What does this research mean for the field?

Essential hypertension is associated with significant echocardiographic abnormalities, including asymmetric septal hypertrophy, enlarged left atrial dimension, and altered mitral leaflet dynamics, even in patients with normal electrocardiograms. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To evaluate and compare echocardiographic structural and functional cardiac findings between patients with essential hypertension and healthy controls.

January 1, 1980Okayama Igakkai Zasshi (Journal of Okayama Medical Association)Open Access

Echocardiographic findings in essential hypertension

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Why the study?

What are the echocardiographic structural and functional changes in patients with essential hypertension compared to healthy subjects?

Key Points

To evaluate and compare echocardiographic structural and functional cardiac findings between patients with essential hypertension and healthy controls.
Assessed echocardiographic parameters in 123 patients with essential hypertension compared with healthy subjects.
Classified hypertensive patients into four subgroups based on electrocardiographic patterns according to University of Tokyo internal medicine criteria.
Hypertensive patients with normal electrocardiograms showed statistically significant reductions in diastolic E to F slope and total amplitude, increased mitral anterior leaflet A/E ratio, enlarged left atrial dimension, and thickened interventricular septum compared to healthy controls.
Asymmetric septal hypertrophy was evident across essential hypertension cases, characterized by a significant increase in interventricular septum thickness relative to only slight left ventricular wall thickening.
Advanced essential hypertension presented with enlarged left ventricular dimensions that correlated with decreased ejection fraction, reduced mean velocity of circumferential fiber shortening (mVcf), and increased D/C ratio.

Structured PICO

What are the echocardiographic structural and functional changes in patients with essential hypertension compared to healthy subjects?

Population

123 cases of essential hypertension

Comparator

Healthy subjects

Outcome

Echocardiographic parameters including diastolic E to F slope (DDR), total amplitude (CE), A/E ratio, left atrial dimension (LAD), and interventricular septum thicknesssurrogate

Echocardiography can detect early structural and functional cardiac changes, such as asymmetric septal hypertrophy and left atrial enlargement, in patients with essential hypertension even when electrocardiographic findings are normal.

Discussion

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Implication

Echocardiography may detect subclinical cardiac changes in hypertension despite normal ECG; leaves open prognostic value and management impact.

Cite This Study

Yoshihiro Wake (1980) studied this question.

synapsesocial.com/papers/6a19b716196cd56b09ea9c90 https://doi.org/10.4044/joma1947.92.3-4_311

Topics

Echocardiography Hypertension management

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Implication

Echocardiography may detect subclinical cardiac changes in hypertension despite normal ECG; leaves open prognostic value and management impact.

Echocardiographic findings in essential hypertension

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Topics

Echocardiographic findings in essential hypertension

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

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