The increase blood pressure leads to develop remodeling of the left ventricle (LV) including hypertrophic and dilatation processes, the change of geometry as well it affects to systolic and diastolic functions. Structural modifications of the LV is accompanied by overloading of the la also it's dilatation , what leads to the stunnig LA LA and is a factor predisposing to the development of arrhythmias such as ventricular extrasystoles (PVCs), atrial fibrillation (AF). On the other hand an irregular heartbeat to develop dilatation of the LA. However last investigations indicate that more accurate marker of the left atrium's structural remodeling is index volume of the (ILA).