Cited by 174Cardiovascular Function and Risk FactorsBlood Pressure and Hypertension StudiesDiabetes, Cardiovascular Risks, and Lipoproteins

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Sex-specific determinants of increased left ventricular mass in the Tecumseh blood pressure study

Marcus, R, Krause, L, Weder, A B, Dominguez-Meja, A, Schork, N J, Julius, S·1994·Circulation

DOI 10.1161/01.cir.90.2.928

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Abstract

BACKGROUND: Left ventricular hypertrophy (LVH) defined by either ECG or echocardiographic criteria is a risk factor for cardiovascular morbidity and mortality. A number of determinants of LVH have been described in previous studies, principally male sex, hypertension, obesity, and aortic valvular stenosis. We examined the distribution of LV mass (LVM) in a population of 18- to 42-year-old normotensive men and women who were free of valvular heart disease to establish sex-specific normal values for LVM index (LVMI) and to determine the correlates of LVMI. METHODS AND RESULTS: LVM was derived from measurements obtained by M-mode echocardiography. Average LVMI is significantly greater in men (102.9 +/- 0.7 g/m2) than women (88.2 +/- 0.7 g/m2). By defining LVH as an LVMI greater than the 90th percentile, we developed sex-specific criteria for LVH: men, > 125.4 g/m2; women, > 110 g/m2. We found that LVH in men is associated with indices of enhanced sympathetic nervous system reactivity and with elevated fasting insulin and triglyceride levels, which may be caused by insulin resistance. In women, LVH was associated with higher body weight and obesity. CONCLUSIONS: Before the onset of hypertension, increased LVMI appears to have different determinants in men and women. We suggest that early LVH in young men is a manifestation of hyperkinetic borderline hypertension, a state previously shown to be associated with increased sympathetic nervous system activity and insulin resistance. The hyperkinetic state is less prevalent in young women, in whom increased adiposity seems to be the predominant factor associated with LVH.

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Authors: Marcus, R., Krause, L., Weder, A. B., Dominguez-Meja, A., Schork, N. J., & Julius, S.
Affiliations: University of Michigan (US)
ORCID: Schork, N J
Venue: Circulation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1994-08
Volume: 90
Issue: 2
Pages: 928-936
ISSN: 0009-7322 (ISSN-L)
1524-4539
DOI: 10.1161/01.cir.90.2.928
OpenAlex: W2000559950
Cited by: 174
References: 59
Citations by year: 2024: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2018: 2 · 2017: 4 · 2016: 4 · 2015: 6 · 2014: 5 · 2013: 7 · 2012: 3
FWCI: 4.73
Type: journal article
Language: en
Open access: closed
Locations: Circulation (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords: left ventricular hypertrophy, left ventricular mass, sex differences, normotensive young adults, sympathetic nervous system reactivity, insulin resistance, fasting insulin, triglycerides, obesity, body weight
MeSH terms: Adult, Blood Pressure, Body Constitution, Echocardiography, Female, Heart Rate, Humans, Hypertension, Male, Michigan, Prospective Studies, Reference Values, Risk Factors, Sex Factors, Prevalence, Hypertrophy, Left Ventricular

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Sex-specific determinants of increased left ventricular mass in the Tecumseh blood pressure study

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