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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
|
pubmed:dateCreated |
1992-12-3
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pubmed:abstractText |
Thirty-five obese (Body Mass Index: BMI > 30) hypertensive (diastolic blood pressure > 100 mmHg) patients were studied for 6 months. 18 patients (10 males, mean age 52 +/- 6 years) were treated with captopril 50 mg b.i.d. (Group 1); 17 patients, matched by age, sex and BMI were treated with captopril 50 mg b.i.d. and hypocaloric diet (Group 2). During follow-up a good control of blood pressure levels (< 150/90 mmHg) and a significant reduction in body weight (> 10%) were achieved in all patients of Group 2. Left heart anatomy was accessed by 2D guided M-mode echocardiogram before starting treatment and after 6 months. In Group 1 Interventricular Septal Thickness (ST), Posterior Wall Thickness (PWT) and Left Ventricular Mass (LVM) decreased significantly (p < 0.01). In Group 2 not only ST, PWT and LVM decreased significantly (p < 0.01 for ST and PWT, p < 0.001 for LVM), but also left atrial dimension (p < 0.05) and left ventricular diastolic dimension (p < 0.01). The percent reduction in AD, LVDD and LVM was significantly higher (p < 0.01) in Group 2. In obese hypertensives relevant weight loss can improve the effect of captopril treatment on left ventricular hypertrophy; the decrease of AD and LVDD is probably secondary to a reduction of the volume overload present in obese patients.
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pubmed:language |
ita
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
|
pubmed:issn |
0046-5968
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
22
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
453-7
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1426786-Captopril,
pubmed-meshheading:1426786-Female,
pubmed-meshheading:1426786-Follow-Up Studies,
pubmed-meshheading:1426786-Humans,
pubmed-meshheading:1426786-Hypertension,
pubmed-meshheading:1426786-Hypertrophy, Left Ventricular,
pubmed-meshheading:1426786-Male,
pubmed-meshheading:1426786-Middle Aged,
pubmed-meshheading:1426786-Obesity,
pubmed-meshheading:1426786-Remission Induction
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pubmed:year |
1992
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pubmed:articleTitle |
[Regression of left ventricular hypertrophy in obese hypertensive patients treated with diet and pharmacologic therapy].
|
pubmed:affiliation |
I.R.C.C.S. Policlinico San Matteo, Belgioioso, Pavia.
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pubmed:publicationType |
Journal Article,
English Abstract
|