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Concentric left ventricular hypertrophy is an abnormal increase in left ventricular myocardial mass caused by chronically increased workload on the heart, most commonly resulting from pressure overload-induced by arteriolar vasoconstriction as occurs in, chronic hypertension or aortic stenosis.
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Complications. A left ventricular aneurysm can be associated with a variety of complications such as malignant arrhythmias, heart failure, cardiac ischemia, thromboembolism, and rupture of the ventricle. Almost one-third of the patients with ventricular aneurysms develop arrhythmias.
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In the study, reported by Guzik et al. in this issue, 9 patients with concentric LVH had more adverse cardiac and cerebrovascular events and higher mortality than in those with eccentric LVH, thus suggesting that the geometric category of LVH may impact the long-term prognosis in patients with hypertension.
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