Combined superposition effect of hypertension and dyslipidemia on left ventricular hypertrophy. Issue 3 (23rd June 2022)

• Record Type: Journal Article
• Authors: Zhang, Xueyao; Li, Guangxiao; Shi, Chuning; Zhang, Dongyuan; Sun, Yingxian
• Is Part Of: Animal models and experimental medicine. Volume 5:Issue 3(2022)
• Page Start: 227
• Page End: 238
• Publication Date: 2022-06-23
• Subjects: atherosclerosis -- dyslipidemia -- hypertension -- left ventricular hypertrophy; Laboratory animals -- Periodicals; Diseases -- Animal models -- Periodicals; Animal models in research -- Periodicals; Veterinary medicine -- Periodicals; Laboratory Animal Science; Disease Models, Animal; Animals, Laboratory; Animal Welfare; Veterinary Medicine; Animal models in research; Diseases -- Animal models; Laboratory animals; Veterinary medicine; Periodicals; Fulltext; Internet Resources; Periodicals; Periodicals; 616.0273
• DOI: 10.1002/ame2.12249
• Languages: English
• ISSNs: 2576-2095

Abstract

Abstract: Background: Hypertension and dyslipidemia are considered reversible risk factors for cardiovascular disease. The purpose of this study was to explore the impact of traditional and nontraditional blood lipid profiles on the risk of left ventricular hypertrophy (LVH) and to explore the superposition effect of dyslipidemia combined with hypertension. Methods: Data on 9134 participants (53.5 ± 10.3 years old) from the Northeast China Rural Cardiovascular Health Study (NCRCHS) were statistically analyzed. The blood lipid profile was measured by total cholesterol (TC), low‐density lipoprotein cholesterol (LDL‐C), high‐density lipoprotein cholesterol (HDL‐C), total glyceride (TG), and calculated nontraditional blood lipid indices including non‐HDL‐C, atherosclerosis index (AI), TC/HDL‐C, and residual cholesterol (RC). Results: After the adjustment of age and gender, the odds ratios (ORs) of LVH in patients with hypertension, high LDL‐C, high non‐HDL‐C, high AI, and high TC/HDL‐C were 3.97 (3.31–4.76), 1.27 (1.02–1.59), 1.21 (1.04–1.39), 1.33 (1.15–1.53), and 1.42 (1.22–1.65), respectively. After full adjustment of potential confounding factors, high AI and TC/HDL‐C were associated with LVH rather than traditional blood lipid indices. The combination of hypertension and nontraditional dyslipidemia (defined by high AI and TC/HDL‐C) was associated with the highest risk of LVH, especially in participants under 45 years of age. The risk was more significant in men, 5.09‐fold and 6.24‐fold, respectively, compared with 3.66‐fold and 4.01‐fold in women. Conclusions: People with dyslipidemia defined by nontraditional blood lipid indices (high AI and high TC/HDL‐C) and hypertension were more likely to develop LVH. Abstract : High AI and TC/HDL‐C were associated with LVH rather than traditional blood lipid indices. The combinations of hypertension and non‐traditional dyslipidemia (defined by high AI and TC / HDL‐C) were associated with the highest risk of LVH, especially in people under 45 years old and men.