Prognosis of Inappropriate Left Ventricular Mass in Hypertension

Abstract

To evaluate the prognostic impact of left ventricular (LV) mass exceeding individual needs to compensate hemodynamic load, the percentage of excess of echocardiographic LV mass in relation to individual ideal value predicted by gender, stroke work, and height (in meter ^2.7 ) from a reference population was assessed in 1019 white hypertensives (627 women [24% obese] and 392 men [17% obese, P P P P <0.01). Thus, inappropriate LV mass predicts a risk of cardiovascular events, independently of risk factors, and remains a significant predictor of risk either in the presence or in the absence of traditionally defined LV hypertrophy.