PMID: 8949734Sep 21, 1996Paper

Arterial hypertension in black Africans. Clinical and echographic study in 50 patients

La Presse médicale
P AbassadeA Guiomard

Abstract

Clinical and electrocardiographic and echocardiographic data were collected in 50 black Africans with hypertension to study modifications in left ventricular geometry. Thirty men and 20 women with hypertension (mean age 40.9 +/- 10.2 years) who had recently immigrated from Africa were included in the study. Parameters recorded were: systolic and diastolic pressures, body mass index (BMI = weight/height2); ECG; echocardiography (36 patients): end diastolic septal and posterior wall thickness, left ventricle diameter, left ventricle mass (LVM) and relative wall thickness. Systolic and diastolic pressures and BMI were 169 +/- 24 mmHg, 105 +/- 14 mmHg and 26.7 +/- 3.9 kg/m2). LVM was 129 +/- 41 g/m2 (Normal < 134 g/m2) in men and 113 +/- 35 g/m2 (Normal = 110 g/m2) in women. Concentric remodeling was found in 8 patients (LVM = normal, relative wall thickness > or = 0.45), concentric left ventricle hypertrophy in 10 (LVM > normal, relative wall thickness > or = 0.45), excentric left ventricular hypertrophy in 6 (LVM > normal, relative wall thickness < 0.45), asymmetric septal hypertrophy in 4 and normal echocardiogram in 8. There was a negative correlation between age and end diastolic left ventricle diameter (r = -0.34, p < 0.05) a...Continue Reading

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