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Relationship between psychological state, quality of life scale scores and left ventricular mass index in hypertensive patients

Session Poster Session III - Friday 08:30 - 12:30

Speaker Alexander D Deev

Event : ESC Preventive Cardiology (Formerly EuroPrevent) 2015

  • Topic : preventive cardiology
  • Sub-topic : Stress, Psycho-Social and Cultural Aspects of Heart Disease
  • Session type : Poster Session

Authors : G F Andreeva (Moscow,RU), A D Deev (Moscow,RU), V M Gorbunov (Moscow,RU), O V Molchanova (Moscow,RU)

Authors:
G F Andreeva1 , A D Deev1 , V M Gorbunov1 , O V Molchanova1 , 1State Research Center for Preventive Medicine - Moscow - Russian Federation ,

Citation:

Objective: The aim of our study was to determine psychological and quality of life (QL) LVH possible predictors in untreated stable hypertensive patients.

Design and Methods: We studied 90 hypertensive patients (40 males and 50 females; mean age 52,6 ± 1,1 years). Ambulatory blood pressure  (ABP) monitoring (Spacelabs 90207) was performed twice in each patient at interval of 3-4 days after the 2 weeks washout period. After the ABP monitoring each patient completed the Russian version of the psychological questionnaire "Minnesota Multiphasis Personality Inventory" (MMPI) and QL questionnaire (J. Siegrist and all.,1989). Only patients with stable hypertension (daytime ABP ³140/90 mmHg) and  normal psychological scale scores (40-60 T-balls) were included into the study. Left ventricular mass index (LVMI) (L. Teichholtz 1976) was measured using echocardiography (Acuson 128XP). We analyzed the following evaluation and basic MMPI scales: L – lie scale, F – aggravation scale, K – correction scale, 1 (Hs) – hypochondria, 2 (D) – depression, 3 (Hy) – hysteria, 4 (Pd) – psychopathy, 6 (Pa) – rigidity of affect, 7 (Pt) – psychasthenia, 8 (Sc) – schrizothemia, 9 (Ma) – hypomania.

Results: The mean ABP avd LVMI in the examined group were (M± SD): 24-hour systolic BP – 140,2 ± 11,2; 24-hour diastolic BP- 90,1 ± 8.2, LVMI – 122,1±21,9 g/m2. We found an adverse correlation between LVMI and scale 9 scores (level of activity, energy, good mood; r=-0.32, p<0.05). There were no significant links between LVMI and QL scales scores.

Conclusions: Hypertensive patients with low level of activity, energy, mood have higher probability of development of LVH. It is possible that scale 9 scores are psychological LVH predictors. QL scales scores probably have no prognostic value.

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