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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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Elevated RV and LV pressures that vary together with respiration (ie, concordance) should be strongly considered as RCM. Elevated RV and LV pressures that are out of synchrony on inspiration (ie, discordant), wherein the RV pressure increases but the LV pressure decreases would support the diagnosis of CPD.
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