Heart Remodeling in Arterial Hypertensiv Patients with Ishemic Stroke in Anamnesis

The goal: to identify structural and functional properties of the heart in patients with hypertension in late regenerative period ischemic stroke.
Materials and methods: We examined 58 people with hypertension (HT) in late stage III recovering from a stroke. Duration AG reached 4,8 ± 1,6 years, after suffering a stroke took 3,3 ± 1,8 year, 10.9% of those were repeat stroke. All patients underwent ambulatory blood pressure monitoring device for ABPM-1 (Meditech, Uhoschyna) (47 people) doplerehokardiohrafine .
Results: Against the background of existing hypertension and stroke in all patients ,normal left ventricle (LV) dimensions was in 51.8% of all patients, LV hypertrophy was in 48.2%, while 22.0% with eccentric hypertrophy and 18.4% with concentric hypertrophy , and concentric remodeling - in 7.8% of cases. Among patients with daily monitoring blood pressure profile of non-dipper normal LV geometry met in 38.7% of its hypertrophy - 61.3%, while eccentric - at 25.8% and concentric hypertrophy - in 19.4%, and concentric re modeling - in 16.1% of patients. In patients with daily monitoring blood pressure profile of night-peaker normal LV geometry met in 42.9% of its hypertrophy - 57.1%, while eccentric - at 35.7% and concentric hypertrophy - in 14.3%, and concentric re modeling - in 7.1% of cases. Among patients with daily monitoring blood pressure profile dipper normal LV dimensions was in 49.1%, with LV hypertrophy was- 51.9%, while the eccentric hypertrophy - in 21.1%, and concentric remodeling - in 8.8% of patients.
Index area of ​​the left atrium in patients with stage III hypertension increased with eccentric - at 19.61% and concentric hypertrophy - on 9,92% and decreased with concentric remodeling to 10.03%, due to remodeling of blood vessels and load pressure. End-diastolic left ventricular size in patients with stroke increased with 11.07% for eccentric and concentric hypertrophy at 9,43% and decreased with concentric remodeling at 6.56%, due to remodeling of blood vessels and load pressure.
Conclusions: In late recovering phase from ischemic stroke in patients with AH eccentric hypertrophy should be considered as a risk factor for the progression and prognosis of the disease.