Valutazione ultrasonografica dell'ipertrofia cardiaca e vascolare nei pazienti ipertesi essenziali.

Translated title of the contribution: Ultrasonographic evaluation of cardiac and vascular hypertrophy in patients with essential hypertension

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

Research output: Contribution to journalArticlepeer-review

Abstract

High resolution ultrasonography allows the accurate and reproducible measurement of thickness and lumen diameter of carotid arteries. We investigated Common carotid (CCA) and bifurcation intima-media thickness in 40 hypertensive patients, 20 without left ventricular hypertrophy (LVH) (age 42 +/- 10 years) and 20 with LVH (age 44 +/- 12 years), all free from other important cardiovascular risk factors. Both carotid axes were scanned from different views (anterior, lateral, posterior) on traversal and longitudinal section, using a high resolution steerable (HRS) 5.0 MHz linear array. Carotid diameter and thickness from longitudinal section were measured. CCA parameters were taken 20 mm caudally to flow divider. Using the B-mode as a guide we assessed LVH presence with M-mode technique when left ventricular mass index (LVMI) > or = 135 g/m2 for men and > or = 110 g/m2 for women. In hypertensive patients with LVH, left ventricular mass was significantly higher than in those without LVH (156 +/- 38 vs 98 +/- 10 g/m2, p <0.01). Even blood pressure was significantly higher in hypertrophic group (172 +/- 21/108 +/- 9 vs 158 +/- 11/99 +/- 12 mmHg, p <0.01), while there was no difference in serum glycemia, triglycerides, total and fractioned cholesterol levels. The intima-media thickness scanned in both CCA and bifurcation resulted significantly higher in hypertensives with LVH (CCA: 0.85 +/- 0.02 mm vs 0.65 +/- 0.02 mm; BIF: 0.93 +/- 0.04 mm vs 0.70 +/- 0.03 mm, p <0.01). We also noticed a statistically significant correlation between carotid wall thickness and left ventricular mass index.(ABSTRACT TRUNCATED AT 250 WORDS)

Translated title of the contributionUltrasonographic evaluation of cardiac and vascular hypertrophy in patients with essential hypertension
Original languageItalian
Pages (from-to)405-411
Number of pages7
JournalGiornale Italiano di Cardiologia
Volume22
Issue number4
Publication statusPublished - Apr 1992

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Fingerprint

Dive into the research topics of 'Ultrasonographic evaluation of cardiac and vascular hypertrophy in patients with essential hypertension'. Together they form a unique fingerprint.

Cite this