Remodeling of the left ventricle by the process of hypertrophyis usually a response to increased afterload. This adaptivereaction maintains cardiac output. The most common pattern ofhypertrophy is concentric remodeling due to systemic hypertension,in which there is replication of sarcomeres in parallel. Hypertrophyalso results from genetic mutations involving the contractileapparatus, as in hypertrophic cardiomyopathy, which is unrelatedto changes in afterload.
Echocardiography has made it possible to quantify hypertrophyand to describe the effects of hypertrophic cardiomyopathy onleft ventricular architecture and function. These patterns haveproved invaluable in identifying phenotypic expression in familypedigrees.1. . . [Full Text of this Article]
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