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Second Congress of Cardiology and Angiology of Bosnia & Herzegovina

 

THE INFLUENCE OF HYPERTENSION ON ECHOCARDIOGRAPHIC REMODELLING IN YOUNG PATIENTS (BELOW 40 YR).
E. Fazlibegović, M. Hadžiomerović and M. Čehajić
Clinical Hospital Mostar, Bosnia and Herzegovina

In last 5 years we followed up 126 patients with hypertension (70 males and 56 females), between 9 and 36 years of age, where the condition of valves, thickness of myocardial wall and blood vessels intima, as the remodelling parameters in hypertension, were evaluated by echocardiography. Since we selected the group of patients with hypertension, the objective was to distinguish certain echocardiographic parameters for heart remodelling. The most important were LV hypertrophy and LV wall motion, which were registered for each patient. 92 patients had the LVPW wall thickness between 1,2 and 1,5 cm, 34 had the thickness of LVPW more than 1,5 cm. 12 patients had akinesis due to the previous MI, 1 had dyskinesis (LV aneurism), and 2 patients had hypokinesis (stabile angina). When evaluating aorta, sclerosis and intimal wall thickness were observed as the second important parameter, found in 104 patients with aortic sclerosis i.e. 99 had intimal thickness beyond 2 mm. In 50 patients EF was below its normal values, it was increased in 63 patients and reduced in 13 patients. FS was normal in 74 patients, it was increased in 33 patients and reduced in 19 patients.
Keywords: remodelling, EFLV, hypertension, echocardiography.

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