ESPN 51th Annual Meeting

ESPN 2018


 
LEFT VENTRICULAR HYPERTROPHY IN PEDIATRIC ESSENTIAL HYPERTENSION
ARIFE USLU GÖKCEOĞLU 1 FATIH ATIK 2 İBRAHIM ECE 2

1- ANKARA TRAINING AND RESEARCH HOSPITAL, PEDIATRIC NEPHROLOGY DEPARTMENT
2- ANKARA TRAINING AND RESEARCH HOSPITAL, PEDIATRIC CARDIOLOGY DEPARTMENT
 
Introduction:

 Left ventricular hypertrophy (LVH) in children with essential hypertension tend to be underdiagnosed. The aim of this study is to investigate left ventricular hypertrophy in the subjects with  hypertension defined by ambulatory blood pressure monitoring.

Material and methods:

 A total of 20  subjects aged 6-17 years without secondary causes of hypertension were reviewed. Ambulatory blood pressure monitoring was done in all patients  to diagnose hypertension and gain the information of blood pressure pattern. Two-dimensional ultrasound with M-mode imaging was performed to measure left ventricular mass index. History of patients were recorded from medical files.

Results:

 Sixteen patients are boys and four patients are girls. Ten patients have  family history of hypertension. Totally  twelve patient  (%60) has left ventricular hypertrophy. Seven patient ( %35) has obesity. Only three(%25)  of obese children had left ventircular hypertrophy.  Nine patients (%75)  with left venticular hypertrophy  are not obese. Only one patient ( %5) has hypertensive retinopathy.   Two patients have proteinuria. Six patients had high levels of renin and aldosteron.

 

Conclusions:

 Most of the patients with left venticular hypertrophy and essential hypertension have no obesity although in literature  the risk factor identified for LVH in hypertensive subjects is body mass index.