Impact of echocardiographic left ventricular geometry on clinical prognosis

Prog Cardiovasc Dis. 2014 Jul-Aug;57(1):3-9. doi: 10.1016/j.pcad.2014.05.003. Epub 2014 May 20.


Abnormal left ventricular (LV) geometry, including LV hypertrophy (LVH), is associated with increased risk of major cardiovascular (CV) events and all-cause mortality and may be an independent predictor of morbid CV events. Patients with LVH have increased risk of congestive heart failure, coronary heart disease, sudden cardiac death and stroke. We review the risk factors for LVH and its consequences, as well as the risk imposed by concentric remodeling (CR). We also examine evidence supporting the benefits of LVH regression, as well as evidence regarding the risk of CR progressing to LVH, as opposed to normalization of CR. We also briefly review the association of abnormal LV geometry with left atrial enlargement and the combined effects of these structural cardiac abnormalities.

Keywords: Cardiovascular Events; Echocardiography; Left Ventricular Hypertrophy.

Publication types

  • Review

MeSH terms

  • Echocardiography / methods*
  • Heart Ventricles / diagnostic imaging*
  • Heart Ventricles / physiopathology
  • Humans
  • Hypertrophy, Left Ventricular / diagnostic imaging*
  • Hypertrophy, Left Ventricular / physiopathology
  • Prognosis
  • Ventricular Remodeling*