Abstract
Objective: To study of the relationship of overweight and hemodynamic echocardiographic indices of cardiac activity study in hypertensive patients. Design and method: Participants are 112 patients with hypertension of II degree, aged 30–65 years. The average age of the patients was 54,5 (CI 52,3; 56,8) years. Following criteria were taken into account: age, systolic and diastolic blood pressure (SBP, DBP), heart rate (HR), height, weight, body mass index (BMI), waist and hips circumference indicators (WCI, HCI), the ratio WCI/HCI. Following parameters during echocardiography were studied: left ventricle end-diastolic dimension (LVEDD), interventricular septum thickness (IVST) and left ventricular posterior wall (LVPW), an index of relative wall thickness (RWT) and left ventricular myocardial mass (LVM) and the left ventricular mass index (LVMI). “STATISTICA” software was used for statistical processing. Results: 95% confidence interval was applied. SBP was 150.4 (145,8; 155,0); DBP - 90.7 (87,8; 93,4); HR - 75.3 (72,9; 77,7). The growth indicators - 165.5 (163,9; 167,2); body weight - 75.8 (73,1; 78,6); BMI - 27.2 (26,4; 28,0); WCI - 91.8 (89,5; 94,1); HCI - 104.6 (102,6; 106,6); WCI / HCI - 0.88 (0,86; 0,90). EF - 64.0 (63,4; 64,6); LVEDD - 45.8 (44,2; 47,3); LVPW - 11.2 (10,7; 11,7); IVST - 10.2 (9,5; 10,8). RWT - 0.48 (0,45; 0,51); LVM - 208.5 (190,8; 226,2); LVMMI - 111.3 (102,3; 120,3). Spearman's rank correlation was identified at the level of p < 0,05 in the whole group: between the indices WC and DBP (r = 0,39); HCI and DBP (r = 0,35); between SBP: DBP (r = 0,37), LVPW (r = 0,33), IVST (r = 0,25), RWT (r = 0.24), MMLV (r = 0,32), LVMI (r = 0.30); between BMI: CRA (r = 0,30), LVPW (r = 0,30), IVST (r = 0,41), RWT (r = 0,25), MMLV (r = 0,40), LVMI (r = 0,25); between WCI / HCI: RWT (r = 0,37), IVST (r = 0,27), RWT (r = 0,34). Conclusions: In the group of hypertensive patients a correlation between the indices pointing to overweight and echocardiographic indices of myocardial remodeling was found.