Health> Vol.5 No.6B, June 2013

Arterial hypertension and electrocardiographic diagnosis of left ventricular hypertension in the group of geriatric patients with coronary heart disease living in the far north

ABSTRACT

As a result of research, high prevalence of arterial hypertension has been identified in the group of patients with coronary heart disease aged 60 and older. Most often, occurring form of arterial hypertension among geriatric patients is isolated systolic arterial hypertension (ISAH). The comparison of two ethnic groups of the population has showed higher levels of systolic and diastolic blood pressure (SBP and DBP) in the group of patients of non-indigenous nationality, rather than Yakut patients. Correlation was recorded in the group of non-indigenous patients as they age. Significant increase in the level of SBP was identified in the group of senile and long-livers than in the elderly. Detection of ECG signs of LVH showed the lowest specificity of Cornell voltage criterion comparing to Sokolow-Lyon criterion with its more often occurrence. ECG-signs of left ventricle hypertrophy are significantly more often established by Sokolow-Lyon criterion for men, Cornell voltage—for women. Correlation has been found between the presence of LVH and combination of Cornell voltage criterion with both Gubner-Ungerleider and Sokolow-Lyon criteria.

KEYWORDS


Cite this paper

Arkhipova, N. , Popova, E. and Ariev, A. (2013) Arterial hypertension and electrocardiographic diagnosis of left ventricular hypertension in the group of geriatric patients with coronary heart disease living in the far north. Health, 5, 122-127. doi: 10.4236/health.2013.56A2018.

References

[1] (2012) World Health Statistics, Geneva.
[2] Demographic Yearbook of Russia (2010) Russian Statistics.
[3] Sukneva, S.A. (2009) Mortality rate in the Republic of Sakha (Yakutia). Statistical Issues, 8, 50-55.
[4] Ivanov, K., Klimova, T. and Kornileva, I.V. (2012) The dynamics of the effectiveness of treatment of hypertension in Yakutia. Cardio Somatica, 4, 48-51.
[5] Jackson, R., Wells, S. and Rodgers, A. (2008) Will screening individuals at high risk of cardiovascular events deliver large benefits? Yes. BMJ, 337, 1371.
[6] Nikitin, P., Kazakova, G., Zykov, V., et al. (1991) Features of of hypertension in the alien population of Chukotka. Cardiology, 9, 68-71. doi:10.1136/bmj.a1371
[7] Barnes, P.M., Adams, P.F. and Powell-Griner, E. (2008) Health characteristics of the Asian adult population: United States, 2004-2006. Advance Data, 394, 1-22.
[8] Reeves, T.J. and Bennet, C.E. (2004) We the people: Asians in the United State—Census 2000 special reports (CENSR-17). US Bureau of Census, Washington, DC.
[9] Rosamond, W., Flegal, K. and Friday, G. et al. (2007) Heart disease and stroke statistics—2007 update: A report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation, 115, 69-171. doi:10.1161/CIRCULATIONAHA.106.179918
[10] Donirova, O.S. (2009) Combined atherosclerotic lesions of coronary arteries and arteries of the lower extremities in the Republic of Buryatia. Synopsis, Irkutsk.
[11] Kireeva, V.V. and Orlova, G.M. (2006) Clinical and prognostic significance of coronary heart disease risk factors in different ethnic groups of Baikal region. Siberian Medical Journal, 4, 34-36.
[12] Malakshinova, Z.H. (1997) Coronary heart disease and risk factors among native and non-native population of Ulan-Ude based on cross-sectional and prospective study. Synopsis, Saint Petersburg.
[13] Ogarkov, M.Y., Barbarash, O.L., Polikutina, O.M., et al. (2003) The prevalence of coronary heart disease in indigenous and non-indigenous population of Mountain Shoria. Bulletin of the SB RAMS, 108, 58-63.
[14] Shestakova, G.N. (2004) The cardiovascular and respiratory systems of the indigenous population of Khanty the North Tyumen region. Synopsis, Tyumen.
[15] Gyrkolkau, L.A. and Sherbakova, L.V. (2010) Blood pressure levels and the frequency of hypertension in Chukotka natives. Bulletin of the SB RAMS, 30, 58-63.
[16] Kornileva, I.V., Ivanov, K.I., Alexeeva, E. Yu., et al. (2003) The prevalence of hypertension in the Republic of Sakha (Yakutia). Hypertension, 5, 182-184.
[17] Mulerova, T.A., Filimonov, S.N., Onishchenko, E.G., et al. (2012) Arterial hypertension and lipid metabolism in tubularov and non-indigenous the Republic of Altai. Basic Research, 8, 372-376.
[18] Burt, V.L., Whelton, P., Roccella, E.J., et al. (1995) Prevalence of hypertension in the US adult population: Results from the Third National Health and Nutrition Examination Survey, 1988-1991. Hypertension, 25, 305-313.
[19] Lloyd-Jones, D., Adams, R., Carnethon, M., et al. (2009) Heart disease and stroke statistics—2009 update: A report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation, 119, 121-181.
[20] Dzizinsky, A.A. and Protasov, K.V. (2008) Isolated systolic hypertension: Pathogenesis, diagnosis, treatment. Publishing Department, Irkutsk.
[21] Staessen, J., Amery, A. and Fagard, R. (1990) Isolated systolic hypertension in the elderly. Journal of Hypertension, 8, 393-405.
[22] Kannel, W.B., Gordon, T. and Offutt, D. (1969) Left ventricular hypertrophy by electrocardiogram. Prevalence, incidence, and mortality in the Framingham Study. Annals of Internal Medicine, 71, 89-105.
[23] Verdecchia, P., Schillaci, G., Borgioni, C., et al. (1998) Prognostic value of a new electrocardiographic method for diagnosis of left ventricular hypertrophy in essential hypertension. Journal of the American College of Cardiology, 31, 383-390.
[24] Levy, D., Salomon, M., D‘Agostino, R.B., et al. (1994) Prognostic implications of baseline electrocardiographic features and their serial changes in subjects with left ventricular hypertrophy. Circulation, 90, 1786-1793. doi:10.1161/01.CIR.90.4.1786
[25] Efimova, V.P. (2008) Capabilities to monitor the evolution of electrocardiographic left ventricular hypertrophy. Synopsis, Moskow.
[26] Gabrusenko, S.A. (2004) Hypertrophic cardiomyopathy: Current problems. Consilium Medicum, 6, 350-355.
[27] Saltykova, M.M., Muromtseva, G.A., Baum, O., et al. (2008) The influence of gender on informational content of different electrocardiographic criteria for left ventricular hypertrophy in patients with excessive body mass. Cardiology, 48, 23-25.
[28] Saltykova, M.M., Ryabykina, G.V., Oshchepkova, E.V., et al. (2006) Electrocardiographic diagnosis of left ventricular hypertrophy in patients with hypertension and overweight. Therapeutic Archives, 12, 40-45.

comments powered by Disqus

Copyright © 2014 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.