We have located links that may give you full text access.
Comparative Study
Journal Article
Determinants of left ventricular mass in aortic stenosis.
Journal of Heart Valve Disease 2004 November
BACKGROUND AND AIM OF THE STUDY: There are many possible determinants of left ventricular (LV) mass, including the angiotensin-converting enzyme (ACE) genotype, which have rarely been compared in aortic stenosis (AS). The study aim was to investigate these determinants in patients with all grades of AS.
METHODS: Transthoracic echocardiography and an analysis of ACE genotype was performed in 91 patients with aortic valve thickening and a peak aortic velocity >2.0 m/s.
RESULTS: Univariate relationships were identified between LV mass index and effective orifice area (R = 0.22), and peak transaortic pressure difference (R = 0.36). LV mass index was similar for the ACE-II (152+/-37 g/m2), ACE-ID (145+/-46 g/m2) and ACE-DD (161+/-56 g/m2) genotypes. LV mass index was significantly greater in males (162+/-52 gm/m2) than in females (137+/-38 gm/m2; p = 0.014). The multivariate determinants varied according to the grade of AS: diastolic blood pressure (p = 0.028) in mild stenosis; peak transaortic pressure difference (p = 0.03) in moderate stenosis; and peak transaortic pressure difference (p <0.0001) and gender (p = 0.02) in severe stenosis. LV hypertrophy was present in 15 of 24 patients (63%) with mild AS, in 21 of 27 (78%) with moderate AS, and 32 of 40 (80%) with severe AS.
CONCLUSION: LV hypertrophy is common, even in mild AS, when it is independently related only to the systemic blood pressure. This suggests that antihypertensive agents should be considered early in the natural history of AS.
METHODS: Transthoracic echocardiography and an analysis of ACE genotype was performed in 91 patients with aortic valve thickening and a peak aortic velocity >2.0 m/s.
RESULTS: Univariate relationships were identified between LV mass index and effective orifice area (R = 0.22), and peak transaortic pressure difference (R = 0.36). LV mass index was similar for the ACE-II (152+/-37 g/m2), ACE-ID (145+/-46 g/m2) and ACE-DD (161+/-56 g/m2) genotypes. LV mass index was significantly greater in males (162+/-52 gm/m2) than in females (137+/-38 gm/m2; p = 0.014). The multivariate determinants varied according to the grade of AS: diastolic blood pressure (p = 0.028) in mild stenosis; peak transaortic pressure difference (p = 0.03) in moderate stenosis; and peak transaortic pressure difference (p <0.0001) and gender (p = 0.02) in severe stenosis. LV hypertrophy was present in 15 of 24 patients (63%) with mild AS, in 21 of 27 (78%) with moderate AS, and 32 of 40 (80%) with severe AS.
CONCLUSION: LV hypertrophy is common, even in mild AS, when it is independently related only to the systemic blood pressure. This suggests that antihypertensive agents should be considered early in the natural history of AS.
Full text links
Related Resources
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app