INFLUENCE OF HYPERTENSION ON ECHOCARDIOGRAPHIC REMODELLING
IN YOUNG PATIENTS (BELOW 40 YR).
E. Fazlibegović, M. Hadžiomerović and M. Čehajić
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.