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Updated: Apr 12, 2026

Murine Echocardiography of Left Atrium, Aorta, and Pulmonary Artery
Published on: February 20, 2017
[Left ventricular hypertrophy as a marker of adverse cardiovascular risk in persons of various age groups]
Insights
Left ventricular hypertrophy (LVH) in elderly hypertensive patients is complex. Myocardial mass is a key prognostic factor, alongside type of LVH, atrial dilatation, and metabolic syndrome, influencing long-term outcomes.
Area of Science:
- Cardiology
- Internal Medicine
- Hypertension Research
Background:
- Left ventricular hypertrophy (LVH) is a significant cardiovascular condition.
- Understanding the prognostic value of different LVH types is crucial for patient management.
- Hypertension, metabolic syndrome, and obesity contribute to cardiac structural changes.
Purpose of the Study:
- To analyze the prognostic significance of various types of left ventricular hypertrophy (LVH).
- To investigate the interplay of demographic, hemodynamic, and regulatory factors in LVH prognosis.
- To evaluate the role of left atrial dilatation and metabolic disorders in essential hypertension outcomes.
Main Methods:
- Review of modern conceptions on LVH prognosis.
- Analysis of own investigations in elderly hypertensive patients.
- Assessment of left ventricular myocardial mass, geometry, and left atrial size.
- Evaluation of metabolic disorders and abdominal obesity impact.
Main Results:
- Left ventricular myocardial mass is as important as LVH type (concentric/eccentric) for long-term prognostication in elderly hypertensive patients.
- Left atrial dilatation is an integral part of the cardiovascular continuum in essential hypertension.
- Metabolic disorders associated with hypertension and abdominal obesity contribute to cardiac structural and functional issues.
Conclusions:
- Left ventricular myocardial mass is a critical prognostic indicator in elderly hypertensive patients with LVH.
- Left atrial dilatation and metabolic syndrome significantly impact cardiovascular outcomes in hypertension.
- Tailoring prognostication and management based on LVH type, myocardial mass, and metabolic status is essential.
Abstract:
The paper considers modern conceptions about the prognostic value of left ventricular hypertrophy (LVH) different types. The role of interaction of demographic, hemodynamic, regulatory, intracardiac factors in the formation of prognostic peculiarities in patients with different types of LVH is marked. The data of own investigations indicating that the left ventricular myocardial mass has not less important value in long-term general prognostication than belonging to a concentric or eccentric LVH type in elderly patients with hypertension are presented. Some data concerning left atrial dilatation as an inalienable component of the cardiovascular continuum in essential hypertension are submitted. Pathogenic and prognostic contribution of metabolic disorders associated with hypertension and abdominal obesity in the development of the heart's left parts structural and functional disorders is shown. Issues of long-term outcome in elderly hypertensive patients with metabolic syndrome taking into account the peculiarities of left ventricular geometry are highlighted.
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