Investigation of the Relationship Between Left Ventricular Hypertrophy and Endothelial Dysfunction in Patients with Primary Hypertension by ADMA and hsCRP.

Introduction: Hypertension targets many organs. This study investigates left ventricular hypertrophy (LVH), which can lead to conduction disorders, arrhythmias, and heart failure. Endothelial dysfunction (ED) was assessed using serum asymmetric dimethyl-arginine (ADMA) levels. Methods: The study inc...

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Published in:Lokman Hekim Health Sciences Vol. 4; no. 1; pp. 44 - 50
Main Authors: Kurt, Ömer, Karaman, Murat, Sağlam, Kenan
Format: research tables/charts Journal Article
Published: KARE Publishing 2024
Online Access:View this record in EBSCOhost
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      dt: 2024
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      pub: KARE Publishing
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        10.14744/lhhs.2024.1202
        177669090
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        atl: Investigation of the Relationship Between Left Ventricular Hypertrophy and Endothelial Dysfunction in Patients with Primary Hypertension by ADMA and hsCRP.
      aug:
        au:
          Kurt, Ömer
          Karaman, Murat
          Sağlam, Kenan
        affil: Department of Gastroenterology, Memorial Hospital, Ankara, Türkiye
      sug:
        subj:
          Hypertrophy, Left Ventricular
          Endothelium Physiopathology
          Hypertension Diagnosis
          Arginine Blood
          C-Reactive Protein Blood
          Human
          Turkiye
          Cross Sectional Studies
          Nonexperimental Studies
          Correlational Studies
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Aged
          Descriptive Statistics
          Data Analysis Software
          Kruskal-Wallis Test
          Mann-Whitney U Test
          Chi Square Test
          Fisher's Exact Test
          Body Mass Index
          Inflammation
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Introduction: Hypertension targets many organs. This study investigates left ventricular hypertrophy (LVH), which can lead to conduction disorders, arrhythmias, and heart failure. Endothelial dysfunction (ED) was assessed using serum asymmetric dimethyl-arginine (ADMA) levels. Methods: The study included a total of 90 voluntary participants: 30 patients with hypertension and left ventricular hypertrophy, 30 hypertensive patients without hypertrophy, and 30 normotensive healthy controls. Serum ADMA levels were used to detect endothelial dysfunction. Results: The results showed that serum ADMA levels were significantly higher in the patient group compared to the control group. However, there was no significant difference in serum ADMA levels between the two subgroups of patients, with or without left ventricular hypertrophy (LVH). A correlation analysis was performed, revealing no correlation between serum ADMA levels and the left ventricular mass index (LVMI). Discussion and Conclusion: There appears to be no direct relationship between LVH and endothelial dysfunction. Furthermore, inflammatory processes seem to contribute to the development of LVH rather than endothelial dysfunction. The duration of exposure to high blood pressure and the stage of hypertension are also believed to impact this process.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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