Right ventricular remodeling and updated left ventricular geometry classification: is there any relationship?
We sought to evaluate right ventricular (RV) structure and function in hypertensive patients with various left ventricular (LV) geometric patterns using an updated classification for LV geometry.



This cross-sectional study included 232 hypertensive subjects. All the subjects underwent complete two-dimensional (2D) and three-dimensional (3D) echocardiographic examination. Using LV mass index, LV end-diastolic diameter and relative wall thickness, according to the updated classification, all subjects were divided into six different groups: normal LV geometry, concentric remodeling, eccentric LV hypertrophy (LVH), concentric, dilated, and concentric-dilated LVH.



RV wall thickness was increased in concentric and concentric-dilated LVH compared with normal LV geometry and LV concentric remodeling. RV longitudinal function was reduced in concentric and concentric-dilated patients compared with other hypertensive groups. 3D RV volumes were significantly higher in eccentric, dilated, and concentric-dilated LVH hypertensive subjects. Conversely, 3D RV ejection fraction was lower in these groups.



RV longitudinal myocardial function and 3D RV function are significantly influenced by LV geometry in hypertensive patients. RV remodeling is the most pronounced in the patients with concentric, dilated, and concentric-dilated LVH geometric patterns.
a Department of Cardiology , University Clinical Hospital Center "Dr Dragisa Misovic - Dedinje" , Belgrade , Serbia ;|b Faculty of Medicine , Belgrade , Serbia ;
Marijana
M
Tadic
c Clinical Research Unit , University of Milan-Bicocca and Istituto Auxologico Italiano , Meda , Italy.
Cesare
C
Cuspidi
a Department of Cardiology , University Clinical Hospital Center "Dr Dragisa Misovic - Dedinje" , Belgrade , Serbia ;
Vladan
V
Vukomanovic
a Department of Cardiology , University Clinical Hospital Center "Dr Dragisa Misovic - Dedinje" , Belgrade , Serbia ;
Vesna
V
Kocijancic
a Department of Cardiology , University Clinical Hospital Center "Dr Dragisa Misovic - Dedinje" , Belgrade , Serbia ;
Vera
V
Celic
D003430:Cross-Sectional Studies; D004452:Echocardiography; D006352:Heart Ventricles; D006801:Humans; D006973:Hypertension; D017379:Hypertrophy, Left Ventricular; D020257:Ventricular Remodeling
Hypertension; left ventricular geometry; right ventricle; three-dimensional echocardiography; two-dimensional strain