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2003, Number s1

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Arch Cardiol Mex 2003; 73 (s1)

Left ventricular hypertrophy and remodeling in chronic systemic hypertension

Troyo BP
Full text How to cite this article

Language: Spanish
References: 5
Page: 146-149
PDF size: 52.21 Kb.


Key words:

Left ventricular hypertrophy, Ventricular remodeling, AT1 receptors.

ABSTRACT

Chronic systemic hypertension leads to structural and functional changes in the left ventricular myocardium through external and internal stimuli, altering the molecular structure of some peptides that influence hypertrophy and remodeling development. Genetic information evokes different responses in the cardiac myocyte, altering its morphology, metabolism, protein synthesis and the bioavailability of some hormonal receptors, promoting compensatory hypertrophy or apoptosis. In response to hemodynamic stress, the myocardial cell sensitizes and liberates angiotensin II (ATII) in an endogenous fashion and makes AT1 receptors to join this hormone tightly, perpetuating its deleterious effects. AT1 selective blockade prevent molecular and physiological damage lowering ATII bioavailability, down-regulating its production.


REFERENCES

  1. Balci B, Yilmaz O: Influence of left ventricular geometry on regional systolic and diastolic function in patients with essential hypertension. Scand Cardiovasc J 2002; 36(5): 292-296.

  2. Goodfriend TL, Elliott ME, Catt KJ: Angiotensin receptors and their antagonists. NEJM 1996; 334(25): 1649-1654.

  3. Van Zwieten PA: The role of angiotensin II receptors and their antagonists in hypertension. Ann Ital Med Int 2000; 15(1): 85-91.

  4. Dzau VJ: Tissue Angiotensin and Pathobiology of Vascular Disease. A Unifying Hypothesis. Hypertension 2001; 37: 1047-1052.

  5. Carson P, Giles T, Higginbotham M, Hollenberg N, Kannel W, Siragy HM: Angiotensin receptor blockers: evidence for preserving target organs. Clin Cardiol 2001; 24(3): 183-190.




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C?MO CITAR (Vancouver)

Arch Cardiol Mex. 2003;73