Objective: A total of 104 (51 men and 53 women) patients with CKD 5D and permanently resided in urban areas were examined. The average age of was 49.7±11.7 years. The main initial diseases were glomerulonephritis (36.5%, n=38), diabetes mellitus (31.7%, n=33%) and urolithiasis (10.6%, n=11). The average duration of HD was 37.0±4.77 months (M±m). The mean systolic blood pressure was 114.1 ± 27.1 mm Hg, the mean diastolic blood pressure was 84.8 ± 13.6 mm Hg. LV myocardial hypertrophy was diagnosed with LVMI values equal to or exceeding normal values. The geometric model of the heart was assessed in terms of LVMW and LVMI: with LVMI N and LVWT <0.45 - eccentric LV hypertrophy; with LVMI> N and LVWT> 0.45 - concentric LV hypertrophy; with LVMI 0.45 - concentric LV remodeling. Methods: Normal LV geometry was not determined in any patient. 62 (59.6%) patients had concentric LV myocardial hypertrophy, 10 (9.6%) patients had concentric LV remodeling, 32 (30.8%) patients had eccentric LV hypertrophy. Indicators of IVS thickness averaged 13.0±2.1 mm, PWLV thickness - 12.1±2.0 mm, LVM - 310.8±22.73 g, LVMI - 169.6±12.26 g/m2. Results: All studied urban patients with CKD 5D had LV remodeling. More than 90% of the examined patients had LVH. The most common are concentric remodeling (59.6%) and eccentric remodeling (30.8%) of the left ventricle of the heart. Conclusions: Objective: To study the remodeling of the left ventricle of the heart in CKD 5D patients of the urban population of Uzbekistan. Methods: A total of 104 (51 men and 53 women) patients with CKD 5D and permanently resided in urban areas were examined. The average age of was 49.7±11.7 years. The main initial diseases were glomerulonephritis (36.5%, n=38), diabetes mellitus (31.7%, n=33%) and urolithiasis (10.6%, n=11). The average duration of HD was 37.0±4.77 months (M±m). The mean systolic blood pressure was 114.1 ± 27.1 mm Hg, the mean diastolic blood pressure was 84.8 ± 13.6 mm Hg. LV myocardial hypertrophy was diagnosed with LVMI values equal to or exceeding normal values. The geometric model of the heart was assessed in terms of LVMW and LVMI: with LVMI N and LVWT <0.45 - eccentric LV hypertrophy; with LVMI> N and LVWT> 0.45 - concentric LV hypertrophy; with LVMI 0.45 - concentric LV remodeling. Results: Normal LV geometry was not determined in any patient. 62 (59.6%) patients had concentric LV myocardial hypertrophy, 10 (9.6%) patients had concentric LV remodeling, 32 (30.8%) patients had eccentric LV hypertrophy. Indicators of IVS thickness averaged 13.0±2.1 mm, PWLV thickness - 12.1±2.0 mm, LVM - 310.8±22.73 g, LVMI - 169.6±12.26 g/m2. Conclusions: All studied urban patients with CKD 5D had LV remodeling. More than 90% of the examined patients had LVH. The most common are concentric remodeling (59.6%) and eccentric remodeling (30.8%) of the left ventricle of the heart.