The article highlights the examination of 92 patients, 72 of which had arterial hypertension of varying degree. Left ventricular systolic function was assessed by ejection fraction (EF) and systolic speed of mitral valve ring movement in pulse wave-tissue Doppler imaging (PW-TDI). Diastolic function of left and right ventricles was examined using the ratio of diastolic peak flow velocities on mitral and tricuspid valves as well as by diastolic movement of their rings in PW-TDI. PW-TDI parameters were found to be more sensible in case of global contractility of left ventricle (in comparison with ejection fraction of left ventricle) and diastolic function of left and right ventricles (relative to their ratio of peak flow velocities). The earliest marker of diastolic dysfunction of left and right ventricles is change of the ratio of early and late diastolic movement velocities of tricuspid ring eTK/aTK.

Aim. To identify the criteria of early left ventricular (LV) remodelling; to assess the baseline structure and function of left and right cardiac chambers, as well as their dynamics during adequate antihypertensive therapy (AHT), in patients with Stage 2 arterial hypertension (AH).Material and methods. In total, the study included 79 individuals: 35 patients with Stage 2 AH and 44 healthy volunteers. All participants underwent echocardiography (EchoCG), with the assessment of standard structural and functional remodelling parameters, as well as the original linear parameters "a", "b", and "c", proposed by the authors. Twenty five AH patients were re-examined 1,5 years after the start of adequate AHT.Results. Even early stages of AH are characterised by left and right ventricular dysfunction, as a manifestation of complex heart reaction to pressure overload. Simple, accessible EchoCG criteria, specifically, linear parameters of LV geometry "a", "b", and "c", have been proposed to assess LV remodelling at earlier stages, compared to traditional parameters and spherical index. Adequate AHT resulted in improvement of left and right heart structure and function, with geometric parameters "a" and "b" being the most sensitive criteria.Conclusion. In AH patients, the proposed linear parameters could be used as diagnostic criteria for early LV remodelling, as well as indicators of AHT effectiveness, considering their higher sensitivity, compared to traditional EchoCG parameters.

Aim. To identify the criteria of early left ventricular (LV) remodelling; to assess the baseline structure and function of left and right cardiac chambers, as well as their dynamics during adequate antihypertensive therapy (AHT), in patients with Stage 2 arterial hypertension (AH). Material and methods. In total, the study included 79 individuals: 35 patients with Stage 2 AH and 44 healthy volunteers. All participants underwent echocardiography (EchoCG), with the assessment of standard structural and functional remodelling parameters, as well as the original linear parameters “a”, “b”, and “c”, proposed by the authors. Twenty five AH patients were re-examined 1,5 years after the start of adequate AHT. Results. Even early stages of AH are characterised by left and right ventricular dysfunction, as a manifestation of complex heart reaction to pressure overload. Simple, accessible EchoCG criteria, specifically, linear parameters of LV geometry “a”, “b”, and “c”, have been proposed to assess LV remodelling at earlier stages, compared to traditional parameters and spherical index. Adequate AHT resulted in improvement of left and right heart structure and function, with geometric parameters “a” and “b” being the most sensitive criteria. Conclusion. In AH patients, the proposed linear parameters could be used as diagnostic criteria for earlyLV remodelling, as well as indicators of AHT effectiveness, considering their higher sensitivity, compared to traditional EchoCG parameters.