LEFT VENTRICULAR REMODELLING IN HYPERTENSIVE PATIENTS IN NORTHERN BORDERS REGION OF SAUDI ARABIA

Abstract

Background: Hypertension is a disease characterised by end-organ complications, including left ventricular hypertrophy (LVH). Settings: We planned this study in the Physiology Department of College Medicine, Northern Borders University with Collaboration of Cardiology Department of Central Hospital Arar, during 01 November to 31 December 2010. Methods: Fifty newly diagnosed and untreated patients of hypertension induced LVH were included along with 50 age and sex match none obese normotensive and healthy volunteers as controls and measured the Blood Pressure, the mean arterial pressure, and echocardiography was performed to see LVH. Results: The mean age (48.969.5 versus 46.969.1 years) and body mass index (28.462 versus 26.99 Kg/m²) were calculated (p>0.05). The mean arterial blood pressure was 111.61 mmHg (p<0.0001). The IVSTd and the PWTd were greater in hypertensive (p<0.0001), while LVIDd were significant (p<0.001). Conclusions: The degree of left ventricular remodelling in chronic uncontrolled hypertensive patients depends largely upon the degree of control of Hypertension but it is not always true there may be exceptions. While comparing our study it is almost in the agreement of western studies.  For the time being we could not find any relationship of LVH with BMI. Therefore it is suggested that further specific study may be conducted with different parameters to find this relationship.