The aim of this study was to evaluate the influence of hypertension on left ventricular (LV) remodeling in metabolic syndrome (MetS). Methods: the authors analyzed 61 controls, and 198 MetS patients (108 patients with hypertension), who had comprehensive echocardiography examination. The study population was divided into 3 groups (61 in group I, controls; 90 in group II, MetS without hypertension; 108 in group III, MetS with hypertension. Echocardiographic measurements for cardiac structure and functiun, and intracardiac hemodynamic parameters were compared among these 3 groups. Results: Patients with MetS with hypertension had higher LV mass index (132.63 + or - 51.64 g/m2 ; 107.83 + or - 30.71 g/m2 p 0.05). LV diastolic dysfunction patients in MetS with hypertention 70.4 percent higher groups MS (+) without hypertension (45.6 percent) and controls (8.2 percent) with p 0.05. Conclusions: LV remodeling is significantly influenced by hypertension in the patients with MetS: the effects of MetS are more pronounced in the patients with hypertension, with development of LV concentric hypertrophy remodeling and LV diastolic dysfunction.
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