REGRESIÓN DE LA HIPERTROFIA VENTRICULAR IZQUIERDA EN PACIENTES HIPERTENSOS TRATADOS CON IECA Y/O ARA II EN EL CENTRO ESPECIALIZADO CARDIOLÓGICO DEL SINAI. PORTOVIEJO JUNIO - NOVIEMBRE 2006

Abstract

The hypertrophy of the left ventricle (HVI) it is the lesion of organ more frequent reveille in arterial hypertension (HTA) and it is, after the age, the main factor predictive of heart complications and vascular brain. The reflective current problem that the HVI in Ecuador, considering the quantity of not controlled hipotensor or not well controlled, it is a condition strongly linked with the development of coronary illness, illness vascular brain, heart inadequacy, sudden death and global mortality. The present investigation reveals the high indexes of population hipertensiva that complications of the type of HVI and TIRV present, being able to evolve to more severe complications that commit the patient's life. Being of importance to emphasize that the regression was evident in 100% of the patients that fulfilled to plenitude the antihypertensive treatment IECA and it PLOWS II. This study is Descriptive, retro-prospective, analytic documental; based on the regression of the HVI in patient hipotensor tried with IECA and/or it PLOWS II assisted in the CECSI of Portoviejo; the population embraced 75 patients in those that her pathology was diagnosed based on EKG and Echocardiogram. When concluding this investigation it was observed that most of the patients presented hypertension grade II to the beginning of the study, being distributed the percentages in almost equal form at the end between prehipertension and hypertension grade I. The changes electrocardiografics that were presented in the entirety of the patients with HVI and TIRV to the beginning of the investigation, persisted at the end in less than half of the patients. Regression was presented in 100% of the patients with HVI and with TIRV that completed the entirety of the treatment during the study. The used medicament was the ALTAR II, being consumed at one time in its majority from 6 months to 1 year. In the face of this palpable reality in the day by day in the study area, they should become aware to the population Hipertensiva and non hipertensiva, in the periodic control of their arterial pressure and of the changes that can take place in their cardiocirculatory apparatus.