The association of left ventricular mass withcoronary atherosclerosis andmyocardialischemia: cause and effect or simple association?

ABSTRACT

Lima and colleagues1 describe a parallel independent associationof the presence of coronary artery atherosclerosis, myocardialinfarction, and left ventricular mass (LVM). Previous publicationsreporter2 – 5 similar findings in somewhat different subsets of patientsand they support the potential role of higher LVM as an independentpredictor of adverse events in addition to coronary atherosclerosisand myocardial ischaemia.The current paper contributes to an expanding body of evidencethat emphasizes the independent risk associated with the presenceof higher LVM and intriguingly shows a strong relationship in patientswith previous myocardial infarction. They also found that LVM andconcentric remodelling are associated with a greater degree of coronary...