Patterns of isolated septal hypertrophy and their clinical correlations in essential hypertension

Chang, Nen-Chung; Wang, Tze-Che; Lai, Zhi-Yang

doi:10.1055/s-0031-1276018

Int J Angiol

1996

DOI: 10.1055/s-0031-1276018

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Patterns of isolated septal hypertrophy and their clinical correlations in essential hypertension

Nen-Chung Chang¹,

Tze-Che Wang²,

Zhi-Yang Lai³

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2010

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References 21 publications

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“…2,3 Left ventricular geometric changes as a consequence of increased afterload usually presents with an elevated wall and septal thickness, with or without an increase in cavity size. 4,5 Isolated septal thickening in hypertensive patients is shown to be associated with poorer control and longer duration of hypertension. 6 In addition, left ventricular wall thickness in hypertensive patients has been demonstrated to correlate with diastolic dysfunction.…”

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confidence: 99%

Left Ventricular Geometric Abnormality Screening in Hypertensive Patients Using a Hand‐Carried Ultrasound Device

Perez-Avraham

Kobal²,

Etzion

et al. 2010

J of Clinical Hypertension

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The authors assessed the validity of a handcarried cardiac ultrasound device operated by an internal medicine resident for left ventricular geometric abnormalities (LVGAs) in mild hypertensive patients. LVGAs were diagnosed when at least one of the following was present: left ventricular mass index exceeding 125 g ⁄ m 2 and 110 g ⁄ m 2 for men and women, respectively; intraventricular septum thickness P10 mm; posterior wall thickness P10 mm; and left ventricular end-diastolic diameter P5.3 mm. For validation, a cardiologist performed standard echocardiography in all patients. A total of 85 patients completed both echocardiographic studies. LVGAs were diagnosed in 19 (22.4%) cases, 18 of which were confirmed by standard echocardiography. Standard echocardiography did not detect any case of LVGA among the handcarried cardiac ultrasonography LVGA-negative patients. The sensitivity and specificity of the resident's examination were 100% and 98.78%, respectively. Agreement between the two studies was 99% (j 0.97, 95% confidence interval). Hand-carried cardiac ultrasonography may be used as a screening tool for LVGA in hypertensive patients. J Clin Hypertens (Greenwich).

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confidence: 99%

Left Ventricular Geometric Abnormality Screening in Hypertensive Patients Using a Hand‐Carried Ultrasound Device

Perez-Avraham

Kobal²,

Etzion

et al. 2010

J of Clinical Hypertension

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Patterns of isolated septal hypertrophy and their clinical correlations in essential hypertension

Cited by 1 publication

References 21 publications

Left Ventricular Geometric Abnormality Screening in Hypertensive Patients Using a Hand‐Carried Ultrasound Device

Left Ventricular Geometric Abnormality Screening in Hypertensive Patients Using a Hand‐Carried Ultrasound Device

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