The fleeting relationship of raised blood pressure (BP) with left ventricular hypertrophy (LVH) and geometric changes in a longitudinal cohort of grown-ups is surveyed in this study. In the Bogalusa Heart Study associate, the estimation for left ventricular mass index (LVMI), relative wall thickness (RWT), and blood pressure were taken at two-time points. The interval was between the years 2000 and 2016 and the points were 4.1 to 14.9 years apart. The number of test subjects was 984 grown-ups (677 White and 307 Black individuals; % of men=41.1; age range in years, 24.2 to 56.7). The analysis of the temporal relationship between blood pressure with LVMI and RWT in subjects who didn’t take antihypertensive medications (n = 693) was done using the cross-lagged path examination models. The cross-lagged path coefficients didn’t vary significantly altogether among race and gender groups. In the consolidated example, the way coefficients from base systolic BP to follow-up LVMI/RWT were altogether more prominent than the path coefficients from baseline LVMI/RWT to follow-up SBP (0.111 against −0.005 for LVMI, P=0.010 for difference; 0.146 against 0.004 for RWT, P=0.002 for difference). Hypertensive subjects at baseline had a fundamentally higher frequency pace of concentric LVH at follow-up in comparison to normotensive subjects (19.4% against 9.7%, P<0.001 for difference), yet incident eccentric LVH didn’t show such a contrast somewhere in between the range of hypertensive and normotensive subjects (5.4% against 4.4%, P=0.503 for difference). DBP results were akin to those of SBP. All in all, the discoveries on these one-directional paths give a solid and new proof that raised blood pressure goes before the advancement of LVH, particularly concentric LVH, during the youthful to-midlife grown-up age period.