Cas du 09/04/2015: Left Ventricular Shape and Mortality

Presentation: A patient with a long history of hypertension, poorly controlled, presents with this echo loop.

#1: What is the diagnosis?
#2: What is the prognosis of this diagnosis?



















Explanation:

The diagnosis is concentric hypertophy where the left ventricula mass is increased and the left ventricular end-diastolic volume is maintained. In concentric remodeling the left ventricula end diastolic volume (LVEDV) is decreased but the left ventricular mass is maintained. In other words, in concentric hypertophy the heart  "grows out" and in concentric remodeling the heart "grows in".

 

Patients with hypertrophy, concentric hypertrophy or concentric remodeling, have decreased survival compared to normal hearts. Treatment where a concentric remodeled heart  or a concentric hypertrophied heart normalizes improves survival.