Patterns of left ventricular remodeling

The schematic demonstrates the relationship between LVEDV (represented here by the size of the inner circle) and LV mass (represented here by the size of the shaded region) for various patterns of remodeling.
RWT = LVPW X 2 / LVIDD.
With concentric remodeling, LVEDV is normal or reduced, LV mass is normal, and RWT is increased (and the ratio of LV mass to LVEDV is increased).
With concentric hypertrophy, LVEDV is normal or reduced, LV mass is increased, and RWT is increased (and the ratio of LV mass to LVEDV is increased).
With eccentric remodeling, LVEDV is increased, LV mass is normal to reduced, and RWT is normal or reduced (and the ratio of LV mass to LVEDV is normal or reduced).
With eccentric hypertrophy, LVEDV is increased, LV mass is increased, and RWT is normal or reduced (and the ratio of LV mass to LVEDV is normal or reduced).

LV: left ventricular; LVEDV: LV end-diastolic volume; RWT: relative wall thickness; LVPW: LV posterior wall thickness at end-diastole; LVIDD: LV internal diastolic dimension.

Courtesy of William Gaasch, MD, Tufts University School of Medicine.

Graphic 87847 Version 5.0

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Patterns of left ventricular remodeling