccentrix left ventricular hypertrophy may be associated with a parallel increase of left atrial area. Thus the association of an increase of cardiac volume in hypertensive patients with normal diastolic function suggest that volume overload may modulate the effect of arterial pressure on cardiac morphology.

Revue / Journal Title

Archives des maladies du coeur et des vaisseaux    ISSN  0003-9683   CODEN AMCVAN 

Source / Source

1995, vol. 88, no8, pp. 1111-1114 (9 ref.)

Langue / Language

Français

Editeur / Publisher

Huveaux, Neuilly sur Seine, FRANCE  (1937-2007) (Revue)

Mots-clés anglais / English Keywords

Hypertension

;

Complication

;

Hypertrophy

;

Left ventricle

;

Morphology

;

Left atrium

;

Echocardiography

;

Human

;

Cardiovascular disease

;

Sonography

;

Mots-clés français / French Keywords

Hypertension artérielle

;

Complication

;

Hypertrophie

;

Ventricule gauche

;

Morphologie

;

Oreillette gauche

;

Echocardiographie

;

Homme

;

Appareil circulatoire pathologie

;

Exploration ultrason

;

Mots-clés espagnols / Spanish Keywords

Hipertensión arterial

;

Complicación

;

Hipertrofia

;

Ventrículo izquierdo

;

Morfología

;

Orejuela izquierda

;

Ecocardiografía

;

Hombre

;

Aparato circulatorio patología

;

Exploración ultrasonido

;

Localisation / Location

INIST-CNRS, Cote INIST : 887, 35400005400826.0070

Nº notice refdoc (ud4) : 3626132



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