Document Detail


The influence of wave reflection on left ventricular hypertrophy in hypertensive patients is modified by age and gender.
MedLine Citation:
PMID:  18633176     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
It has been established that a positive association exists between the augmentation index (AIx) and left ventricular mass (LVM) in hypertensives, but it remains unclear whether this association is affected by age or gender. The aim of the study was to assess the effect of age and gender on the association between carotid AIx and LVM in hypertensive patients. We performed arterial tonometry and echocardiography in 512 treated hypertensive patients who were divided into 4 groups by gender and age (older or younger than 65 years). Correlations between carotid AIx and echocardiographic indices were evaluated by univariable and multivariable models. In females, carotid AIx increased with age up to 60 years, but decreased thereafter. In univariable analyses, carotid AIx was positively correlated with the LVM index in younger females (r=0.25, p=0.04) and males (r=0.48, p<0.001), but not in the older age groups. Multivariable analyses showed that this positive correlation in younger males remained significant (beta=0.39, p<0.001) after adjusting for age, body mass index, and mean arterial pressure. In contrast, in the older subjects, carotid AIx was negatively correlated with relative wall thickness in females (beta= -0.14, p=0.034) and males (beta= -0.17, p=0.037) independent of age and mean arterial pressure. A significant association between carotid AIx and LVM index was seen only in younger males. The lack of any such association in older hypertensives can be explained by both the plateau in the values of carotid AIx, and the fact that LVM increased with age.
Authors:
Yoshio Matsui; Joji Ishikawa; Kazuo Eguchi; Satoshi Hoshide; Hiroshi Miyashita; Kazuyuki Shimada; Kazuomi Kario
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hypertension research : official journal of the Japanese Society of Hypertension     Volume:  31     ISSN:  0916-9636     ISO Abbreviation:  Hypertens. Res.     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-07-17     Completed Date:  2008-08-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9307690     Medline TA:  Hypertens Res     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  649-56     Citation Subset:  IM    
Affiliation:
Division of Cardiovascular Medicine, Jichi Medical University School of Medicine, Shimotsuke, Japan. y.matsui@ninus.ocn.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Age Distribution
Aged
Aging*
Blood Flow Velocity
Blood Pressure
Brachial Artery / physiology,  ultrasonography
Carotid Arteries / physiology,  ultrasonography
Echocardiography
Female
Humans
Hypertension* / epidemiology,  physiopathology,  ultrasonography
Hypertrophy, Left Ventricular* / epidemiology,  physiopathology,  ultrasonography
Male
Manometry
Middle Aged
Pulsatile Flow
Risk Factors
Sex Distribution

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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