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Hipertensión 2006;23:277-83 - DOI: 10.1016/S1889-1837(06)71657-9
Detección de hipertrofia ventricular izquierda en adolescentes con hipertensión arterial esencial
Detection of left ventricular hypertrophy in adolescents with essential arterial hypertension
M. Ramírez Méndez,a, , F.L. Moreno-Martínezb, D. Torres Ruiza, C.G. Nieto Monteagudoa, C.M. Osorio Gómezb, A. Guevara Gonzálezc, A. González Díazb, R. González Chineab
a Hospital Universitario Celestino Hernández Robau. Santa Clara
b Cardiocentro Ernesto Che Guevara. Santa Clara
c Centro de Investigaciones sobre Longevidad, Envejecimiento y Salud (CITED). Ciudad de La Habana. Cuba
Recibido 09 noviembre 2005, Aceptado 07 septiembre 2006

Arterial hypertension (AHT) is a worldwide health problem and its risk depends on whether the organ can be harmed. Left ventricular hypertrophy (LVH) defines a group of patients at high risk of having complications and adolescents are also vulnerable. This research aimed to detect the presence of LVH early in hypertensive adolescents to orient treatment and reduce complications.

Material and methods

An intervention, quasi-experimental, longitudinal, prospective study was conducted in 572 hypertensive adolescents. An echocardiogram was performed at the onset of the investigation and the medical treatment was adjusted at one year to compare the results.


There was predominance of male gender (73.3%) and black skin (63.6%). The largest percent of patients (53.0%) had moderate AHT. Only 5.9% of them correctly used hygienic-dietary measures and drug strategies were underused. At the onset of the study, 73.6 % of the patients had irregular treatment and did not achieve blood pressure control. At one year, we had achieved control in 92% of the patients, LVH was reduced and diastolic dysfunction improved.


We found a large number of adolescents with uncontrolled AHT and many had LVH (27.1%) and diastolic function alterations (30.2 %). With adequate treatment, we were able to improve or normalized these conditions and also achieved a control of blood pressure. The primary health care workers must continue working very much, however the support of secondary care is essential to achieve the objectives desired.

Palabras clave
hipertensión arterial, adolescencia, hipertrofia ventricular izquierda, diagnóstico
Key words
arterial hypertension, adolescence, left ventricular hypertrophy, diagnosis
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Correspondencia: Hemodinámica y Cardiología Intervencionista. Cardiocentro Ernesto Che Guevara. C./ Cuba, 610. 50200 Santa Clara. Villa Clara (Cuba).
Copyright © 2006. Sociedad Espa??ola de Hipertension-Liga Espa??ola para la Lucha de la Hipertensi??n Arterial (SEH-LELHA)