Structural and functional condition of the left ventricle and the arterial wall stiffness in patients with essential hypertension

Abstract

Impact of the left ventricular hypertrophy (LVH) and increasing of the pulse wave velocity in aorta (PWV) at cardiovascular risk proved in various groups of patients. Aim. The aim of the study was to investigate the features of the myocardial structural and functional conditions and the arterial wall stiffness, as well as their relationship to male patients with essential hypertension (EH) I-II stage. Materials and methods. 53 male patients with essential hypertension stage I and II, aged 30–67 years were surveyed. All patients underwent clinical and laboratory examination in accordance with Ukrainian National Guidelines and ESH/ESC Guidelines for the management of arterial hypertension (2013). Echocardiography was performed in B- and M-modes. Elastic properties of the arterial wall were investigated with Arteriograph TensioMed (TensioClinic, Hungary). Conclusions. At the male patients with essential hypertension PWV was associated with increasing of LVM, LVMI, LVMI/h1,7 and LVMI/h2,7 by increased SWTat stage of the left ventricular hypertrophy formation. cSBP and cPP increase makes a significant contribution to the process of the heart remodeling in hypertensive patients with LVH. cPP increase contribute to LA size enlargement and LV systolic function reduce in patients with EH and LVH.

Keywords

• Hypertension
• Pulse Wave Velocity
• Aortic Pressure
• Left Ventricular Hypertrophy