OBJECTIVE To determine the association between left ventricular hypertrophy and insulin resistance in Gambians. DESIGN Cross-sectional study. SETTING Outpatient clinics of Royal Victoria Teaching Hospital and Medical Research Council Laboratories in Banjul. PARTICIPANTS Three hundred and sixteen consecutive patients were enrolled from outpatient clinics. The data of 275 participants (89 m...

BACKGROUND Vascular calcification and reduced bone density are prevalent in chronic kidney disease and linked to increased cardiovascular risk. The mechanism is unknown. We assessed the relationship between vascular calcification, femoral bone density and left ventricular mass in patients with stage 3 non-diabetic chronic kidney disease in a cross-sectional observational study. METHODOLOGY AN...

Left ventricular hypertrophy associated with systemic hypertension differs from left ventricular hypertrophy initiated by other pressure overload diseases. Its development depends not only of hemodynamics aspects but of biochemical factors. Many studies have demonstrated a close link between left ventricular hypertrophy and cardiovascular morbidity and mortality. For that reason the idea of rev...

Coronary arteriosystemic fistula which drains into the left ventricular cavity is a rare congenital anomaly. A case of double fistulae between the left anterior descending and left circumflex coronary arteries and left ventricular cavity is presented. The patient's chief complaint, chest pain, was attributable to the "steal phenomenon."

OBJECTIVES We examined the prognostic significance of concentric remodeling of the left ventricle in patients with essential hypertension and normal left ventricular mass on echocardiography. BACKGROUND An echocardiographic pattern of concentric remodeling of the left ventricle has been associated with clinical features of increased cardiovascular risk, but the independent prognostic value of...

conclusions the vibratory innocent murmur is associated with the presence of left ventricular false tendon and higher left ventricular outflow tract velocity. the presence of the left ventricular false tendon was somewhat associated with decreased early diastolic myocardial velocity. normal left ventricular systolic and diastolic function can be used as a reassurance in cases with the vibratory...

conclusion the cv value correlated more closely with low lvef and more accurately indicated an enlarged heart than ca or ctr. this may be due to the fact that an anteroposterior measurement of heart size is included in the former but not the latter two measurements. these study results may help quantify left heart enlargement with greater accuracy than may be obtained from standard cxr. backgro...