Echocardiographic and ultrasonographic evaluation of cardiac and vascular hypertrophy in patients with essential hypertension

C. Cuspidi, L. Boselli, R. Bragato, L. Lonati, L. Sampieri, M. Bocciolone, G. Leonetti, A. Zanchetti

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

High-resolution ultrasonography is a noninvasive technique that allows to investigate the cardiovascular system, in particular the wall thickness and the lumen diameter of the arteries with accuracy and reproducibility. We measured the intimamedia thickness of the common carotid artery (CCA) and of its bifurcation (BIF) in 40 patients with essential hypertension, 20 of them with left ventricular hypertrophy (LVH; age 42 ± 10 years) and 20 without LVH (age 44 ± 12 years); no other major cardiovascular risk factor was present in all the patients. Both carotid axes have been scanned from different views (anterior, lateral, posterior) on a transversal and longitudinal section using a high-resolution steerable linear array of 5.0 MHz. Carotid diameter and thickness were measured in the longitudinal section. CCA parameters were assessed 20 mm caudally to the flow divider. In patients with LVH, blood pressure (172 ± 21/108 ± 9 mm Hg) and left ventricular mass index (156 ± 38 g/m2) were significantly (p <0.01) higher than in patients without LVH (blood pressure: 158 ± 11/99 ± 12 mm Hg; left ventricular mass index: 98 ± 10 g/m2), while there was no difference in serum glycemia, triglycerides, total and fractioned cholesterol levels. The intimamedia thickness of both the CCA and BIF was significantly higher in the hypertensives with LVH (CCA: 0.85 ± 0.02 vs. 0.65 ± 0.02 mm; BIF: 0.93 ± 0.04 vs. 0.70 ± 0.03 mm, p <0.01). There was a statistically significant correlation between the carotid wall thickness and the left ventricular mass index. In conclusion, the ultrasonographic method provides direct evidence that cardiac hypertrophy is associated with vascular hypertrophy.

Original languageEnglish
Pages (from-to)305-311
Number of pages7
JournalCardiology
Volume80
Issue number5-6
Publication statusPublished - 1992

Fingerprint

Common Carotid Artery
Cardiomegaly
Blood Vessels
Blood Pressure
Left Ventricular Hypertrophy
Cardiovascular System
Hypertrophy
Ultrasonography
Triglycerides
Arteries
Cholesterol
Essential Hypertension
Serum

Keywords

  • Arterial wall tickness
  • Left ventricular hypertrophy
  • Ultrasonography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Cuspidi, C., Boselli, L., Bragato, R., Lonati, L., Sampieri, L., Bocciolone, M., ... Zanchetti, A. (1992). Echocardiographic and ultrasonographic evaluation of cardiac and vascular hypertrophy in patients with essential hypertension. Cardiology, 80(5-6), 305-311.

Echocardiographic and ultrasonographic evaluation of cardiac and vascular hypertrophy in patients with essential hypertension. / Cuspidi, C.; Boselli, L.; Bragato, R.; Lonati, L.; Sampieri, L.; Bocciolone, M.; Leonetti, G.; Zanchetti, A.

In: Cardiology, Vol. 80, No. 5-6, 1992, p. 305-311.

Research output: Contribution to journalArticle

Cuspidi, C, Boselli, L, Bragato, R, Lonati, L, Sampieri, L, Bocciolone, M, Leonetti, G & Zanchetti, A 1992, 'Echocardiographic and ultrasonographic evaluation of cardiac and vascular hypertrophy in patients with essential hypertension', Cardiology, vol. 80, no. 5-6, pp. 305-311.
Cuspidi, C. ; Boselli, L. ; Bragato, R. ; Lonati, L. ; Sampieri, L. ; Bocciolone, M. ; Leonetti, G. ; Zanchetti, A. / Echocardiographic and ultrasonographic evaluation of cardiac and vascular hypertrophy in patients with essential hypertension. In: Cardiology. 1992 ; Vol. 80, No. 5-6. pp. 305-311.
@article{886c0eba0cb2479b8c5e82595baf49b3,
title = "Echocardiographic and ultrasonographic evaluation of cardiac and vascular hypertrophy in patients with essential hypertension",
abstract = "High-resolution ultrasonography is a noninvasive technique that allows to investigate the cardiovascular system, in particular the wall thickness and the lumen diameter of the arteries with accuracy and reproducibility. We measured the intimamedia thickness of the common carotid artery (CCA) and of its bifurcation (BIF) in 40 patients with essential hypertension, 20 of them with left ventricular hypertrophy (LVH; age 42 ± 10 years) and 20 without LVH (age 44 ± 12 years); no other major cardiovascular risk factor was present in all the patients. Both carotid axes have been scanned from different views (anterior, lateral, posterior) on a transversal and longitudinal section using a high-resolution steerable linear array of 5.0 MHz. Carotid diameter and thickness were measured in the longitudinal section. CCA parameters were assessed 20 mm caudally to the flow divider. In patients with LVH, blood pressure (172 ± 21/108 ± 9 mm Hg) and left ventricular mass index (156 ± 38 g/m2) were significantly (p <0.01) higher than in patients without LVH (blood pressure: 158 ± 11/99 ± 12 mm Hg; left ventricular mass index: 98 ± 10 g/m2), while there was no difference in serum glycemia, triglycerides, total and fractioned cholesterol levels. The intimamedia thickness of both the CCA and BIF was significantly higher in the hypertensives with LVH (CCA: 0.85 ± 0.02 vs. 0.65 ± 0.02 mm; BIF: 0.93 ± 0.04 vs. 0.70 ± 0.03 mm, p <0.01). There was a statistically significant correlation between the carotid wall thickness and the left ventricular mass index. In conclusion, the ultrasonographic method provides direct evidence that cardiac hypertrophy is associated with vascular hypertrophy.",
keywords = "Arterial wall tickness, Left ventricular hypertrophy, Ultrasonography",
author = "C. Cuspidi and L. Boselli and R. Bragato and L. Lonati and L. Sampieri and M. Bocciolone and G. Leonetti and A. Zanchetti",
year = "1992",
language = "English",
volume = "80",
pages = "305--311",
journal = "Cardiology",
issn = "0008-6312",
publisher = "S. Karger AG",
number = "5-6",

}

TY - JOUR

T1 - Echocardiographic and ultrasonographic evaluation of cardiac and vascular hypertrophy in patients with essential hypertension

AU - Cuspidi, C.

AU - Boselli, L.

AU - Bragato, R.

AU - Lonati, L.

AU - Sampieri, L.

AU - Bocciolone, M.

AU - Leonetti, G.

AU - Zanchetti, A.

PY - 1992

Y1 - 1992

N2 - High-resolution ultrasonography is a noninvasive technique that allows to investigate the cardiovascular system, in particular the wall thickness and the lumen diameter of the arteries with accuracy and reproducibility. We measured the intimamedia thickness of the common carotid artery (CCA) and of its bifurcation (BIF) in 40 patients with essential hypertension, 20 of them with left ventricular hypertrophy (LVH; age 42 ± 10 years) and 20 without LVH (age 44 ± 12 years); no other major cardiovascular risk factor was present in all the patients. Both carotid axes have been scanned from different views (anterior, lateral, posterior) on a transversal and longitudinal section using a high-resolution steerable linear array of 5.0 MHz. Carotid diameter and thickness were measured in the longitudinal section. CCA parameters were assessed 20 mm caudally to the flow divider. In patients with LVH, blood pressure (172 ± 21/108 ± 9 mm Hg) and left ventricular mass index (156 ± 38 g/m2) were significantly (p <0.01) higher than in patients without LVH (blood pressure: 158 ± 11/99 ± 12 mm Hg; left ventricular mass index: 98 ± 10 g/m2), while there was no difference in serum glycemia, triglycerides, total and fractioned cholesterol levels. The intimamedia thickness of both the CCA and BIF was significantly higher in the hypertensives with LVH (CCA: 0.85 ± 0.02 vs. 0.65 ± 0.02 mm; BIF: 0.93 ± 0.04 vs. 0.70 ± 0.03 mm, p <0.01). There was a statistically significant correlation between the carotid wall thickness and the left ventricular mass index. In conclusion, the ultrasonographic method provides direct evidence that cardiac hypertrophy is associated with vascular hypertrophy.

AB - High-resolution ultrasonography is a noninvasive technique that allows to investigate the cardiovascular system, in particular the wall thickness and the lumen diameter of the arteries with accuracy and reproducibility. We measured the intimamedia thickness of the common carotid artery (CCA) and of its bifurcation (BIF) in 40 patients with essential hypertension, 20 of them with left ventricular hypertrophy (LVH; age 42 ± 10 years) and 20 without LVH (age 44 ± 12 years); no other major cardiovascular risk factor was present in all the patients. Both carotid axes have been scanned from different views (anterior, lateral, posterior) on a transversal and longitudinal section using a high-resolution steerable linear array of 5.0 MHz. Carotid diameter and thickness were measured in the longitudinal section. CCA parameters were assessed 20 mm caudally to the flow divider. In patients with LVH, blood pressure (172 ± 21/108 ± 9 mm Hg) and left ventricular mass index (156 ± 38 g/m2) were significantly (p <0.01) higher than in patients without LVH (blood pressure: 158 ± 11/99 ± 12 mm Hg; left ventricular mass index: 98 ± 10 g/m2), while there was no difference in serum glycemia, triglycerides, total and fractioned cholesterol levels. The intimamedia thickness of both the CCA and BIF was significantly higher in the hypertensives with LVH (CCA: 0.85 ± 0.02 vs. 0.65 ± 0.02 mm; BIF: 0.93 ± 0.04 vs. 0.70 ± 0.03 mm, p <0.01). There was a statistically significant correlation between the carotid wall thickness and the left ventricular mass index. In conclusion, the ultrasonographic method provides direct evidence that cardiac hypertrophy is associated with vascular hypertrophy.

KW - Arterial wall tickness

KW - Left ventricular hypertrophy

KW - Ultrasonography

UR - http://www.scopus.com/inward/record.url?scp=0026487794&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026487794&partnerID=8YFLogxK

M3 - Article

C2 - 1451117

AN - SCOPUS:0026487794

VL - 80

SP - 305

EP - 311

JO - Cardiology

JF - Cardiology

SN - 0008-6312

IS - 5-6

ER -