Abstract
Background: Left ventricular (LV) hypertrophy and impaired diastolic function may occur early in systemic hypertension, but longitudinal studies are missing. Methods: We performed an echocardiographic follow-up study in young initially normotensive male offspring of hypertensive (OHyp) ( n = 25) and normotensive (ONorm) ( n = 17) parents. Blood pressure (BP), LV mass, and mitral inflow were determined at baseline and after 5 years. Pulmonary vein flow pattern assessment and septal myocardial Doppler imaging were additionally performed at follow-up. Results: At follow-up, BP was not significantly different between the two groups (128 ± 11 / 84 ± 10 v 123 ± 11 / 81 ± 5 mm Hg, OHyp v ONorm) but five OHyp had developed mild hypertension. LV mass index remained unchanged and was not different between the two groups at follow-up (92 ± 17 v 92 ± 14 g/m 2). Diastolic echocardiographic properties were similar at baseline, but, at follow-up, the following differences were found: mitral E deceleration time (209 ± 32 v 185 ± 36 msec, P < .05) and pulmonary vein reverse A wave duration (121 ± 15 v 107 ± 12 msec, P < .05) were prolonged in the OHyp as compared to the ONorm. Compared to the normotensive subjects, the five OHyp who developed hypertension had more pronounced alterations of LV diastolic function, that is, significantly higher mitral A (54 ± 7 v 44 ± 9 cm/sec, hypertensives v normotensives, P < .05), lower E/A ratio (1.31 ± 0.14 v 1.82 ± 0.48, P < .05), increased systolic-to-diastolic pulmonary vein flow ratio (1.11 ± 0.3 v 0.81 ± 0.16, P < .005), longer myocardial isovolumic relaxation time (57 ± 7 v 46 ± 12 msec, P < .05) as well as smaller myocardial E (10 ± 1 v 13 ± 2 cm/sec, P < .05) and E/A ratio (1.29 ± 0.25 v 1.78 ± 0.43, P < .05), despite similar LV mass (91 ± 16 v 93 ± 18 g/m 2). Conclusions: Over a 5-year follow-up, initially lean, normotensive, young men with a moderate genetic risk for hypertension, developed Doppler echocardiographic alterations of LV diastolic function compared to matched offspring of normotensive parents. These alterations were more pronounced in the OHyp who developed mild hypertension and occurred without a distinct rise in LV mass.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
