title: [Remodeling of left ventricular myocardium at early stages of essential arterial hypertension in  adolescents].
abstract: We studied geometric changes of the left heart in 299 teenagers aged 12-18 years with essential arterial hypertension (EAH). According to 24-hour blood pressure monitoring all patients were divided into three groups:  patients with phenomenon of "white coat hypertension" (WCH, n=98); patients with labile arterial hypertension (LAH, n=108); patients with stable atrial hypertension (SAH, n=93). Control group comprised 27 healthy adolescents. Parameters of central hemodynamics were assessed by echocardiography. Geometric left ventricular (LV) changes were found in 69 (23.1%) teenagers with EAH. Risk of formation of eccentric LV hypertrophy in teenagers with SAH was significantly higher than in subjects with WCH and LAH. Pulse pressure made significant contribution to formation of LV hypertrophy. Excess weight contributed significantly to formation of structural and geometric changes of LV and left atrium.
authors.forename: I V
authors.initials: IV
authors.lastname: Plotnikova
authors.forename: A A
authors.initials: AA
authors.lastname: Sokolov
authors.forename: I A
authors.initials: IA
authors.lastname: Kovalev
authors.forename: V V
authors.initials: VV
authors.lastname: Bezliak
mesh_terms: D000293:Adolescent; D002648:Child; D018450:Disease Progression; D004452:Echocardiography; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000503:physiopathology*; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology*; D017379:Hypertrophy, Left Ventricular / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology; D008297:Male; D011379:Prognosis; D016277:Ventricular Function, Left / Q000502:physiology*; D020257:Ventricular Remodeling