Title: The relationship between atherosclerotic renal artery stenosis and left ventricular hypertrophy in patients with primary hypertension
Abstract: Objective To investigate the relationship between atherosclerotic renal artery stenosis and left ventricular hypertrophy (LVH) in patients with primary hypertension. Methods The data in 476 patients with primary hypertension undergoing coronary and renal angiography were retrospectively analyzed. The patients were divided into two groups according to whether they had atherosclerotic renal artery stenosis (RAS) or not. The incidence of LVH was identified either by left ventricular mass index (LVMI) criteria or by ventricular wall thickness (IVSd) criteria,and the differences between LVMI and intraventricular septum (IVSd) thickness were compared. Results Among these patients,106 patients (22.3%) had unilateral or bilateral RAS. Both the LVMI and IVSd in RAS group were significantly higher than those in control group (P0.05). The incidence of LVH in RAS group was significantly higher than that in control group both by LVMI criteria and by IVSd criteria(P0.05). Multivariate Logistic analysis showed that the presence of RAS,time of hypertension onset(year),pulse pressure at admission and treatment of ACE-I or ARB were all the independent predictive factors for LVH (P0.05). Conclusion The patients with primary hypertension complicated by ARAS are more apt to develop LVH.
Publication Year: 2009
Publication Date: 2009-01-01
Language: en
Type: article
Access and Citation
AI Researcher Chatbot
Get quick answers to your questions about the article from our AI researcher chatbot