Correlation of structural and functional heart parameters to repetitive cerebrovascular disturbances in patients with hypertensive disease

The purpose of the study is to establish the correlation between the severity and nature of cardiac remodeling to the frequency of repeated cerebrovascular diturbances. Materials and Methods. The authors examined 78 patients with ischemic stroke: among them 48 newly diagnosed patients and 30 patients with a repeated diagnosis. All patients underwent echocardiography. Results. In patients, the pathological types of left ventricular remodeling were significantly more common (60.25 %), among which the left ventricular concentric hypertrophy prevailed (51.02 %). The concentric hypertrophy was associated with a statistically significant increase in the risk of recurrent ischemic stroke. In the group of patients with repeated cerebrovascular disorders, diastolic dysfunction type 2 of the left ventricle (pseudonormal) was diagnosed more often. Conclusion. In post-stroke patients with arterial hypertension, pathological types of the left ventricle geometry are significantly more common; in patients with recurrent ischemic stroke, diastolic dysfunction type 2of the left ventricle prevails.