Pulse pressure and echocardiographical geometric patterns of the left ventricle in arterial hypertension patients

To know the relation in the pulse pressure and the different left ventricular geometric patterns in chronic hypertensive patients, were recruited one hundred (100) hypertensive patients (51 women and 49 men) referred of centers of primary attention, hospitals, private clinics and particular consultations to ascertained the systolic arterial pressure (SAD) and diastolic Arterial (PAD) to calculate the pulse pressure (PR and ecocardiografic evaluations were performed to determine the left ventricular mass (MVI), and index left ventricular mass (IMVI), The average age of the studied population was of 57 +/- 1,1 9 years old (58,88 +/- 1,70 for the women and 57,06 +/- 1,66 for the men) with PAS of 147,21 +/- 2,465 mmHg (145,41 +/- 3,30 mmHg for the women and 149,08 +/- 3,68 mmHg for the men) and PAD of 88,14 +/- 0,952 mmHg (87,41 +/- 1,05 mmHg for the women and 88,89 +/- 1,60 mmHg for the men). The average of PP was of 59, 07 +/- 2, 19 mmHg (58 +/- 3,081 mmHg in the women and 60,18 +/- 3,137 mmHg for the men). There was a 57% of geometric abnormalitys (63% in women and 69% in the men), predominating ventricular remodelling (37% in the total population; 43% in women and 43% in the men) followed of Concentric HVI (11 % in the total population; 16% in women and 10% in the men) and finally eccentric HVI (9% in the total population; 4% in women and 16% in the men). There was a significant difference in the distribution of percentage of geometric abnormalitys between the patients with PP smaller 50 and the patients with PP greater or equal 50 mmHg; in this last group there was greater the percentage of geometric abnormalitys with predominance of the ventricular remodeling one on the HVI, the concentric HVI was greater than the eccentric HVI and this last pattern predominates in men. There was a significant positive correlation between the PP and the IMVI (p=0, 0068; r=0, 2691) Conclusions: Around the half of the hypertensive patients displays some type of geometric abnormality being ventricular remodeling the more frequent geometric pattern. The greater frequency of geometric abnormalities happens in the patients with PP greater of 50 mmHg. The eccentric HVI predominated in men with PP greater of 50 mmHg. An effective control becomes necessary of the PA and the PP in order to diminish the prevalence of the left ventricular geometric patterns that increase the risk of cardiovascular morbidities.