The estimation of intima–media thickness and selected metabolic parameters in young population with essential arterial hypertension

Abstract

Background The presence of cardio-vascular risk factors could already been stated in developmental age. In this time the disease entities connected with atheromatosis have not been yet developed although early identification of people from risk population is the priority.
Material and methods 37 treatmentnaive patients with essential arterial hypertension were qualified to this study. The anthropometric and blood pressure measurements were taken. The concentration of total cholesterol and triglicerides were assessed. The common carotid artery intima-media thickness (cIMT) was estimated by high-resolution B-mode ultrasound. The control group consisted of 21 properly chosen healthy people.
Results In arterial hypertension group compared to control group significantly higher values of body weight and body mass index (BMI) and increased values of total cholesterol and triglicerides concentrations were found. The values of intima-media thickness were higher in group of hypertensive youths compared to healthy ones. They equal respectively 0.057 ± 0.019 cm in right common carotid artery and 0.052 ± 0.015 cm in left common carotid artery. The values in both common carotid arteries in control group were the same and equal 0.041 ± 0.001 cm.
Conclusions 1. In the population of young adults with essential hypertension numerous cardio-vascular risk factors including higher common carotid artery intima–media thickness were present. 2. The estimation of carotid artery intima–media thickness in young hypertensive adults is one of the noninvasive methods of assessment of atherogenesis progression with correlation of other risk factors.