Title: 679 Different type of left ventricle hypertrophy and prognosis of patient with arterial hypertension and ischemic heart disease
Abstract: Aims: 1.To compare the distribution of the 4 geometric patterns of the LV H with classic criteria for LVH (mass index >125 gr/m 2 and relative wall thickness >0.44) with the actual ASE recommendations (mass index >115 gr/m 2 in males and >95 gr/m 2 in women and relative wall thickness >0.42) in hypertensive patients.2. To evaluate the diastolic function and the filling ventricular pressures in all geometric patterns.Methods: We studied prospectively 160 hypertensive patients in sinus rhythm.We measured: mass index, relative wall thickness E, A, E/A, and DTE from transmitral Doppler and e, a, e/a, E/e from tissue Doppler at the level of the septal and lateral mitral annulus.We found four geometric patterns: Normal LV, concentric remodelling, concentric hypertrophy and eccentric hypertrophy.Some of the results are showed in the table.Conclusions: With the new criteria only 16% of the hypertensive patients have a normal geometric pattern of the LV and nearly 50% have concentric hypertrophy.Left ventricular filling pressures were similar between groups, independently of the used criteria for LVH.Results: Table 1.