尼日利亚高血压患者的高血压家族史和超声心动图左心室肥厚。

IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Global Health Epidemiology and Genomics Pub Date : 2024-09-21 eCollection Date: 2024-01-01 DOI:10.1155/2024/7858899
Olugbenga Olusola Abiodun, Tina Anya, Victor Tunde Adekanmbi, Dike Ojji
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引用次数: 0

摘要

简介:关于高血压家族史与左心室肥厚关系的研究很少:有关高血压家族史与左心室肥厚之间关系的研究很少。我们对本质性高血压患者的这一关系进行了评估:方法:在前瞻性的阿布贾联邦医疗中心高血压登记处连续登记了 1668 名原发性高血压患者。一级家族史的定义是父母双方或其中一方、兄弟姐妹和子女有已知的高血压病史。超声心动图左心室肥厚的诊断采用美国超声心动图学会和欧洲心血管成像协会的标准:高血压家族史、超声心动图和心电图左心室肥厚的发生率分别为61.7%、46.8%和30.8%。经多变量调整后,父系高血压病史[OR:1.56,CI:1.20-2.05,p=0.001]与超声心动图左心室肥厚风险增加相关,而母系高血压病史[OR:0.72,CI:0.58-0.91,p=0.006]与风险降低相关。年龄≥50岁(p=0.026)、高血压持续时间≥1年(p=0.047)和心力衰竭(p<0.001)与左室肥厚风险增加有关,而男性(p<0.001)与左室肥厚风险降低有关:我们的研究表明,父系高血压史与原发性高血压患者左心室肥厚风险增加有关,而母系高血压史则具有保护作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Family History of Hypertension and Echocardiographic Left Ventricular Hypertrophy in Hypertensive Nigerians.

Introduction: Studies on the relationship between a family history of hypertension and left ventricular hypertrophy are sparse. We evaluated this relationship in patients with essential hypertension.

Methods: A total of 1668 patients with essential hypertension were consecutively enrolled in the prospective Federal Medical Centre Abuja Hypertension Registry. First-degree family history was defined by the presence of a known history of hypertension in any or both parents, siblings, and children. Echocardiographic left ventricular hypertrophy was diagnosed using the criteria of the American Society of Echocardiography and the European Association of Cardiovascular Imaging.

Results: The prevalence of a family history of hypertension, echocardiographic, and electrocardiographic left ventricular hypertrophy were 61.7%, 46.8%, and 30.8%, respectively. After multivariable adjustment, paternal history of hypertension [OR: 1.56, CI: 1.20-2.05, p=0.001] was associated with an increased risk of echocardiographic left ventricular hypertrophy, while maternal history of hypertension [OR: 0.72, CI 0.58-0.91, p=0.006] was associated with a reduced risk. Age ≥50 years (p=0.026), duration of hypertension ≥1 year (p=0.047), and heart failure (p < 0.001) were associated with an increased risk of left ventricular hypertrophy, while male sex (p < 0.001) was associated with a reduced risk.

Conclusion: Our study showed that a paternal history of hypertension is associated with an increased left ventricular hypertrophy risk among patients with essential hypertension, while maternal history is protective.

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来源期刊
Global Health Epidemiology and Genomics
Global Health Epidemiology and Genomics PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.40
自引率
0.00%
发文量
10
审稿时长
20 weeks
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