Left ventricular hypertrophy as a marker of adverse cardiovascular risk in persons of different age groups

The paper considers modern views on the prognostic value of different types of left ventricular hypertrophy (LVH). The role of the interaction of demographic, hemodynamic, regulatory, and intracardiac factors in the formation of prognostic traits in patients with different types of LVH is noted. Data are presented from our own studies, which indicate that the left ventricular myocardial mass is no less important in long-term general prognostication than concentric or eccentric LVH type classification in elderly patients with hypertension. Some data are submitted concerning left atrial dilatation as an inalienable component of the cardiovascular continuum in essential hypertension. The pathogenic and prognostic contribution of metabolic disorders associated with hypertension and abdominal obesity in the development of structural and functional disorders on the heart’s left side is shown. Issues of long-term outcome in elderly hypertensive patients with metabolic syndrome are highlighted, and characteristics of left ventricular geometry are taken into account.