Evidence map›Paper›PMID 41778045›Full record

ArticleFrontiers in medicine2026

Association between ambulatory blood pressure monitoring parameters and left ventricular hypertrophy in an Ecuadorian population.

Patricia Delgado Cedeño, José Espinoza-Plaza, Estefanía Arteaga Herrera, Joao Tumbaco Mite, Killen H Briones Zamora, Killen H Briones Claudett

Abstract read
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Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Patricia Delgado CedeñoInstituto Ecuatoriano del Corazón (IECOREC), Guayaquil, Ecuador.
José Espinoza-PlazaInstituto Ecuatoriano del Corazón (IECOREC), Guayaquil, Ecuador.
Estefanía Arteaga HerreraInstituto Ecuatoriano del Corazón (IECOREC), Guayaquil, Ecuador.
Joao Tumbaco MiteInstituto Ecuatoriano del Corazón (IECOREC), Guayaquil, Ecuador.
Killen H Briones ZamoraUniversidad de Especialidades Espiritu Santo, Samborondon, Ecuador.
Killen H Briones ClaudettUniversidad Internacional del Ecuador (UIDE), Quito, Ecuador.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Systemic arterial hypertension (SAH) is the leading modifiable cardiovascular risk factor worldwide and a major cause of hypertension-mediated organ damage (HMOD), including left ventricular hypertrophy (LVH). Ambulatory blood pressure monitoring (ABPM) provides a more accurate assessment of hemodynamic load and circadian blood pressure variability than office measurements. However, its diagnostic performance for LVH detection has not been well studied in Latin American populations. Objective: To evaluate the cross-sectional diagnostic discrimination of ABPM-derived blood pressure parameters for detecting echocardiographic LVH in an Ecuadorian hypertensive cohort. Methods: We conducted a cross-sectional study including 110 adults who underwent 24-h ABPM and three-dimensional echocardiography from October 2021 to June 2022 at the Instituto Ecuatoriano del Corazón (IECOREC), Guayaquil, Ecuador. LVH was defined using sex-specific left ventricular mass index thresholds (>115 g/m Results: LVH was present in 34.5% ( Conclusion: In this Ecuadorian cohort, ABPM-derived parameters showed modest cross-sectional discrimination for LVH detection, with daytime SBP demonstrating the best diagnostic balance. These findings are hypothesis-generating and do not support the use of individual ABPM parameters as stand-alone screening tools for LVH. Instead, ABPM should be regarded as a complementary tool for cardiovascular risk stratification and for prioritizing echocardiographic evaluation in resource-limited settings. The proposed thresholds are exploratory and require validation in larger, prospective, multicenter Latin American studies.

Indexed as

ambulatory blood pressure monitoringdiagnostic accuracyEcuadorhypertensionLatin Americaleft ventricular hypertrophyROC analysis

Identifiers

PMID41778045
PMCPMC12950574

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