Purpose: to assess parameters of myocardial deformation and rotation in untreated hypertensive men depending on presence and degree of left ventricular hypertrophy (LVH).
Material And Methods: We examined 98 hypertensive men aged 51 (46-58) years. Examination included clinical evaluation, conventional transthoracic echocardiography, ambulatory blood pressure monitoring, routine laboratory screening. LV deformation and rotation was studied by two-dimensional speckle tracking echocardiography.
Results: In patients without LVH we observed significant decrease of longitudinal strain without changes of rotation. Higher degree of LVH was associated with more pronounced lowering of longitudinal deformation. Severe LVH was characterized by decreased longitudinal, circumferential and radial deformation with compensatory increase of apical LV rotation.
Conclusion: Changes of LV deformation are observed in patients with hypertension before LVH formation. This opens new perspectives of early assessment of LV remodeling. Changes of LV deformation are related to degree of LVH.
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