Impact of Abdominal Obesity and Metabolic Risk Factors on the Left Ventricular Mass Index in Patients with Essential Hypertension
Wu Xiaohong
Abstract：Objective To investigate the impact of abdominal obesity and metabolic risk factors of metabolic syndrome on left ventricu-lar mass index in patients with essential hypertension.Methods The clinical date of 532 patients (male 245,female 287)used in this study was derived from the Longfu study cohort in the cardiovascular internal medicine outpatient clinic In January 2011 to December 2013.They were divided into control group,pure hypertension group and hypertension combined abdominal obesity and hypertension combined metabolic syndrome group.Baseline anthropometric and laboratory features were obtained by physical examination.By ech-ocardiography Doppler image,left ventricular structure parameters,and the left ventricular mass index between groups were ana-lyzed.we assayed the relevant data for statistical analysis at last.Results The levels of left ventricular mass index and left ventricular hypertrophy prevalence rates were higher in pure hypertension group than those in control group(P<0.01).The date were statisti-cal y significant.They were higher in abdominal obesity with EH group than in pure hypertension group and the control group(P<0.01). Merging metabolic syndrome group was higher than hypertension combined abdominal obesity group(P<0.05).Spearman correlation a-nalysis showed that a positive correlation between systolic blood pressure and left ventricular mass index(r=0.784,P<0.01),and waist circ-umference was positively correlated(r= 0.562,P< 0.05),and the metabolic syndrome was also positively correlated(r=0.742,P<0.01).Conclusion Hypertension with abdominal obesity and metabolic syndrome,the left ventricular mass index significantly increa-ses.In addition to the level of blood pressure,waist circumference and metabolic risk factors plays a more important role in the devel-opment of hypertensive left ventricular hypertrophy.
Keywords：essential hypertensionabdominal obesitymetabolic syndromethe left ventricular mass indexechocardiography
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1389-1393 )