Yu.E. TEREGULOV^1,2,3, E.T. TEREGULOVA³, S.D. MAYANSKAYA², Z.K. LATIPOVA²

¹Republican Clinical Hospital of Ministry of Health of the Republic of Tatarstan, 138 Orenburgskiy trakt, Kazan, Russian Federation 420064

²Kazan State Medical University, 49 Butlerova St., Kazan, Russian Federation 420012

³Kazan State Medical Academy, 36 Butlerova St., Kazan, Russian Federation 420012

Teregulov Yu.E. —Cand. Med. Sc., Head of the Department of Functional Diagnostics, Associate Professor of the Department of Hospital Therapy, Head of the Department of Functional Diagnosticsof the RCH MH of RT, tel. +7-917-264-70-04, e-mail: tereg2@mail.ru^1,2,3

Teregulova E.T. — Cand. Med. Sc., Assistant of the Department of Cardiology, Endovascular and Cardiovascular Surgery, tel. +7-917-265-27-52, e-mail: elena_dt@mail.ru³

Mayanskaya S.D. —D. Med. Sc., Vice-Rector for Science and Innovations, tel. +7-905-316-99-66, e-mail: smayanskaya@mail.ru²

Latipova Z.K. — postgraduate student of the Department of Hospital Therapy, tel. +7-987-285-33-52, e-mail: zaliya87@rambler.ru²

In 129 patients with hypertensive disease1-3 degrees in age from 18 to 84 years was studied the relation between geometric and electrophysiological remodelling of the left ventricular. Patients were made echocardiography and 12-lead ECG. Vector electrocardiogram was made with reconstruction method in 12-lead ECG. The hypertrophy of the left ventricle (HLV) was diagnosed on the basis of the conventional electrocardiographic signs, criteria of Sokolow-Lyon and Cornell, and also at increase in the module of the maximum vector in proper plane ≥1,8 MV. The geometrical model of left ventricle myocardial hypertrophy was determined by A. Ganau classification et al. (1992).

The normal geometry of the left ventricle is revealed in 52 patients (40,3%), concentric remodeling — in 18 patients (14%), concentric hypertrophy — in 29 (22,5%), and eccentric hypertrophy — in 30 (23,3%) patients.

Criteria of EKG-VEG the HLV is revealed in 60 (46,5%) patients, and in 69 patients (53,5%) HLV is not diagnosed. In patients with normal geometry on an electrocardiogram criteria, the HLV is revealed in 36,5% of patients, it isn’t diagnosed in 63,5% of cases. At concentric remodeling at an electrocardiogram the HLV was defined in 50% of patients, at a concentric hypertrophy in 51,7% of cases, at an eccentric hypertrophy at 56,7% of patients.It is demonstrated that patients with a hypertensive disease electrocardiographic criteria of a hypertrophy of the left ventricle can arise without change of mass of a myocardium of the left ventricle and its geometrical characteristics.

Key words: arterial hypertension, hypertrophy of the left ventricle, remodeling of the left ventricle, diastolic dysfunction.

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