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

Natalya Arkhipova, Elena Popova, Aleksandr Ariev

Saint-Petersburg Medical Academy of Postgraduate Education, St.-Petersburg, Russia.
Yakutsk Science Centre of Complex Medical Problems of the Siberian Branch of the Russian Academy of Medical Science, Ya- kutsk, Russia.
Мedical Institute of the North-Eastern Federal University Named after M. K. Ammosov, Yakutsk, Russia;.

DOI: 10.4236/health.2013.56A2018                

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

Arterial Hypertension; Coronary Heart Disease; Geriatric Age; Non-Indigenous and Yakut Patients; Electrocardiographic Criteria of Left Ventricle Hypertrophy

Conflicts of Interest

The authors declare no conflicts of interest.

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