: 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.

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, threedimensional echocardiography) could be considered to improve the diagnostic accuracy, stratify prognosis and address management in arterial hypertension.

Identification of cardiac organ damage in arterial hypertension: Insights by echocardiography for a comprehensive assessment / Cameli, M.; Lembo, M.; Sciaccaluga, C.; Bandera, F.; Ciccone, M. M.; D Andrea, A.; D Ascenzi, F.; Esposito, R.; Evola, V.; Liga, R.; Mandoli, G. E.; Palmiero, P.; Santoro, C.; Scicchitano, P.; Sorrentino, R.; Zito, A.; Pedrinelli, R.; Mondillo, S.; Mattioli, A. V.; Galderisi, M.. - In: JOURNAL OF HYPERTENSION. - ISSN 0263-6352. - 38:4(2020), pp. 588-598. [10.1097/HJH.0000000000002323]

Identification of cardiac organ damage in arterial hypertension: Insights by echocardiography for a comprehensive assessment

Mattioli A. V.
Membro del Collaboration Group
;
2020

Abstract

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, threedimensional echocardiography) could be considered to improve the diagnostic accuracy, stratify prognosis and address management in arterial hypertension.
2020
38
4
588
598
Identification of cardiac organ damage in arterial hypertension: Insights by echocardiography for a comprehensive assessment / Cameli, M.; Lembo, M.; Sciaccaluga, C.; Bandera, F.; Ciccone, M. M.; D Andrea, A.; D Ascenzi, F.; Esposito, R.; Evola, V.; Liga, R.; Mandoli, G. E.; Palmiero, P.; Santoro, C.; Scicchitano, P.; Sorrentino, R.; Zito, A.; Pedrinelli, R.; Mondillo, S.; Mattioli, A. V.; Galderisi, M.. - In: JOURNAL OF HYPERTENSION. - ISSN 0263-6352. - 38:4(2020), pp. 588-598. [10.1097/HJH.0000000000002323]
Cameli, M.; Lembo, M.; Sciaccaluga, C.; Bandera, F.; Ciccone, M. M.; D Andrea, A.; D Ascenzi, F.; Esposito, R.; Evola, V.; Liga, R.; Mandoli, G. E.; Palmiero, P.; Santoro, C.; Scicchitano, P.; Sorrentino, R.; Zito, A.; Pedrinelli, R.; Mondillo, S.; Mattioli, A. V.; Galderisi, M.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1313506
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