Nomograms for determining options of left ventricle remodeling under arterial hypertension conditions

The purpose of the study is to improve the accuracy of determining an echocardiographic type of geometry of the left ventricle (LV) when evaluating prognostic significance of various types of LV remodeling in patients with arterial hypertension (AHT). 285 patients (mean age 52.8 ± 1.4) suffering from AHT, 130 males and 155 females, have been examined by using duplex scanning. The results demonstrate that patients having a hypertrophic LV with wall thickness ratio (WTR) 0.35-0.43 and a non-dilated cavity of LV are expected to survive with a more favorable outcome as compared to those with concentric hypertrophy of the left ventricle. A dilated cavity of LV means an unfavorable prognosis, even with WTR exceeding 0.45. Proposed are nomograms for rapid determination of a type of LV remodeling in patients with AHT and evaluation of a patient's cardiovascular risk. Conclusion: while selecting the parameters determining LV remodeling, there is a need to use a myocardial mass index (MMI) of LV, LV WTR and an end-diastolic dimension (EDD) index.