Ventricular patterns in hypertensive patients: Pathogenesis, treatment, and prognosis
Cause of Death
Signal Processing, Computer-Assisted
Echocardiographic studies have shown that cardiac adaptation to hypertension is heterogeneous. In hypertensive patients, the left ventricle may have one of four anatomic patterns: normal left ventricular (LV) geometry, concentric remodeling, concentric hypertrophy, or eccentric hypertrophy. This polymorphism parallels the interplay of pressure load, volume load, and myocardial function seen in hypertensive patients. Echocardiographic assessment of LV geometry stratifies cardiovascular risk independent of and more accurately than blood pressure or other conventional risk factors. It also identifies high-risk patients who might derive special benefit from intensive treatment.