Ma. Theochari et al., MYOCARDIAL TROPHIC EFFECTS OF BLOOD-PRESSURE IN CHILDREN WITH INSULIN-DEPENDENT DIABETES-MELLITUS, Journal of human hypertension, 9(8), 1995, pp. 633-636
To evaluate the effect of blood pressure (BP) on the left ventricular
mass index (LVMI), 66 children with IDDM 13 +/- 3 years of age were st
udied and compared with 58 healthy age-matched siblings. The 24 h BP r
ecordings disclosed that children with diabetes had higher DBP (68 vs.
65 mm Hg, P = 0.002), especially at night (60 vs. 55 mm Hg, P = 0.000
07), with a minimisation of the normal nocturnal hypotension (-9.9 vs.
-12.4 mm Hg, P = 0.04). Their LVMI was higher (79 vs. 71 g/m(2) P = 0
.02); it was independent of BP values and variability (P = NS), but it
was positively correlated with heart rate (r = -0.46, P = 0.0005). In
the control group, LVMI was significantly correlated with the mean SE
P (r = 0.46, P = 0.0005); with its variability (r = 0.32, P = 0.02) an
d, to a lower extent, with heart rate (r = -0.29, P = 0.03). It is con
cluded that in children with diabetes mellitus the participation of BP
in myocardial hypertrophy is not so obvious, although the BP load is
increased. The increase of the LVMI occurs early in life and before th
e onset of hypertension.