GENETIC AND ENVIRONMENTAL-INFLUENCES ON ECHOCARDIOGRAPHICALLY DETERMINED LEFT-VENTRICULAR MASS IN BLACK TWINS

被引:82
作者
HARSHFIELD, GA
GRIM, CE
HWANG, C
SAVAGE, DD
ANDERSON, SJ
机构
[1] The Department of Medicine, The Charles R. Drew University of Medicine and Science, Los Angeles, CA
[2] Uniformed Services University of the Health Sciences, Bethesda, Maryland, and Morehouse School of Medicine, Atlanta, GA
关键词
Blacks; Deoxycorticosterone; Gene-environment interaction; Left ventricular hypertrophy; Left ventricular mass;
D O I
10.1093/ajh/3.7.538
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Genetic and environmental influences on left ventricular mass were examined in normotensive black twins. Left ventricular mass was measured echocardiographically in 7 sets of monozygotic (MZ) and 15 sets of dizygotic (DZ) twins and adjusted for body surface area (LVMI). Regression analyses showed significant effects of gender (R2 = 0.48; P <.01), systolic blood pressure (R2= 0.21; P <.01) and age (R2= 0.10; P <.05) on LVMI but did not show an effect for either diastolic blood pressure or caloric expenditure. Monozygotic twins showed smaller within-pair differences (7 ± 5) than DZ twins (17 ± 11) for LVMI following adjustment for gender, systolic blood pressure and age (P <.03). The intraclass correlation for MZ twins was 0.90 (P <.01) and 0.33 (P = NS) for DZ twins. These results indicate that both genetic and environmental factors are important determinants of left ventricular mass in blacks, independent of gender, blood pressure and age. © 1990 by the American Journal of Hypertension, Ltd.
引用
收藏
页码:538 / 543
页数:6
相关论文
共 23 条
[1]  
Kannel W., Gordon T., Offutt D., Left ventricular hypertrophy by electrocardiogram: prevalence, incidence, and mortality in the Framingham Study, Ann Intern Med, 71, pp. 89-105, (1969)
[2]  
Kannel W., Gordon T., Castelli W., Et al., Electrocardiographic left ventricular hypertrophy and risk of coronary heart disease: the Framingham Study, Ann Intern Med, 72, pp. 813-822, (1970)
[3]  
Savage D., Abbott R., Padgett A., Et al., Epidemiologic features of left ventricular hypertrophy in normotensive and hypertensive subjects, Cardiac Left Ventricular Hypertrophy, pp. 2-15, (1983)
[4]  
Casale P., Devereux R., Milner M., Et al., Value of echocardiographic left ventricular mass in predicting cardiovascular morbid events in hypertensive men, Ann Intern Med, 105, pp. 173-178, (1986)
[5]  
Levy D., Garrison R., Savage D., Et al., Left ventricular mass and incidence of coronary heart disease in an elderly cohort: the Framingham Heart Study, Ann Intern Med, 110, pp. 101-108, (1989)
[6]  
Hammond I., Devereux R., Alderman M., Et al., The prevalence and correlates of echocardiographic left ventricular hypertrophy among employed patients with uncomplicated hypertension, J Am Coll Cardiol, 7, pp. 639-650, (1986)
[7]  
Dunn F., Oigman W., Sungaard-Riise K., Et al., Racial differences in cardiac adaptation to essential hypertension determined by echocardiographic indexes, J Am Coll Cardiol, 5, pp. 1348-1351, (1983)
[8]  
Hammond I., Alderman M., Devereux R., Et al., Contrast in cardiac anatomy and function between black and white patients with hypertension, J Natl Med Assoc, 76, pp. 247-255, (1984)
[9]  
Savage D., Garrison R., Kannel W., Et al., The spectrum of left ventricular hypertrophy in a general population sample: the Framingham Study, Circulation, 75, pp. I-26-I-33, (1987)
[10]  
Gardin J., Savage D., Ware J., Et al., Effects of age, sex, and body surface area on left ventricular wall mass in normal subjects, Hypertension, 9, pp. II-36-II-39, (1987)