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Arrhythmia related to hypertensive left ventricular hypertrophy in Iraqi patients: frequency and outcome

Left ventricular hypertrophy (LVH) caused by high blood pressure is linked to increased mortality and arrhythmia risk. This study aimed to evaluate arrhythmia in hypertensive patients due to left ventricular hypertrophy (LVH). A cross-sectional study was performed, assessing participants' blood...

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Autor principal: Al Alwany, Ameen Abdulhasan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Carol Davila University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9635237/
https://www.ncbi.nlm.nih.gov/pubmed/36415521
http://dx.doi.org/10.25122/jml-2022-0214
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author Al Alwany, Ameen Abdulhasan
author_facet Al Alwany, Ameen Abdulhasan
author_sort Al Alwany, Ameen Abdulhasan
collection PubMed
description Left ventricular hypertrophy (LVH) caused by high blood pressure is linked to increased mortality and arrhythmia risk. This study aimed to evaluate arrhythmia in hypertensive patients due to left ventricular hypertrophy (LVH). A cross-sectional study was performed, assessing participants' blood pressure, echocardiography and electrocardiography, and Holter monitoring in certain cases. There were 300 hypertensive patients >18 years attending the cardiology unit of Baghdad medical city. The study was conducted between January–June 2022. The electrocardiograms at rest for 300 adults with hypertension were investigated. 130 (43.5%) were females, and 170 (56.5%) were males. The mean age of participants was 58 years. Forty-nine (16.3%) patients had arrhythmia. As compared to those without arrhythmia, participants with arrhythmia were older (62.3 vs. 56.1, p=0.03), had a greater prevalence of left ventricular hypertrophy (24.5% vs. 12.7%, p=0.026), and more prone to experience cardiac failure (32.7% vs. 8.5%, p<0.011). Atrial fibrillation was found in 6 (27.2%) female patients and 5 (18.5%) males. In addition, two (7.4%) male patients and one female patient (4.5%) had atrial flutter, and premature ventricular contractions (PVCs) were noted in 10 (37%) and 11 (50%) patients. Left ventricular mass index (LVMI) was 103 gm/m(2) in female patients and 119.2 gm/m(2) in males. Palpitation was present in 22 (44.9%) female patients and 27 (55.1%) males. The study revealed that hypertensives with LVH have an arrhythmia frequency of 16.3%. The most common arrhythmias were atrial fibrillation and premature ventricular complex.
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spelling pubmed-96352372022-11-21 Arrhythmia related to hypertensive left ventricular hypertrophy in Iraqi patients: frequency and outcome Al Alwany, Ameen Abdulhasan J Med Life Original Article Left ventricular hypertrophy (LVH) caused by high blood pressure is linked to increased mortality and arrhythmia risk. This study aimed to evaluate arrhythmia in hypertensive patients due to left ventricular hypertrophy (LVH). A cross-sectional study was performed, assessing participants' blood pressure, echocardiography and electrocardiography, and Holter monitoring in certain cases. There were 300 hypertensive patients >18 years attending the cardiology unit of Baghdad medical city. The study was conducted between January–June 2022. The electrocardiograms at rest for 300 adults with hypertension were investigated. 130 (43.5%) were females, and 170 (56.5%) were males. The mean age of participants was 58 years. Forty-nine (16.3%) patients had arrhythmia. As compared to those without arrhythmia, participants with arrhythmia were older (62.3 vs. 56.1, p=0.03), had a greater prevalence of left ventricular hypertrophy (24.5% vs. 12.7%, p=0.026), and more prone to experience cardiac failure (32.7% vs. 8.5%, p<0.011). Atrial fibrillation was found in 6 (27.2%) female patients and 5 (18.5%) males. In addition, two (7.4%) male patients and one female patient (4.5%) had atrial flutter, and premature ventricular contractions (PVCs) were noted in 10 (37%) and 11 (50%) patients. Left ventricular mass index (LVMI) was 103 gm/m(2) in female patients and 119.2 gm/m(2) in males. Palpitation was present in 22 (44.9%) female patients and 27 (55.1%) males. The study revealed that hypertensives with LVH have an arrhythmia frequency of 16.3%. The most common arrhythmias were atrial fibrillation and premature ventricular complex. Carol Davila University Press 2022-09 /pmc/articles/PMC9635237/ /pubmed/36415521 http://dx.doi.org/10.25122/jml-2022-0214 Text en ©2022 JOURNAL of MEDICINE and LIFE https://creativecommons.org/licenses/by/3.0/This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/ (https://creativecommons.org/licenses/by/3.0/) ), which permits unrestricted use and redistribution provided that the original author and source are credited.
spellingShingle Original Article
Al Alwany, Ameen Abdulhasan
Arrhythmia related to hypertensive left ventricular hypertrophy in Iraqi patients: frequency and outcome
title Arrhythmia related to hypertensive left ventricular hypertrophy in Iraqi patients: frequency and outcome
title_full Arrhythmia related to hypertensive left ventricular hypertrophy in Iraqi patients: frequency and outcome
title_fullStr Arrhythmia related to hypertensive left ventricular hypertrophy in Iraqi patients: frequency and outcome
title_full_unstemmed Arrhythmia related to hypertensive left ventricular hypertrophy in Iraqi patients: frequency and outcome
title_short Arrhythmia related to hypertensive left ventricular hypertrophy in Iraqi patients: frequency and outcome
title_sort arrhythmia related to hypertensive left ventricular hypertrophy in iraqi patients: frequency and outcome
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9635237/
https://www.ncbi.nlm.nih.gov/pubmed/36415521
http://dx.doi.org/10.25122/jml-2022-0214
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