Abstract
Aim: To study carotid intima media thickness by Ultrasonography and establish diagnosis of left ventricular hypertrophy by echocardiography and electrogram, in patients of systemic hypertension. To correlate the findings of carotid ultrasonography with left ventricular hypertrophy.
Materials and Methods: The study was conducted at M.M. Institute of medical sciences and research, Mullana, Ambala. Fifty hypertensive patients with age <55years were taken from OPD and indoor wards of medicine department. According to JNC 7 criteria, stage 1 and stage 2 was considered for this study. B mode ultrasonography and M mode 2 Dimensional echocardiography along with electrocardiogram were used to estimate the carotid intima medial thickness and left ventricular hypertrophy. The data obtained was subjected to appropriate statistical analysis for assuring the results of the study.
Result: There was appositive correlation between carotid intima media thickness and left ventricular hypertrophy.
Conclusion: Ultrasonography of carotids and 2D- Echocardiography should be performed in all patients of essential hypertension to so that early detection of cardiovascular and cerebrovascular complication of hypertension can be facilitated.
References
1. Kotchen TA. Hypertensive vascular diseases: In Harrison’s Principles of internal medicine. Kasper DL, Fauci AS, Longo DL, Braunwald E, Hauser SL, Jameson JL, editors. 17th ed. New York: McGraw Hill Companies;2008:1549-1562.
2. Poreds P.Intima- media thickness:indicator of cardiovascular risk and measureof extent of atherosclerosis .Sage Journal online.Vol.9(1):46-54,2004
3. Feigenbaum H. 2-Dimensional measure-ments In: Fiegenbaum’s echocardiography. Fiegenbaum H, Armstrong WF, Ryan T, editors. 6th edition;141-8, hypertension. Circulation. Vol.81:978-986,to the insulin resistance syndrome in elderly men. Circulation 2000,101:2595-2600.
4. Kokiwar PR,Gupta SS.Prevalance of hypertension in a rural community of cental India.Int J Biol Med Res. 2011;(4): 50 – 3
5. Das SK, Sanyal K, Basu. A study of urban community survey in india:growing trend of high prevalence of hypertension in a developing country. Int J Med Sci 2005;2(2):70-8
6. Nand N, Jain R, Seth S, Sen J, Sharma M. A New Marker of Carotid Athrosclerosis In Middle Aged Adults: Cystatin Cor Microalbuminuria. Indian Heart J, 2010;62:320-23
7. Lim TK, Lim E, Dwivedi G, Kooner J, Senior R. Normal value of caroti intima-media thickness – a surrogate marker of atherscelrosis: quantative assessment by B- mode carotid ultrasound. J Am Soc Echocardiogr.2008 Feb;21(2):112-6
8. Zanchetti A, Crepaldi G, Bond MG, Gallus GV, Veglia F, Ventura A et al. Systolic and blood pressure (but not the diastolic blood pressure and seum cholesterol) are associated with alterations in carotid intima-media thickness in the moderately hypercholestrolaemic hypertensive patients of the Plaque Hypertension Lipid Lowering Italian Study. PHYLLIS Study group . J Hypertens. 2001 Jan;19(1):79-88
9. Cuspidi C, Lonati L, Macca G, Sampievi L, Fusi V, Michevi I, et al. Prevelance of left ventricular hypertrophy and carotid thickening in a large selected hypertensive population: impact of the different ecocardiographic and ultrasonographic diagnostic criteria. Blood Press. 2001:10(3):142-9
10. Di Bello V, Carerj S, Perticone F, Benedetto F, Palombo C, Talini E, et al. Carotid intima –media thickness in asymptomatic patients with aterial hypertension without clinical cardiovascular disease: realation with leftventricular geometry and mass and coexisting risk factors.Angiology.2009 Dec – 2010 Jan;60(6):705-13
11. Vaudo G, Schillaci G, Evangelista F, Pasqualini L, Verdecchia P,Mannarino E.Arterial wall thickeninig at different sites and its association with left ventricular hypertrophy in newly diagnosed essential hypertension. Am J Hypertens.2000 Apr;13(4):324-31
12. Parrinello G, Pinto A, Clomba D, Bologna P, Santolini R, Paterna S, et al. Relationship between left ventricular hypertrophy, diastolic function ad extracardiac atherosclrosi in newly diagnosed hypertensives. Am J Hypertens. 2001;14:162-3
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.52
