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

13 Citations (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
Original languageEnglish
JournalJournal of Human Hypertension
Volume17
Issue number5
Pages (from-to)305-11
Number of pages7
ISSN0950-9240
DOIs
Publication statusPublished - 2003

Keywords

  • Aged
  • Blood Flow Velocity
  • Blood Glucose
  • Blood Pressure
  • Carotid Artery, Common
  • Denmark
  • Diastole
  • Echocardiography
  • Female
  • Heart Ventricles
  • Humans
  • Hypertension
  • Hypertrophy, Left Ventricular
  • Insulin
  • Insulin Resistance
  • Male
  • Middle Aged
  • Norway
  • Sex Factors
  • Statistics as Topic
  • Stroke Volume
  • Systole
  • United States
  • Vascular Resistance
  • Ventricular Function, Left
  • Ventricular Remodeling

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