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Relationship Between Left Ventricular Geometry and Soluble ST2 in a Cohort of Hypertensive Patients

机译:高血压患者队列左心室几何形状与可溶性ST2的关系

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Left ventricular (LV) hypertrophy (LVH) is classified according to geometric pattern into 4 types: concentric hypertrophy, eccentric hypertrophy, concentric remodeling, and normal geometry. Prevalence of death and cardiovascular complications associated with hypertension depend on the geometric pattern. Although soluble ST2 levels, a novel cardiac biomarker of mechanical strain is increased in hypertension, the relationship with hypertensive LV geometric patterns has not been studied. The authors investigated the relationship between soluble ST2 levels and LV geometric patterns in a cohort of hypertensive patients. LVH was considered present when echocardiographic LV mass index exceeded 49.2 g/m2.7 in men and 46.2 g/m2.7 in women. Patients with concentric hypertrophy had higher soluble ST2 levels compared with patients with normal geometry (20.4±8.4 ng/mL vs 14.3±5.4 ng/mL, P.002). Therefore, soluble ST2 level is not only affected by hypertensive LV, but may be a future biomarker in differentiating concentric hypertrophy from normal geometry in hypertension.
机译:左心室肥大(LVH)根据几何图案分为4种类型:同心肥大,偏心肥大,同心重塑和正常几何。与高血压相关的死亡和心血管并发症的患病率取决于几何图形。尽管在高血压中可溶的ST2水平(一种新的机械应变心脏生物标志物)水平增加,但尚未研究与高血压LV几何图案的关系。作者研究了一群高血压患者的可溶性ST2水平与LV几何模式之间的关系。当超声心动图左心室质量指数超过男性49.2 g / m2.7和女性46.2 g / m2.7时,认为存在LVH。同心肥大的患者比正常几何形状的患者具有更高的可溶性ST2水平(20.4±8.4 ng / mL对14.3±5.4 ng / mL,P <.002)。因此,可溶性ST2水平不仅受高血压左室的影响,而且可能成为区分同心肥大和高血压正常几何的未来生物标志物。

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