PMID- 23743808 OWN - NLM STAT- MEDLINE DCOM- 20140207 LR - 20161125 IS - 1473-5598 (Electronic) IS - 0263-6352 (Linking) VI - 31 IP - 8 DP - 2013 Aug TI - Persistent organic pollutants and abnormal geometry of the left ventricle in the elderly. PG - 1547-53 LID - 10.1097/HJH.0b013e32836221b3 [doi] AB - BACKGROUND: Established risk factors for left ventricular hypertrophy (LVH) are hypertension, diabetes, and obesity. However, as these risk factors explain only part of the variation in left ventricular mass, we investigated whether persistent organic pollutants (POPs) might also play a role in LVH, because exposure to polychlorinated biphenyl 126 induced cardiac growth in rats. METHODS: In the Prospective Investigation of the Vasculature in Uppsala Seniors (PIVUS), left ventricular mass index (LVMI), relative wall thickness (RWT), and geometric groups of LVH, were determined by echocardiography and 21 POPs were measured by high-resolution chromatography coupled to high-resolution mass spectrometry (HRGC/HRMS) in 1016 individuals aged 70 years. All individuals with a history of myocardial infarction were excluded from analysis (n = 72). RESULTS: Several of the POPs were related to abnormal left ventricular geometry before adjustment for established risk factors, but lost in significance following adjustment. However, the pesticide hexachlorobenzene (HCB) levels were significantly related to RWT, and concentric left ventricular remodeling, also following adjustment for sex, blood pressure, antihypertensive treatment, diabetes, and BMI (P <0.0001). CONCLUSION: In this cross-sectional study, circulating levels of HCB were related to increased wall thickness of the left ventricle and concentric left ventricular remodeling, independently of LVH risk factors, suggesting a role of this environmental contaminant in abnormal growth of the left ventricle. FAU - Sjoberg Lind, Ylva AU - Sjoberg Lind Y AD - Department of Emergency Medicine, Linkoping University Hospital, Linkoping, Sweden. FAU - Lind, Lars AU - Lind L FAU - Salihovic, Samira AU - Salihovic S FAU - van Bavel, Bert AU - van Bavel B FAU - Lind, P Monica AU - Lind PM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - J Hypertens JT - Journal of hypertension JID - 8306882 RN - 0 (Antihypertensive Agents) RN - 0 (Organic Chemicals) RN - 0 (Pesticides) RN - 4Z87H0LKUY (Hexachlorobenzene) SB - IM MH - Aged MH - Animals MH - Antihypertensive Agents/chemistry MH - Blood Pressure MH - Body Mass Index MH - Cohort Studies MH - Cross-Sectional Studies MH - Diabetes Complications/physiopathology MH - Echocardiography MH - Echocardiography, Doppler MH - Female MH - Heart Ventricles/anatomy & histology/diagnostic imaging/*drug effects MH - Hexachlorobenzene/chemistry MH - Humans MH - Male MH - Mass Spectrometry MH - Organic Chemicals/*chemistry MH - Pesticides/chemistry MH - Prospective Studies MH - Rats MH - Risk Factors MH - Surveys and Questionnaires MH - Sweden EDAT- 2013/06/08 06:00 MHDA- 2014/02/08 06:00 CRDT- 2013/06/08 06:00 PHST- 2013/06/08 06:00 [entrez] PHST- 2013/06/08 06:00 [pubmed] PHST- 2014/02/08 06:00 [medline] AID - 10.1097/HJH.0b013e32836221b3 [doi] PST - ppublish SO - J Hypertens. 2013 Aug;31(8):1547-53. doi: 10.1097/HJH.0b013e32836221b3.