Myocardial mass of the left ventricle, its functional state and diastolic function of the heart in patients with hypertension and different echocardiographical types of left ventricular geometry

Echocardiography and Doppler echocardiography were carried out in 364 patients with essential hypertension and 72 patients with hypertension due to chronic glomerulonephritis (duration of hypertension 8,5+/-7,2 years). The following variants of left ventricular remodeling were distinguished: normal echocardiographical geometry, isolated hypertrophy of interventricular septum, concentric remodeling, eccentric hypertrophy without and with dilation. Increased mass of left ventricular myocardium was a common feature of all these variants. Concentric remodeling, isolated hypertrophy of interventricular septum, and concentric hypertrophy irrespective of the etiology of hypertension were characterized by highest parameters of afterload, meridianal diastolic and systolic stress, duration of relaxation of left and right ventricles, and by disturbances of doppler spectrum of diastolic filling and diastolic overload of the left atrium.