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[Different patterns of the left ventricle of heart in hypertensive patients]

Dan Wen1, Lei Huang, Jun Wang

  • 1Department of cardiology,Second Xiangya Hospital, Central South University, Changsha 410011, China.

Hunan Yi Ke Da Xue Xue Bao = Hunan Yike Daxue Xuebao = Bulletin of Hunan Medical University
|April 5, 2005
PubMed

Insights

Hypertensive patients exhibit diverse left ventricular patterns, including normal, concentric remodeling, concentric hypertrophy, and eccentric hypertrophy. Each pattern presents unique clinical characteristics requiring tailored treatment approaches.

Area of Science:

  • Cardiology
  • Cardiovascular Imaging
  • Hypertension Research

Background:

  • Hypertension frequently leads to structural changes in the left ventricle.
  • Understanding these changes is crucial for effective patient management.

Purpose of the Study:

  • To characterize the clinical features of different left ventricular patterns in hypertensive individuals.
  • To differentiate these patterns using echocardiography.

Main Methods:

  • Echocardiography was performed on 228 hypertensive patients and 60 healthy controls.
  • Analysis included left ventricular dimensions, ejection fraction, and cardiac output indices.

Main Results:

  • Prevalence: 21.9% normal, 36.4% concentric remodeling, 32.9% concentric hypertrophy, 8.8% eccentric hypertrophy.
  • Hypertensive patterns showed increased aortic root and left atrial dimensions.
  • Functional differences observed in ejection fraction, cardiac index, and E/A ratio across patterns.

Conclusions:

  • Distinct echocardiographic patterns of left ventricular remodeling exist in hypertension.
  • These patterns possess unique clinical characteristics.
  • Personalized treatment strategies based on identified left ventricular patterns are recommended.
Abstract

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