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Volume 361:92 July 2, 2009 Number 1
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Racial Differences in Heart Failure

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by Bibbins-Domingo, K.
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To the Editor: It is not known whether concentric hypertrophy is a common precursor to systolic dysfunction in human hypertensive heart disease.1,2,3 Bibbins-Domingo et al. (March 19 issue)4 report that increased left ventricular mass was associated with incident heart failure in young adults (18 to 30 years of age at baseline) in bivariate models. However, they do not report whether the increased left ventricular mass was secondary to left ventricular dilation or wall thickening and whether patients with hypertrophy in whom heart failure developed had a preserved or a reduced ejection fraction. In an elderly cohort, eccentric but not concentric . . . [Full Text of this Article]



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