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Updated: Jun 1, 2026

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
Published on: October 28, 2020
Impact of left ventricular geometry on prognosis-a review of ochsner studies
Carl J Lavie1, Richard V Milani, Sangeeta B Shah
1Department of Cardiology, Ochsner Clinic Foundation, New Orleans, LA.
Insights
Abnormal left ventricular (LV) geometric patterns, such as concentric remodeling and LV hypertrophy, significantly impact cardiovascular disease risk. These patterns are linked to increased major cardiovascular morbidity and mortality, affecting overall prognosis.
Area of Science:
- Cardiology
- Clinical Medicine
- Epidemiology
Background:
- Left ventricular (LV) geometric patterns influence cardiac function.
- Abnormalities like concentric remodeling and hypertrophy are common.
- Their impact on cardiovascular outcomes requires thorough investigation.
Purpose of the Study:
- To review epidemiologic and population-based studies on LV geometric patterns.
- To assess the association between LV geometry and cardiovascular morbidity/mortality.
- To evaluate the prognostic value of LV patterns from Ochsner Clinic Foundation data.
Main Methods:
- Systematic review of existing epidemiologic and population-based studies.
- Analysis of data from Ochsner Clinic Foundation.
- Focus on major cardiovascular events and all-cause mortality.
Main Results:
- Abnormal LV geometric patterns are associated with increased cardiovascular morbidity.
- Concentric remodeling and LV hypertrophy significantly elevate mortality risk.
- Specific LV patterns correlate with poorer overall cardiovascular prognosis.
Conclusions:
- Left ventricular geometric patterns are critical determinants of cardiovascular health.
- Identifying and managing abnormal LV geometry is essential for improving patient outcomes.
- Further research can refine risk stratification based on LV structure.
Abstract:
We review data from epidemiologic and population-based studies that demonstrate the impact of abnormal left ventricular geometric patterns, including both concentric remodeling and left ventricular hypertrophy, on major cardiovascular morbidity and mortality. We also review studies from Ochsner Clinic Foundation that assessed the impact of various left ventricular geometric patterns on overall cardiovascular prognosis, especially all-cause mortality.
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