Remodeling in left ventriculat structure and geometry in patients with metabolic syndrome and arterial hypertension

The objective of the paper was to examine the characteristics of heart remodeling in patients with metabolic syndrome and arterial hypertension without metabolic disturbances. Materials and Methods. The authors examined 60 patients with arterial hypertension without metabolic disorders (experimental group) and 60 patients with metabolic syndrome (treatment group). Patients of the analyzed groups underwent echocardiography with further data assessment. Considering the given data several types of left ventricular remodeling were identified. Results. The paper shows that patients with metabolic syndrome demonstrate a higher incidence of left ventricular hypertrophy in comparison with patients with arterial hypertension without metabolic disturbances. Left ventricular concentric hypertrophy predominates in left ventricular geometry in patients with a metabolic syndrome. In hypertensive patients without metabolic disorders, eccentric left ventricular hypertrophy is the most common variant of cardiac remodeling. It is more often under eccentric and concentric left ventricular hypertrophy. Diastolic left ventricular dysfunction (type II) predominates in eccentric left ventricular hypertrophy. Conclusion. Patients with metabolic syndrome are characterized by more significant and frequent left ventricular diastolic malfunction and a higher incidence of prognostically unfavorable cardiac remodeling than patients with arterial hypertension without metabolic disturbances.