6533b82efe1ef96bd1292a42
RESEARCH PRODUCT
Identification of cardiac organ damage in arterial hypertension: insights by echocardiography for a comprehensive assessment
Flavio D'ascenziSergio MondilloGiulia Elena MandoliRegina SorrentinoAnna Vittoria MattioliRoberto PedrinelliMaurizio GalderisiAntonello D'andreaRoberta EspositoMaria LemboMarco Matteo CicconeRiccardo LigaPasquale PalmieroFrancesco BanderaPietro ScicchitanoCarlotta SciaccalugaVincenzo EvolaCiro SantoroAnnapaola ZitoMatteo Camelisubject
Aortic valvemedicine.medical_specialtyarterial hypertensionPhysiologyHeart VentriclesDiastoleHemodynamicsContext (language use)Speckle tracking echocardiographyRegurgitation (circulation)030204 cardiovascular system & hematologyarterial hypertension; cardiac organ damage; diastolic dysfunction; echocardiography; left ventricular hypertrophy03 medical and health sciences0302 clinical medicinecardiac organ damageInternal medicineInternal MedicineMedicineHumans030212 general & internal medicineRisk factorbusiness.industrymedicine.diseasePrognosisleft ventricular hypertrophyStenosismedicine.anatomical_structureEchocardiographyAortic ValveHypertensionCardiologydiastolic dysfunctionCardiology and Cardiovascular Medicinebusinessdescription
: Arterial hypertension, a widespread disease, whose prevalence increases with age, represents a major risk factor for cardiovascular events, causing damage in several organs, including the heart. In this context, echocardiography has a clear and pivotal role, being able to assess cardiac morphology and detect haemodynamic changes induced by this disease. 2018 European Society of Cardiology/European Society of Hypertension guidelines on AH identified main echo parameters such as left ventricular mass, relative wall thickness and left atrial volume, for detecting cardiac organ damage. The present review highlights the advantage of additional echocardiographic parameters such as diastolic measurement and both thoracic and abdominal aortic dimensions. An overlook on aortic valve should also be suggested to detect aortic regurgitation and stenosis, both frequent complications in hypertensive patients. In this kind of comprehensive assessment, the combination of standard and advanced echocardiography (speckle tracking echocardiography and, with a lesser extent, three-dimensional echocardiography) could be considered to improve the diagnostic accuracy, stratify prognosis and address management in arterial hypertension.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2020-01-01 |