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Related Experiment Video

Updated: Mar 22, 2026

Morphological and Functional Assessment of the Right Ventricle Using 3D Echocardiography
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Right ventricular remodeling and updated left ventricular geometry classification: is there any relationship?

Marijana Tadic1,2, Cesare Cuspidi3, Vladan Vukomanovic1

  • 1a Department of Cardiology , University Clinical Hospital Center "Dr Dragisa Misovic - Dedinje" , Belgrade , Serbia ;

Blood Pressure
|April 29, 2016
PubMed
Summary

Hypertension impacts right ventricular (RV) structure and function, particularly in patients with specific left ventricular (LV) geometric patterns. Advanced LVH geometric patterns show the most significant RV remodeling and impaired function.

Keywords:
Hypertensionleft ventricular geometryright ventriclethree-dimensional echocardiographytwo-dimensional strain

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Area of Science:

  • Cardiology
  • Cardiovascular Imaging
  • Hypertension Research

Background:

  • Hypertension is a major risk factor for cardiovascular disease.
  • Left ventricular (LV) geometry changes are common in hypertensive patients.
  • The impact of diverse LV geometric patterns on right ventricular (RV) structure and function requires further elucidation.

Purpose of the Study:

  • To evaluate RV structure and function in hypertensive patients across various LV geometric patterns.
  • To utilize an updated classification system for LV geometry.
  • To identify specific LV geometric patterns associated with RV remodeling and dysfunction.

Main Methods:

  • Cross-sectional study of 232 hypertensive subjects.
  • Comprehensive two-dimensional (2D) and three-dimensional (3D) echocardiography.
  • Classification of subjects into six LV geometry groups based on LV mass index, LV end-diastolic diameter, and relative wall thickness.

Main Results:

  • Increased RV wall thickness observed in concentric and concentric-dilated LVH groups compared to normal LV geometry and concentric remodeling.
  • Reduced RV longitudinal function in concentric and concentric-dilated LVH patients.
  • Elevated 3D RV volumes and reduced 3D RV ejection fraction in eccentric, dilated, and concentric-dilated LVH groups.

Conclusions:

  • LV geometry significantly influences RV longitudinal myocardial function and 3D RV function in hypertensive patients.
  • RV remodeling is most pronounced in hypertensive individuals with concentric, dilated, and concentric-dilated LVH.
  • These findings highlight the importance of assessing RV status in hypertensive patients based on their LV geometric patterns.