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Sökning: LAR1:gu > Dahlöf Björn 1953 > Gerdts E. > Fyhrquist F > Association of hemo...

Association of hemoglobin delivery with left ventricular structure and function in hypertensive patients: Losartan Intervention for End Point Reduction in Hypertension Study

Narayan, P. (författare)
Papademetriou, V. (författare)
Wachtell, K. (författare)
visa fler...
Gerdts, E. (författare)
Boman, K. (författare)
Nieminen, M. S. (författare)
de Simone, G. (författare)
Dahlöf, Björn, 1953 (författare)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för akut och kardiovaskulär medicin,Institute of Medicine, Department of Emergeny and Cardiovascular Medicine
Fyhrquist, F. (författare)
Hoieggen, A. (författare)
Devereux, R. B. (författare)
visa färre...
 (creator_code:org_t)
2006
2006
Engelska.
Ingår i: Hypertension. - 1524-4563. ; 47:5, s. 868-73
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Several studies have shown associations of high levels of hemoglobin (Hgb) or blood viscosity with cardiac events and with left ventricular (LV) hypertrophy (LVH). To assess the relations of LV mass and function with Hgb delivery (ie, the physiological carrier of oxygen), we calculated the product of Hgb concentration and Doppler-derived cardiac output in 864 hypertensive participants with electrocardiographic LVH (359 women) in the Losartan Intervention for End Point Reduction in Hypertension echocardiography substudy. Among women, Hgb delivery was positively related to internal dimension, septal and posterior wall thicknesses, LV mass, endocardial and midwall fractional shortening, and peak A wave velocity and negatively to total peripheral resistance index, E/A ratio, deceleration time, and the isovolumic relaxation time. Among men, Hgb delivery was positively related to LV internal dimension, LV mass, and A velocity, and negatively to LV midwall shortening, relative wall thickness, peripheral resistance index, and E/A ratio. In multivariable analyses that adjusted for age, diastolic blood pressure, body mass index, and total cholesterol, hemoglobin delivery in women was related positively to LV fractional shortening, midwall shortening, LV mass mitral valve A velocity, and LV internal dimension and negatively to mitral valve deceleration time and isovolumic relaxation time. Among men, Hgb delivery had positive independent relations to mitral valve A velocity, LV internal dimension, midwall shortening, and LV mass and negative relations to the E/A ratio and relative wall thickness. Thus, in hypertensive LVH, higher oxygen delivery capacity is associated with higher LV mass and impaired early diastolic LV filling.

Nyckelord

Aged
Aged
80 and over
Antihypertensive Agents/*therapeutic use
Blood Flow Velocity
Cardiac Output
Echocardiography
Female
Hemoglobins/*metabolism
Humans
Hypertension/blood/complications/*drug
therapy/*physiopathology/ultrasonography
Hypertrophy
Left Ventricular/etiology/physiopathology/*ultrasonography
Losartan/*therapeutic use
Male
Middle Aged
Mitral Valve/physiopathology
Multivariate Analysis
Myocardial Contraction
Osmolar Concentration
Sex Characteristics
*Ventricular Function
Left

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