Specifics of Left Ventricular Remodeling and Daily Blood Pressure Profiles in Young and Middle-Aged Servicemembers Dealing with Arterial Hypertension

Abstract

Objective: Investigating structural and geometrical parameters, specifics of LV remodeling, as well as daily
BP profiles in young and middle-aged service members dealing with hypertension Stage 1 and Stage 2. A
group of 86 male subjects has been researched, including 52 young (26-44 y/o) and 34 middle-aged (45-
55 y/o) subjects with AH. The cardiac function has been evaluated through echo cardiography, and daily
BP monitoring has been carried out. The results of the study have shown that young and middle-aged
servicemen with AH have a normal LV geometry (59.6% of young subjects (31), 55.9% of middle-aged
subjects (19)), and concentric LV remodeling has been observed in 40.4% of young subjects (21) and in
22.1% of middle-aged (15) subjects with AH. According to data obtained during 24-hr BPM,as compared
to the normal LV geometry group, in the concentric LV remodeling groups the occurrence of the dipper AH
profile has decreased both in young (28.5% vs. 39%) and middle-aged (40% vs. 47.7%) subjects.