Left ventricular hypertrophy detection and body mass index in essential hypertension
Abstract Background and aim. Weight and height are two major determinants of left ventricular mass (LVM); the anthropometric parameter to which LVM should be normalized remains, however, debated. In a population of hypertensives, we compared the prevalence of left ventricular hypertrophy (LVH) defin...
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| creator | Cuspidi, Cesare Giudici, Valentina Lonati, Laura Sala, Carla Valerio, Cristiana Mancia, Giuseppe |
| description | Abstract
Background and aim. Weight and height are two major determinants of left ventricular mass (LVM); the anthropometric parameter to which LVM should be normalized remains, however, debated. In a population of hypertensives, we compared the prevalence of left ventricular hypertrophy (LVH) defined by two indexation criteria of LVM in different subgroups of body mass index (BMI). Methods. A total of 4468 essential hypertensives included in the Evaluation of Target Organ Damage in Hypertension (ETODH), were divided in four groups according to BMI thresholds: lean (BMI |
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Background and aim. Weight and height are two major determinants of left ventricular mass (LVM); the anthropometric parameter to which LVM should be normalized remains, however, debated. In a population of hypertensives, we compared the prevalence of left ventricular hypertrophy (LVH) defined by two indexation criteria of LVM in different subgroups of body mass index (BMI). Methods. A total of 4468 essential hypertensives included in the Evaluation of Target Organ Damage in Hypertension (ETODH), were divided in four groups according to BMI thresholds: lean (BMI<20 kg/m2, 4.5%), normal (20-24.9 kg/m2, 36.5%), overweight (25-29.9 kg/m2, 41.9%) and obese (≥30 kg/m2, 17.1%). All patients underwent quantitative echocardiography; LVH was defined by two criteria of LVM indexation: (A) ≥116 g/m2 in men and ≥96 g/m2 in women; (B) ≥49 g/m2.7 in men and ≥45 g/m2.7 in women. Results. Overall, 44.9% of the patients were found to have LVH by criterion A, 48.2% by criterion B and 37.0% by both criteria. Prevalence rates of LVH in the four BMI groups were 34.3%, 40.5%, 47.3%, 53.9% by criterion A, 19.8%, 37.0%, 53.6%, 69.7% by criterion B, and 14.2%, 30.9%, 41.5%, 47.8% by both criteria, respectively (p at least <0.05 for all). Conclusions. Our findings show that LVH prevalence in both overweight and obese hypertensives is higher when LVM is normalized to height2.7 compared with body surface area (BSA), whereas the opposite trend occurs in normal weight/lean hypertensives. Thus, the risk related to LVH is underestimated when the LVH/height2.7 criterion is applied to lean/normal weight individuals and the LVH/BSA criterion in overweight/obese individuals.</description><identifier>ISSN: 0803-7051</identifier><identifier>EISSN: 1651-1999</identifier><identifier>DOI: 10.3109/08037051.2010.506029</identifier><identifier>PMID: 20645680</identifier><language>eng</language><publisher>England: Informa Healthcare</publisher><subject>Body Height ; Body mass ; Body Mass Index ; Body size ; Cross-Sectional Studies ; Female ; Height ; Humans ; Hypertension ; Hypertension - diagnosis ; Hypertension - epidemiology ; Hypertrophy, Left Ventricular - diagnosis ; Hypertrophy, Left Ventricular - epidemiology ; indexation methods ; Italy - epidemiology ; left ventricular hypertrophy ; Male ; Men ; Middle Aged ; Muscles (growth) ; Obesity ; Patients ; Prevalence ; Weight ; Women</subject><ispartof>Blood pressure, 2010-12, Vol.19 (6), p.337-343</ispartof><rights>2010 Scandinavian Foundation for Cardiovascular Research 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c496t-c8fd0ec6fc8131a32b91158ad9d6155a0182abc81892629f8f9f2d34d501f1a83</citedby><cites>FETCH-LOGICAL-c496t-c8fd0ec6fc8131a32b91158ad9d6155a0182abc81892629f8f9f2d34d501f1a83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20645680$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cuspidi, Cesare</creatorcontrib><creatorcontrib>Giudici, Valentina</creatorcontrib><creatorcontrib>Lonati, Laura</creatorcontrib><creatorcontrib>Sala, Carla</creatorcontrib><creatorcontrib>Valerio, Cristiana</creatorcontrib><creatorcontrib>Mancia, Giuseppe</creatorcontrib><title>Left ventricular hypertrophy detection and body mass index in essential hypertension</title><title>Blood pressure</title><addtitle>Blood Press</addtitle><description>Abstract
Background and aim. Weight and height are two major determinants of left ventricular mass (LVM); the anthropometric parameter to which LVM should be normalized remains, however, debated. In a population of hypertensives, we compared the prevalence of left ventricular hypertrophy (LVH) defined by two indexation criteria of LVM in different subgroups of body mass index (BMI). Methods. A total of 4468 essential hypertensives included in the Evaluation of Target Organ Damage in Hypertension (ETODH), were divided in four groups according to BMI thresholds: lean (BMI<20 kg/m2, 4.5%), normal (20-24.9 kg/m2, 36.5%), overweight (25-29.9 kg/m2, 41.9%) and obese (≥30 kg/m2, 17.1%). All patients underwent quantitative echocardiography; LVH was defined by two criteria of LVM indexation: (A) ≥116 g/m2 in men and ≥96 g/m2 in women; (B) ≥49 g/m2.7 in men and ≥45 g/m2.7 in women. Results. Overall, 44.9% of the patients were found to have LVH by criterion A, 48.2% by criterion B and 37.0% by both criteria. Prevalence rates of LVH in the four BMI groups were 34.3%, 40.5%, 47.3%, 53.9% by criterion A, 19.8%, 37.0%, 53.6%, 69.7% by criterion B, and 14.2%, 30.9%, 41.5%, 47.8% by both criteria, respectively (p at least <0.05 for all). Conclusions. Our findings show that LVH prevalence in both overweight and obese hypertensives is higher when LVM is normalized to height2.7 compared with body surface area (BSA), whereas the opposite trend occurs in normal weight/lean hypertensives. Thus, the risk related to LVH is underestimated when the LVH/height2.7 criterion is applied to lean/normal weight individuals and the LVH/BSA criterion in overweight/obese individuals.</description><subject>Body Height</subject><subject>Body mass</subject><subject>Body Mass Index</subject><subject>Body size</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Height</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - diagnosis</subject><subject>Hypertension - epidemiology</subject><subject>Hypertrophy, Left Ventricular - diagnosis</subject><subject>Hypertrophy, Left Ventricular - epidemiology</subject><subject>indexation methods</subject><subject>Italy - epidemiology</subject><subject>left ventricular hypertrophy</subject><subject>Male</subject><subject>Men</subject><subject>Middle Aged</subject><subject>Muscles (growth)</subject><subject>Obesity</subject><subject>Patients</subject><subject>Prevalence</subject><subject>Weight</subject><subject>Women</subject><issn>0803-7051</issn><issn>1651-1999</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1u1DAUhS0EotPCGyCUHWxS7rXj1N6Aqoo_aSQ2ZW15_KNJldiD7VDy9jiaKRKb2diS_Z1zrz5C3iBcMwT5AQSwG-B4TaE-ceiBymdkgz3HFqWUz8lmRdqVuSCXOT8AIGMAL8kFhb7jvYANud86X5rfLpQ0mHnUqdkvB5dKiof90lhXnClDDI0OttlFuzSTzrkZgnV_6tm4nGt00OMp5kKu9Cvywusxu9en-4r8_PL5_u5bu_3x9fvd7bY1nexLa4S34EzvjUCGmtGdRORCW2l75FwDCqp39VNI2lPphZeeWtZZDuhRC3ZF3h17Dyn-ml0uahqyceOog4tzVgJExyVDXsn3Z0kERApM4k1FuyNqUsw5Oa8OaZh0WiqkVvPqybxazauj-Rp7e5ow7yZn_4WeVFfg0xEYgo9p0o8xjVYVvYwx-aSDGfJaf3bEx_8a9k6PZW90cuohzilU1ed3_AuCraXP</recordid><startdate>201012</startdate><enddate>201012</enddate><creator>Cuspidi, Cesare</creator><creator>Giudici, Valentina</creator><creator>Lonati, Laura</creator><creator>Sala, Carla</creator><creator>Valerio, Cristiana</creator><creator>Mancia, Giuseppe</creator><general>Informa Healthcare</general><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7X8</scope></search><sort><creationdate>201012</creationdate><title>Left ventricular hypertrophy detection and body mass index in essential hypertension</title><author>Cuspidi, Cesare ; Giudici, Valentina ; Lonati, Laura ; Sala, Carla ; Valerio, Cristiana ; Mancia, Giuseppe</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c496t-c8fd0ec6fc8131a32b91158ad9d6155a0182abc81892629f8f9f2d34d501f1a83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Body Height</topic><topic>Body mass</topic><topic>Body Mass Index</topic><topic>Body size</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Height</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - diagnosis</topic><topic>Hypertension - epidemiology</topic><topic>Hypertrophy, Left Ventricular - diagnosis</topic><topic>Hypertrophy, Left Ventricular - epidemiology</topic><topic>indexation methods</topic><topic>Italy - epidemiology</topic><topic>left ventricular hypertrophy</topic><topic>Male</topic><topic>Men</topic><topic>Middle Aged</topic><topic>Muscles (growth)</topic><topic>Obesity</topic><topic>Patients</topic><topic>Prevalence</topic><topic>Weight</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cuspidi, Cesare</creatorcontrib><creatorcontrib>Giudici, Valentina</creatorcontrib><creatorcontrib>Lonati, Laura</creatorcontrib><creatorcontrib>Sala, Carla</creatorcontrib><creatorcontrib>Valerio, Cristiana</creatorcontrib><creatorcontrib>Mancia, Giuseppe</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>MEDLINE - Academic</collection><jtitle>Blood pressure</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cuspidi, Cesare</au><au>Giudici, Valentina</au><au>Lonati, Laura</au><au>Sala, Carla</au><au>Valerio, Cristiana</au><au>Mancia, Giuseppe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Left ventricular hypertrophy detection and body mass index in essential hypertension</atitle><jtitle>Blood pressure</jtitle><addtitle>Blood Press</addtitle><date>2010-12</date><risdate>2010</risdate><volume>19</volume><issue>6</issue><spage>337</spage><epage>343</epage><pages>337-343</pages><issn>0803-7051</issn><eissn>1651-1999</eissn><abstract>Abstract
Background and aim. Weight and height are two major determinants of left ventricular mass (LVM); the anthropometric parameter to which LVM should be normalized remains, however, debated. In a population of hypertensives, we compared the prevalence of left ventricular hypertrophy (LVH) defined by two indexation criteria of LVM in different subgroups of body mass index (BMI). Methods. A total of 4468 essential hypertensives included in the Evaluation of Target Organ Damage in Hypertension (ETODH), were divided in four groups according to BMI thresholds: lean (BMI<20 kg/m2, 4.5%), normal (20-24.9 kg/m2, 36.5%), overweight (25-29.9 kg/m2, 41.9%) and obese (≥30 kg/m2, 17.1%). All patients underwent quantitative echocardiography; LVH was defined by two criteria of LVM indexation: (A) ≥116 g/m2 in men and ≥96 g/m2 in women; (B) ≥49 g/m2.7 in men and ≥45 g/m2.7 in women. Results. Overall, 44.9% of the patients were found to have LVH by criterion A, 48.2% by criterion B and 37.0% by both criteria. Prevalence rates of LVH in the four BMI groups were 34.3%, 40.5%, 47.3%, 53.9% by criterion A, 19.8%, 37.0%, 53.6%, 69.7% by criterion B, and 14.2%, 30.9%, 41.5%, 47.8% by both criteria, respectively (p at least <0.05 for all). Conclusions. Our findings show that LVH prevalence in both overweight and obese hypertensives is higher when LVM is normalized to height2.7 compared with body surface area (BSA), whereas the opposite trend occurs in normal weight/lean hypertensives. Thus, the risk related to LVH is underestimated when the LVH/height2.7 criterion is applied to lean/normal weight individuals and the LVH/BSA criterion in overweight/obese individuals.</abstract><cop>England</cop><pub>Informa Healthcare</pub><pmid>20645680</pmid><doi>10.3109/08037051.2010.506029</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Body Height Body mass Body Mass Index Body size Cross-Sectional Studies Female Height Humans Hypertension Hypertension - diagnosis Hypertension - epidemiology Hypertrophy, Left Ventricular - diagnosis Hypertrophy, Left Ventricular - epidemiology indexation methods Italy - epidemiology left ventricular hypertrophy Male Men Middle Aged Muscles (growth) Obesity Patients Prevalence Weight Women |
| title | Left ventricular hypertrophy detection and body mass index in essential hypertension |
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