Impact of left ventricular hypertrophy on longterm clinical outcomes in hypertensive patients who underwent successful percutaneous coronary intervention with drug-eluting stents

Left ventricular hypertrophy (LVH) is associated with increased risk for vascular events and mortality. This study investigated 8-year clinical outcomes of hypertensive patients with LVH who underwent percutaneous coronary intervention (PCI) with drug-eluting stents (DES) compared with hypertensive patients without LVH. A total of 1704 consecutive hypertensive patients who underwent PCI from 2004 to 2014 were enrolled. We classified them into either the LVH group (n=406) or the control group (without LVH, n=1298). LVH was defined by LV mass index > 115g/m2 in men and>95g/m2 in women. After propensity score matched (PSM) analysis, 2 PSM groups (366 pairs, n=732, c-statistic=0.629) were generated. For up to 8 years, the LVH group showed a higher incidence of cardiac death (4.4% vs 1.2%, log-rank P=.023, hazard ratio: 3.371, 95% confidence interval: 1.109-10.25; P=.032) compared with the control group. However, there were no significant differences between the 2 groups in the incidence of total death, myocardial infarction, revascularization, and major adverse cardiac events up to 8 years. LVH in hypertensive patients who underwent successful PCI with DES was associated with higher incidence of cardiac death up to 8 years of follow-up. More careful managements and clinical follow-up are needed and treatment strategies should specifically focus to target prevention and reversal of LVH in hypertensive patients.