Key result
Echocardiography reclassified 14.8% of low-to-medium risk hypertensive patients to high risk due to LVH detection, with the highest yield and best cost-effectiveness in men aged 50 years and older.
Why the study?
Does routine echocardiography improve cardiovascular risk stratification and is it cost-effective in low-to-medium risk untreated hypertensive patients?
Population
580 untreated hypertensive individuals, classified at low to medium risk according to routine clinical…
Comparison
Echocardiographic examination to detect left… vs Routine clinical work-up without echocardiography
Design
Cross-sectional
Authors
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Routine echocardiography may refine risk stratification in low/medium-risk hypertension; leaves open cost-effectiveness for routine use.
Observational (n=580)
Does routine echocardiography improve cardiovascular risk stratification and is it cost-effective in low-to-medium risk untreated hypertensive patients?
Routine echocardiography for risk stratification in uncomplicated, low-to-medium risk hypertensive patients has an unfavorable cost-effectiveness profile, particularly in younger patients.
Cuspidi et al. (2006) conducted an observational in essential hypertension (n=580). Echocardiography vs. Routine clinical work-up was evaluated on Reclassification to high-risk stratum due to detection of left ventricular hypertrophy. Echocardiography reclassified 14.8% of low-to-medium risk hypertensive patients to high risk due to LVH detection, with the highest yield and best cost-effectiveness in men aged 50 years and older.
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