Open AccessLeft ventricular hypertrophy and outcomes: A five-year retrospective analysis of patients with essential hypertension
Author(s) -
А. В. Барсуков,
М. П. Зобнина,
М С Таланцева
Publication year - 2012
Publication title -
arterialʹnaâ gipertenziâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.126
H-Index - 5
eISSN - 2411-8524
pISSN - 1607-419X
DOI - 10.18705/1607-419x-2012-18-5-385-397
Subject(s) - left ventricular hypertrophy , eccentric , medicine , cardiology , essential hypertension , concentric , retrospective cohort study , left atrium , concomitant , concentric hypertrophy , geometry , blood pressure , atrial fibrillation , physics , mathematics , quantum mechanics
Left ventricular hypertrophy (LVH) is the most important element of cardiovascular continuum in patients with essential hypertension (EH). The results of a five-year retrospective analysis of EH patients cohort with initially different types of left ventricular geometry (491 subjects) are presented. It is shown that the overall mortality in patients with concentric and eccentric LVH does not differ significantly (37 and 35 %, respectively) but exceeds that in subjects with normal LV geometry (20 %). Associated and concomitant pathology determine the total and cardiovascular prognosis more in patients with concentric LVH than in subjects with eccentric LVH. The presence of ECG valid quantitative and strain diagnostic LVH criteria (Sokolow-Lyon index and Perugian university sign) determines the worst remote prognosis in patients with both concentric and eccentric LVH. The enlarged size of the left atrium is an universal marker of poor outcome in hypertensive patients regardless the type оf left ventricular geometry.