PS-C14-5: ECHOCARDIOGRAPHIC PHENOTYPES OF HYPERTENSIVE IN NORTH CENTRAL NIGERIA

Abstract

Objective: To describe the cardiac morphologic phynotypes in hypertensives as seen on echocardiography . Design and Methods: All patients presenting for echocardiography at the echocardiography lab were evaluated and documented alongside there biodata and anthropometry. The study was a cross sectional descriptive study done from 2019 t0 2022. Criteria for inclusion was hypertension and hypertension related cardiac morbidity. Data obtained was analyzed using SPSS version 16. Quantitative variables were presented as mean and standard deviation while qualitative variables were presented as frequencies and percentages. Level of significance p was at 0.05 Results: Five hundred and eighteen patients were included consisting of 50.6% male and 49.4% female with mean age of 55.08 ± 12.62 years. Majority (54.97%) of patients were between 50 -70 years of age. The mean age and BMI of males and females were significantly different at p values of 0.029 and 0.0001 respectively. Most patients had hypertensive heart disease ((96.0%), preserved EF(80.04%), grade 1 diastolic dysfunction(76.64%) and normal RV systolic function(90.98%). The mean LVEF, LAD, LVID, IVSd and LVPWd for males and females were significantly different at p value of 0.0001. The predominant LV geometry was concentric LV hypertrophy (45.8%) and 14% of patients had a dilated cardiomyopathy. Conclusions: Echocardiographic findings in hypertensives showed predominant abnormal morphologies with significant differences between male and females. This calls for management of hypertension beyond the numbers