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Revista Archivo Médico de Camagüey

On-line version ISSN 1025-0255


GONZALEZ NUNEZ, Honey; GARCIA LOPEZ, Vivian; MEDINA, Ángel  and  HERRERA CRUZ, Niria. Primary hypertensive patients. Evolution of cardiac remodeling according to treatment. AMC [online]. 2009, vol.13, n.1. ISSN 1025-0255.

Background: The arterial hypertension is a worldwide high-priority health problem that eminently affects developed societies and it is extraordinarily prevaling. Objective: To assess, after the pharmacological treatment, the evolution of cardiac remodeling in primary hypertensive patients. Method: An observational, cross-sectional analytic study in three health areas of Camagüey municipality to 178 primary hypertensive patients was conducted, older than 18 years, diagnosed with remodeling of the left ventricle in the year 2004. To the study group was indicated antihypertensive treatment in their respective family doctor´s offices. In the year 2006 were performed to these patients echocardiographies, it were practiced the diastolic mensurations of the left ventricle and the geometric patterns were classified. The echocardiographic mensurations were compared with those of the 2004 and the evolution of the geometric pattern's changes was determined. Results: After the pharmacological treatment, they normalized the geometric pattern 12,4%, the concentric remodeling and the eccentric hypertrophy diminished until a 11,8 and 23,6% of patients respectively and the concentric hypertrophy increased to 52,2%. It was demonstrated that 80,5% of patients with concentric remodeling evolved unfavorably. The 56,1% of patients with concentric ventricular hypertrophy, stayed with stable evolution. The eccentric ventricular hypertrophy had 74% with favorable evolution. Conclusions: Before and after the pharmacological treatment a prevalence of the concentric hypertrophy existed.

Keywords : Hipertensión; ventricular remodeling.

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