Left ventricular hypertrophy in patients with calcific aortic stenosis: typical instrumental features
The aim of the investigation was to evaluate prevalence, type and common features of left ventricular hypertrophy (LVH) in patients of advanced age with calcific aortic stenosis (CAS). According to echocardiography results, 310 patients with CAS (65,5% women; mean age 73,2 ± 5,7 yrs.) and 50 (age and sex matched) controls were included. LVH was estimated in all cases of CAS (100%). Concentric type (in 58,7%) was associated with better indices of ejection fraction (57,0 and 50,5%; <i>p </i>< 0,001) and lesser ventricular chambers diameters (<i>p </i>< 0,001). Growing severity of aortic was accompanied by increasing of relative wall thickness (<i>p </i>= 0,006) and did not influence myocardial mass. Obtained results demonstrate the adaptive character of concentric remodeling in patients with CAS.