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 patie nts with essential hypertension and 72 patients with hypertension due to ch ronic glomerulonephritis (duration of hypertension 8,5+/-7,2 years). The fo llowing variants of left ventricular remodeling were distinguished: normal echocardiographical geometry, isolated hypertrophy of interventricular sept um, 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 interventric ular septum, and concentric hypertrophy irrespective of the etiology of hyp ertension were characterized by highest parameters of afterload, meridianal diastolic and systolic stress, duration of relaxation of left and right ve ntricles, and by disturbances of doppler spectrum of diastolic filling and diastolic overload of the left atrium.