LEFT VENTRICULAR HYPERTROPHY IN ESSENTIAL HYPERTENSION: ACTUAL ASPECTS OF PATHOGENESIS, DIAGNOSIS AND TREATMENT
Left ventricular hypertrophy (LVH) is associated with unfavorable cardiovascular risk profile. LVH raises The risk of coronary heart disease in more than twice, stroke - three times more, heart failure - nearly 8 times more. According to our observational data (1916 patients with essential hypertension) 23% subjects had concentric LVH, 19% - eccentric LVH, 11% - concentric LV remodeling, 47% - normal LV geometry. Under additional analysis of 5714 cards of hypertensive patients, 0,91% of them had asymmetric LVH. In comparison with eccentric LVH persons, subjects with concentric LVH had higher systolic and diastolic blood pressure (p2) was accompanied by marked decrease of left ventricular mass, overnight blood pressure levels and also by significant reduction of neurohumoral regulatory pattern.