Correlation of Hypertension and Hypertensive Heart Disease in Mae Fah Luang University Medical Center Hospital
Keywords:
Incidence, Hypertension, Hypertensive heart diseaseAbstract
Background: Ambulatory blood pressure (ABPM) can monitor blood pressure by obtaining multiple readings over the 24-hours, capturing the blood pressure variability, and an important predictor of cardiovascular outcomes in a hypertensive population.
Objective: To determine the correlation of hypertension and hypertensive heart disease by using ABPM.
Material and Methods: The present study was a cross-sectional study. 30 participants were assigned for detected left ventricular hypertrophy (LVH) using echocardiography and detected hypertension using ABPM.
Result: Participants who were diagnosed with hypertensive heart disease (HHD) by echocardiography found 26 samples (86.67%) and diagnosed with hypertension by ABPM found 20 samples (66.67%). The proportion of silent hypertension and HHD was found to be statistically correlated (p< 0.002). SBP significant correlation with LVH (r = 0.53, p-value = 0.001). Systolic blood pressure (SBP) was positively correlated with age (r = 0.40, p-value = 0.014), triglyceride (r = 0.32, p-value = 0.042), and low density lipoprotein (LDL) levels (r = 0.31, p-value 0.050).
Conclusion: This study found a high proportion of silent hypertension as measured by ABPM in participants who were diagnosed with HHD. Silent hypertension is also correlated with LVH. Moreover, age had been an important factor that correlated with increased systolic blood pressure and HHD.
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