Does Increased Blood Pressure Cause Left Ventricular Hypertrophy or Vice Versa?

Editorials1 February 1990Does Increased Blood Pressure Cause Left Ventricular Hypertrophy or Vice Versa?Richard B. DevereuxRichard B. DevereuxAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-112-3-157 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptHypertension is a primary risk factor for cardiac and cerebrovascular disease, but the incidence of morbid events in patients with hypertension of average severity is relatively low and poorly predicted by blood pressure level (1). Furthermore, successful reduction of arterial pressure by standard antihypertensive drugs prevents less than half of the morbidity attributable to hypertension (2, 3). Perhaps attention has been disproportionately focused on identifying and controlling increased blood pressure rather than on recognizing and managing hypertensive heart disease.It has long been known that among hypertensive patients no matter what their blood pressure, complications occur more frequently in those...References1. Alderman M. The epidemiology of hypertension: etiology, natural history and the impact of therapy. Cardiovascular Reviews and Reports. 1980;1:509-19. Google Scholar2. CutlerMacMahonFurberg JSC. Controlled clinical trials of drug treatment for hypertension. A review. Hypertension. 1989;13(Suppl I):36-44. CrossrefMedlineGoogle Scholar3. MacMahonCutlerStamler SJJ. Antihypertensive drug treatment. Potential, expected, and observed effects on stroke and on coronary heart disease. Hypertension. 1989;13(Suppl I):45-50. CrossrefGoogle Scholar4. DevereuxCasaleWallerson RPD. 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Author, Article, and Disclosure InformationAffiliations: New York Hospital-Cornell Medical Center New York, New York Nextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByEffect of Intensive Blood Pressure Reduction on Left Ventricular Mass, Structure, Function, and Fibrosis in the SPRINT-HEARTLack of Reduction of Left Ventricular Mass in Treated Hypertension: The Strong Heart StudyProlonged QT Interval Is Associated with Blood Pressure Rather Than Left Ventricular Mass in Spontaneously Hypertensive RatsRetinal Arteriolar Diameter and Risk for HypertensionTien Yin Wong, MD, PhD, Ronald Klein, MD, MPH, A. Richey Sharrett, MD, DrPH, Bruce B. Duncan, MD, PhD, David J. Couper, PhD, Barbara E.K. Klein, MD, MPH, Larry D. Hubbard, MAT, and F. 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Role of prostaglandins and sodium-lithium countertransport activitySodium-lithium countertransport and cardiorenal abnormalities in essential hypertension.Diabetes mellitus and hypertension: A physiologic basis for a rational therapeutic approachUltrasound characterization of myocardial hypertrophyHypertension and ischemic heart disease: The challenge of the 1990s 1 February 1990Volume 112, Issue 3Page: 157-159KeywordsBlood pressureBurnsCardiovascular therapyCerebrovascular diseasesDrugsHeart diseasesHypertensionLeft ventricular hypertrophyMedical risk factorsMorbidity Issue Published: 1 February 1990 PDF DownloadLoading ...