Right ventricular remodeling and updated left ventricular geometry classification: is there any relationship?

Marijana Tadic, Cesare Cuspidi, Vladan Vukomanovic, Vesna Kocijancic, Vera Celic

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: We sought to evaluate right ventricular (RV) structure and function in hypertensive patients with various left ventricular (LV) geometric patterns using an updated classification for LV geometry. Methods: This cross-sectional study included 232 hypertensive subjects. All the subjects underwent complete two-dimensional (2D) and three-dimensional (3D) echocardiographic examination. Using LV mass index, LV end-diastolic diameter and relative wall thickness, according to the updated classification, all subjects were divided into six different groups: normal LV geometry, concentric remodeling, eccentric LV hypertrophy (LVH), concentric, dilated, and concentric-dilated LVH. Results: RV wall thickness was increased in concentric and concentric-dilated LVH compared with normal LV geometry and LV concentric remodeling. RV longitudinal function was reduced in concentric and concentric-dilated patients compared with other hypertensive groups. 3D RV volumes were significantly higher in eccentric, dilated, and concentric-dilated LVH hypertensive subjects. Conversely, 3D RV ejection fraction was lower in these groups. Conclusion: RV longitudinal myocardial function and 3D RV function are significantly influenced by LV geometry in hypertensive patients. RV remodeling is the most pronounced in the patients with concentric, dilated, and concentric-dilated LVH geometric patterns.

Original languageEnglish
Pages (from-to)1-6
Number of pages6
JournalBlood Pressure
DOIs
Publication statusAccepted/In press - Apr 26 2016

Keywords

  • Hypertension
  • left ventricular geometry
  • right ventricle
  • three-dimensional echocardiography
  • two-dimensional strain

ASJC Scopus subject areas

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

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