Evaluation of Left Atrial Size in Patients with Hypertension with Left Ventricular Hypertrophy in a Tertiary Care Hospital of Nepal

Authors

  • Chitra Raj Sharma Department of Cardiology, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal
  • Arun Maskey Department of Cardiology, Shahid Gangalal National Heart Center, Kathmandu, Nepal
  • Rabi Malla Department of Cardiology, Shahid Gangalal National Heart Center, Kathmandu, Nepal
  • Sujeeb Rajbhandari Department of Cardiology, Shahid Gangalal National Heart Center, Kathmandu, Nepal
  • Rabindra Simkhada Department of Cardiology, Shahid Gangalal National Heart Center, Kathmandu, Nepal
  • Arjun Budhathoki Department of Cardiology, Shahid Gangalal National Heart Center, Kathmandu, Nepal
  • Bishal Shrestha Department of Cardiology, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal
  • Manoj Koirala Department of Cardiology, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal
  • Divya Karmacharya Department of Cardiology, Shahid Gangalal National Heart Center, Kathmandu, Nepal
  • Eloma Shrestha Department of Cardiology, Shahid Gangalal National Heart Center, Kathmandu, Nepal
  • Sunita Sharma Central Department of Public Health, Institute of Medicine, Nepal

DOI:

https://doi.org/10.3329/jicc.v5i1.74950

Keywords:

LA volume index (LAVI), Left Ventricular internal diameter (LVID), Left ventricular Hypertrophy ( LVH)

Abstract

Background: The hypertensive heart disease is characterized by left ventricular hypertrophy (LVH), atrial remodeling and AF. The impact of hypertension on the left atrium is little known. LVH is a link between hypertension and left atrium enlargement (LAE). LAE raises the suspicion of increased BMI, DM, dyslipidemia in hypertension. Thus, the aim of this study is to evaluate the LA size hypertensive patients without metabolic disorder and to evaluate whether there is a relationship between LVH and LAE. Methods: This is a prospective, observational study conducted in SGNHC, Kathmandu, Nepal. Our Study included 91 hypertensive patients fulfilling inclusion criteria from August 2021 to January 2022. Results: 91 patients were enrolled for the study, out of which 50 (54.9%) were males and 41 (45.1%) were females. Mean age of patients was 47.77±12.1 years. 23(25%), 28(31%) and 40 (44%) patients fulfilled SV3+RaVL, SV1+RV5, RaVL criteria respectively of LVH. 10(11%),12 (13%) and 25(27.5%) satisfied the criteria of LVMI, IVSD, RWT respectively. The mean values of LA diameters, area, volume and volume Index were calculated. There were a significant associations between left ventricular internal diameters and age with LAVI (p-value <0.05). There was a mild positive association between SBP more than 140mm of Hg and LAVI, although not significant statistically. Similarly, there was a significant association between increased BMI above 25 and LAVI more than 34. Conclusion: LAE is associated with LV diameter, age, BMI and SBP.

J Inv Clin Cardiol 2023; 5(1): 19-23

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Published

2023-01-30

How to Cite

Sharma, C. R., Maskey, A., Malla, R., Rajbhandari, S., Simkhada, R., Budhathoki, A., Shrestha, B., Koirala, M., Karmacharya, D., Shrestha, E., & Sharma, S. (2023). Evaluation of Left Atrial Size in Patients with Hypertension with Left Ventricular Hypertrophy in a Tertiary Care Hospital of Nepal. Journal of Invasive and Clinical Cardiology, 5(1), 19–23. https://doi.org/10.3329/jicc.v5i1.74950

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Original Article