Key result
Echo provides valuable second-line imaging to assess target organ damage and CV risk in hypertension.
Echocardiography, including newer modalities like strain and 3D imaging, plays a crucial role in assessing cardiovascular risk and prognosis in patients with hypertension.
May support echocardiography in hypertension assessment; leaves open prospective validation of strain and 3D modalities.
Hypertension is a major and correctable cardiovascular risk factor. The correct diagnosis of hypertension and precise assessment of cardiovascular risk are essential to give proper treatment in patients with hypertension. Although echocardiography is the second-line study in the evaluation of hypertensive patients, it gives many clues suggesting bad prognosis associated with hypertension, including increased left ventricular (LV) mass, decreased LV systolic function, impaired LV diastolic function, and increased left atrial size and decreased function. Along with conventional echocardiographic methods, tissue Doppler imaging, three-dimensional echocardiography, and strain echocardiography are newer echocardiographic modalities in the evaluation of hypertensive patients in the current echocardiographic laboratories. Understanding conventional and newer echocardiographic parameters is important in the diagnosis and assessment of cardiovascular risk in hypertensive patients.
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Lee et al. (2015) conducted a review in Hypertension. Echocardiography was evaluated. Echocardiography serves as a valuable second-line imaging modality for detecting anatomical and functional changes, evaluating target organ damage, and assessing cardiovascular risk in hypertension.
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