[Left ventricular geometry study in black African hypertensives].

AIM: To determine the prevalence and determinants of different types of echocardiographic left ventricular remodeling in African black hypertensive patients.

PATIENTS AND

METHODS

A transversal descriptive study was conducted from January 1, 2015, to March 31, 2016, in the external explorations department of the Abidjan Heart Institute-Côte d'Ivoire. Transthoracic cardiac echo-graphs were performed in 524 (251 women) hypertensive subjects according to the American Society of Echocardiography convention.

RESULTS

Twenty-nine percent of hypertensive patients had cardiac remodeling (in women and men, respectively, concentric remodeling 14.7 % and 15.7 %; concentric hypertrophy 6 % and 10.3 %; eccentric hypertrophy 7.6 % and 3.7 %). Only systolic and diastolic blood pressure levels were significantly correlated with left ventricular mass indexed to body surface area.

CONCLUSION

This study showed a significant proportion of hypertensives with abnormal left ventricular geometry and confirmed the relationship between blood pressure level and left ventricular geometry change.