Echocardiographic assessment of subclinical left ventricular eccentric hypertrophy in adult-onset GHD patients by geometric remodeling: an observational case-control study
2006

Echocardiographic Assessment of Heart Changes in Growth Hormone Deficiency

Sample size: 54 publication Evidence: moderate

Author Information

Author(s): de Gregorio Cesare, Curtò Lorenzo, Recupero Antonino, Grimaldi Patrizia, Almoto Barbara, Venturino Marilena, Cento Domenico, Narbone Maria Carola, Trimarchi Francesco, Coglitore Sebastiano, Cannavò Salvatore

Primary Institution: University Hospital of Messina, Messina, Italy

Hypothesis

Does growth hormone deficiency (GHD) affect left ventricular mass and geometry independent of body mass index (BMI)?

Conclusion

About 25% of GHD patients showed high left ventricular mass index, indicating a need for further investigation into cardiovascular risks in this population.

Supporting Evidence

  • About 22% of GHD patients showed eccentric hypertrophy.
  • High left ventricular mass index is a known risk factor for cardiovascular events.
  • Circulating IGF-1 levels correlated with left ventricular mass index.

Takeaway

Some people with growth hormone deficiency have hearts that are bigger than normal, which can be a problem, just like in overweight people.

Methodology

The study involved 54 GHD patients and 20 matched controls, using echocardiography to assess left ventricular mass and geometry.

Limitations

The study had a small sample size and did not assess LV performance during exercise.

Participant Demographics

54 adult patients with GHD, aged 45.9 ± 13.1, including 28 women and 26 men.

Statistical Information

P-Value

p<0.0001 for GH-peak and p<0.05 for IGF-1 between groups.

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6823-6-1

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