Are left ventricular mass, geometry and function related to vascular changes and/or insulin resistance in long-standing hypertension? ICARUS: a LIFE substudy

M H Olsen, E Hjerkinn, K Wachtell, A Høieggen, J N Bella, S D Nesbitt, E Fossum, S E Kjeldsen, S Julius, H Ibsen, H Ibsen

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

13 Citationer (Scopus)

Abstract

Vascular hypertrophy and insulin resistance have been associated with abnormal left ventricular (LV) geometry in population studies. We wanted to investigate the influence of vascular hypertrophy and insulin resistance on LV hypertrophy and its function in patients with hypertension. In 89 patients with essential hypertension and electrocardiographic LV hypertrophy, we measured blood pressure; insulin sensitivity by hyperinsulinaemic euglucaemic clamp; minimal forearm vascular resistance (MFVR) by plethysmography; intima-media cross-sectional area of the common carotid arteries (IMA) by ultrasound; and LV mass, relative wall thickness (RWT), systolic function and diastolic filling by echocardiography after two weeks of placebo treatment. LV mass index correlated to IMA/height (r=0.36, P=0.001), serum insulin (r=-0.25, P
OriginalsprogEngelsk
TidsskriftJournal of Human Hypertension
Vol/bind17
Udgave nummer5
Sider (fra-til)305-11
Antal sider7
ISSN0950-9240
DOI
StatusUdgivet - 2003

Citationsformater