Introduction : Sustained hypertension causes accelerated atherosclerosis with consequent coronary heart disease. Blood pressure levels are main determinants of intima media thickness while interaction of blood pressure with others are more relevant for advanced intima media thickening. The main motive or aim of study is to evaluate, whether there is any association between carotid IMT& LVMI values and left ventricular hypertrophy that can be detectable in hypertensive patients early.
Methods: This Cross sectional study involved 100 Subjects of both the genders , aged 20 years to 50 years and all classes of socio economic strata. The intimal medial thickness of Common carotid artery was determined by higher resolution B mode ultrasonography having a linear transducer with frequency 8MHz. Left ventricular hypertrophy was defined as left ventricular mass index >51g/m2.M-mode, two-dimensional and Doppler echocardiography examinations of the left ventricle was performed.
Results: The mean CIMT values were significantly higher in stage 2 as compared to stage 1 of hypertension. 59 % patients had left ventricular hypertrophy (LVH). There was statistically significantly higher age in group of hypertensives with LVH as compared to hypertensives without LVH.LVMI was significantly higher in hypertensive patients with LVH as compared to hypertensives without LVH. The mean CIMT values were significantly higher in LVH group as compared to without LVH group.
Conclusion: Left ventricular hypertrophy and carotid intimal thickness was present in large number of patients with essential hypertension. It was also evident that there was a very significant co relation between carotid intimal thickness and left ventricular hypertrophy. The probability of carotid thickness increases with higher stage of hypertension.
Impact Factor
2022: 6.012
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