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A significant left ventricular (LV) aneurysm is present in 30% to 35% of acute transmural myocardial infarction. The two major risk factors for developing LV aneurysm include total occlusion of the left anterior descending artery and failure to achieve patency of infarct site artery.
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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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