publication . Article . 2014

Patterns of left ventricular geometry and the transition to congestive heart failure with preserved versus depressed ejection fraction (Patrones de geometría ventricular izquierda y la transición a la insuficiencia cardíaca congestiva con fracción de eyección conservada versus deprimida)

José H. Donis Hernández; Francisco Sanchez; Bárbara das Neves; Carmen A. Mazzei de Dávila, Lisett Aranguibel, Maite González; Lisett Aranguibel; Maite González;
Open Access English
  • Published: 01 Dec 2014 Journal: Avances en Biomedicina, volume 3, issue 3, pages 147-157 (issn: 2244-7881, Copyright policy)
  • Publisher: Universidad de Los Andes
Abstract
Abstract (english) Analysis of cross-sectional and follow up clinical studies, of hypertensive patients with the different left ventricular geometric patterns, provide plausible explanations for the transition from hypertensive heart disease to the two distinct phenotypes of systolic and diastolic congestive heart failure. According to the LIFE study treated-uncomplicated patients, with normal ventricular geometry (12%), concentric remodeling (11 %) and concentric hypertrophy (34 %), may evolve to the eccentric hypertrophy pattern. Patients with the eccentric hypertrophy pattern have selective sympathetic activation and progressive enlargement of the left ventri...
Subjects
free text keywords: Left ventricular geometry, Congestive heart failure. Systolic heart failure, Diastolic heart failure, Essential hypertension, lcsh:Medicine (General), lcsh:R5-920
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