title: Risk factors for left ventricular hypertrophy: role of Na(+)-Li+ countertransport.
abstract: Left ventricular hypertrophy (LVH) is associated with an increase in cardiovascular death in essential hypertension (EH). The factors involved in LVH are multiple and complex. We looked for risk factors of LVH in a group of 28 nonobese patients with EH (mean age = 45.3 years). We analyzed the activity of several erythrocyte ion transports (Vmax of NaLi countertransport, NaKCl cotransport and NaK-pump, and the Na-leak Kp Na), the intracellular Na and the insulin sensitivity index. All these parameters were used as independent variables whereas the left ventricular mass index (LVMI) was used as the dependent variable. Variables showing a significant univariate correlation (age, time of EH, mean blood pressure and Vmax of NaLi countertransport) were introduced in a stepwise multiple regression model. Only age (P = 0.014), time of EH (P = 0.038) and Vmax of NaLi countertransport (P = 0.032) were independently associated with LVMI (R2 = 0.581, P = 0.0001). The NaLi CT, an operating mode of the NaH exchanger that facilitates cellular growth, may be a marker of LVH, and consequently a marker of increased cardiovascular risk.
authors: Nucleo de Estudos de Hipertensäo de Faro, UCEH da Universidade do Algarve, Faro, Portugal.
authors: P L
authors: PL
authors: Neves
authors: M
authors: M
authors: Faisca
authors: V
authors: V
authors: Gomes
authors: S
authors: S
authors: Cacodcar
authors: I
authors: I
authors: Bernardo
authors: A I
authors: AI
authors: Anunciada
authors: E
authors: E
authors: Viegas
authors: H
authors: H
authors: Martins
authors: A M
authors: AM
authors: da Silva
mesh_terms: D000328:Adult; D017920:Antiporters / Q000097:blood*; D004912:Erythrocytes / Q000378:metabolism; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000378:metabolism / Q000503:physiopathology*; D017379:Hypertrophy, Left Ventricular / Q000453:epidemiology / Q000378:metabolism / Q000503:physiopathology*; D007700:Kinetics; D008055:Lipids / Q000097:blood; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012964:Sodium / Q000097:blood
chemical_list: D017920:Antiporters; D008055:Lipids; C045885:sodium-lithium countertransporter; D012964:Sodium