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Open Medicine

formerly Central European Journal of Medicine

Editor-in-Chief: Darzynkiewicz, Zbigniew

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IMPACT FACTOR 2016 (Central European Journal of Medicine): 0.116

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Volume 6, Issue 3

Issues

Volume 10 (2015)

Correlations between left ventricular mass index and cerebrovascular lesion

Kyusik Kang / Seung-Hoon Lee
  • Department of Neurology, Seoul National University Hospital, 28 Yeongeon-dong, Jongno-gu, Seoul, 110-744, Republic of Korea
  • Clinical Research Center for Stroke, Seoul National University Hospital, 28 Yeongeon-dong, Jongno-gu, Seoul, 110-744, Republic of Korea
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/ Beom Kim
  • Department of Neurology, Seoul National University Hospital, 28 Yeongeon-dong, Jongno-gu, Seoul, 110-744, Republic of Korea
  • Clinical Research Center for Stroke, Seoul National University Hospital, 28 Yeongeon-dong, Jongno-gu, Seoul, 110-744, Republic of Korea
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/ Jae-Sung Lim
  • Department of Neurology, Seoul National University Hospital, 28 Yeongeon-dong, Jongno-gu, Seoul, 110-744, Republic of Korea
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/ Byung-Woo Yoon
  • Department of Neurology, Seoul National University Hospital, 28 Yeongeon-dong, Jongno-gu, Seoul, 110-744, Republic of Korea
  • Clinical Research Center for Stroke, Seoul National University Hospital, 28 Yeongeon-dong, Jongno-gu, Seoul, 110-744, Republic of Korea
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Published Online: 2011-04-08 | DOI: https://doi.org/10.2478/s11536-011-0019-z

Abstract

Left ventricular (LV) mass and LV geometry are well-established measures of hypertension chronicity and severity, have a prognostic value on cardiovascular morbidity and mortality, and are related to asymptomatic cerebral small-artery disease (SAD) and largeartery disease (LAD). The aim of the present study was to clarify the different effects of LV mass and LV geometry on underlying SAD compared with its effects on underlying LAD in ischemic stroke patients. Four hundred three ischemic stroke patients underwent echocardiography to determine LV mass index and relative wall thickness. Brain magnetic resonance imaging, angiography, and carotid magnetic resonance angiography were preformed to detect LAD (≥50% stenosis) and SAD (leukoaraiosis, microbleeds, and old lacunar infarction) in the brain. Multivariate analyses showed that the LV mass index was highly associated with underlying SAD but not with underlying LAD. Among the various subtypes of SAD, only cerebral microbleeds were closely related to the LV mass index. Concentric LV hypertrophy was not related to the presence of either SAD or LAD. Subgroup analyses revealed that, among the various subtypes of SAD, only cerebral microbleeds were associated with concentric LV hypertrophy. In conclusion, cerebral microbleeds may imply more advanced target organ damage than underlying LAD and ischemic subtypes of SAD.

Keywords: Left ventricular mass index; Left ventricular geometry; Left ventricular hypertrophy; Magnetic resonance imaging; Stroke; Echocardiography; Cerebral microbleeds

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About the article

Published Online: 2011-04-08

Published in Print: 2011-06-01


Citation Information: Open Medicine, Volume 6, Issue 3, Pages 320–330, ISSN (Online) 2391-5463, DOI: https://doi.org/10.2478/s11536-011-0019-z.

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© 2011 Versita Warsaw. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. BY-NC-ND 3.0

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