Geometric pattern of hypertensive patients admitted due to heart failure
Keywords:
hypertension, heart diseases, ventricular dysfunction, ventricular remodeling.Abstract
Hypertensive heart disease is a complex and variableset of effects that causes the chronic elevation of blood
pressure in the heart. We conducted a prospective descriptive
study of the patients admitted to the provincial hospital
September 17 Sumbe, province of Kwanza Sul, Angola, in the
period from 2015 to 2017, with the objective of describing
the geometric pattern of hypertensive patients admitted to
heart failure. We investigated 97 patients who were admitted
to acute ventricular failure. 52.6 % belonged to the female
sex, patients under 58 years of age predominated. The
mean of the ventricular mass was pathological (271.60 g).
The most frequent geometric pattern was concentric
remodeling of the left ventricle with 64.9 % and left ventricle
diastolic dysfunction grade IV was the predominant with 42
patients. Severe left ventricular systolic dysfunction was the
greatest exponent with 27 patients in the entire sample.
Finally, those of different degrees of hypertensive heart disease,
the grade IV with 61 patients prevailed. We concluded that more
than a half of the patients were under 58 years of age and women
were more affected. There was a predominance of concentric
remodeling of the left ventricle, as well as its diastolic dysfunction.
It is relevant that the majority of patients classified in grade
IV hypertensive heart disease.
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