Resumen

ROMERO SANCHEZ, María del C et al. Cardiovascular remodeling in the hypertensive patient in a health area. AMC [online]. 2007, vol.11, n.5. ISSN 1025-0255.

A cross-sectional study to identify the modifications of the cardiovascular remodeled of 70 hypertensive patients at "Ignacio Agramonte Loynaz" Hospital of Camagüey in the period of three years 2002-2004. Variables such as age groups, sex, nutritional state, evolution time and arterial hypertension stage, geometric pattern on the first and second measurements after treatment with inhibitors of angiotensin-converting enzyme or other antihypertensives were studied. More than the 95% had more than 46 years, the 61.4% were women, the 57.1% were overweight or obese, the 58.6% had more than ten years of hypertension evolution, the 72.8% were classified in stage II and the 45.7% presented concentric hypertrophy. A regression to normality in the 58.5% of the patients was obtained. The cardiovascular remodelling was more frequent in women with increasing the age, body weight, evolution time and arterial hypertension stage. In the second measurement more than the half of the patients reverted their geometric pattern; the remainder persisted exclusively with concentric remodeled. The treatment with inhibitors of the angiotensin-converting enzyme showed no superior results.

Palabras clave : hypertension; ventricular remodeling; catchment area.

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