Abstract
Hypertension (HTN) is a heterogeneous disease with a number of well-defined as well as supposed reasons. HTN is a main risk factor for stroke and all cardiovascular disorders and is, therefore, associated with significant morbidity and mortality rates. The key role of echocardiography in the management of hypertension is the evaluation of left ventricular hypertrophy (LVH) and left ventricular mass (LVM). Indeed, LVH, LV diastolic dysfunction, and left atrial (LA) enlargement are specific signs of hypertensive heart disease (HHD).
The development of Doppler echocardiography, strain imaging, and three-dimensional echocardiography (3DE) has offered new approaches regarding perceptions in pathophysiology and also clinical implications in hypertensive patients.
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Abbreviations
- 3DE:
-
Three-dimensional echocardiography
- ACC:
-
American college of cardiology
- ASE:
-
American society of echocardiography
- AUC:
-
Appropriate use criteria
- CMR:
-
Cardiac magnetic resonance
- EACVI:
-
European association of cardiovascular imaging
- HHD:
-
Hypertensive heart disease
- HTN :
-
Hypertension
- IVS:
-
Interventricular septum
- JNC:
-
Joint national committee
- LA:
-
Left atrial
- LVH:
-
Left ventricular hypertrophy
- LVM :
-
Left ventricular mass
- PW:
-
Posterior wall
- RWT:
-
Relative wall thickness
- TTE:
-
Transthoracic echocardiography
References
Cuspidi C, Meani S, Valerio C, et al. Ambulatory blood pressure, target organ damage and aortic root size in never-treated essential hypertensive patients. J Hum Hypertens. 2007;21:531–8.
Cortigiani L, Bigi R, Landi P, Bovenzi F, Picano E, Sicari R. Prognostic implication of stress echocardiography in 6214 hypertensive and 5328 normotensive patients. Eur Heart J. 2011;32:1509–18.
Cameli M, Lisi M, Righini FM, Massoni A, Mondillo S. LV remodeling and torsion dynamics in hypertensive patients. Int J Cardiovasc Imaging. 2012;29(1):79–86. [Epub ahead of print].
Kim MN, Park SM, Shim WJ, Kim YH, Kim SA, Cho DH. The relationship between aortic stiffness and LV dyssynchrony in hypertensive patients with preserved LV systolic function. Clin Exp Hypertens. 2012;34:410–6.
Levy D, Garrison RJ, Savage DD, Kannel WB, Castelli WP. Prognostic implications of echocardiographically determined LV mass in the Framingham heart study. N Engl J Med. 1990;322:1561–6.
Cuspidi C, Ambrosioni E, Mancia G, Pessina AC, Trimarco B, Zanchetti A. Role of echocardiography and carotid ultrasonography in stratifying risk in patients with essential HTN: the assessment of prognostic risk observational survey. J Hypertens. 2002;20:1307–14.
Ilercil A, O’Grady MJ, Roman MJ, et al. Reference values for echocardiographic measurements in urban and rural populations of differing ethnicity: the strong heart study. J Am Soc Echocardiogr. 2001;14:601–11.
Cuspidi C, Sala C, Negri F, Mancia G, Morganti A. Prevalence of leftventricular hypertrophy in hypertension: an updated review of echocardiographic studies. J Hum Hypertens. 2012;26:343–9.
Dianzumba SB, DiPette D, Joyner CR, Townsend R, Weber E, Mauro K, et al. Left ventricular function in mild hypertension after adrenergic blockade. Hypertension. 1988;11:198–02.
American College of Cardiology Foundation Appropriate Use CriteriaTask Force, American Society of Echocardiography, American Heart Association, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, et al. J Am Coll Cardiol. 2011;57:1126–66.
Lang RM, Bierig M, Devereux RB, Flachskampf FA, Foster E, Pellikka PA, et al. Recommendations for chamber quantification. Eur J Echocardiogr. 2006;7:79–108.
Devereux RB, Alonso DR, Lutas EM, et al. Echocardiographic assessment of LV hypertrophy: comparison to necropsy findings. Am J Cardiol. 1986;57:450–8.
Marwick TH, Gillebert TC, Aurigemma G, Chirinos J, Derumeaux G, Galderisi M, Gottdiener J, Haluska B, Ofili E, Segers P, Senior R, Tapp RJ, Zamorano JL. Recommendations on the use of echocardiography in adult HTN: a report from the European Association of Cardiovascular Imaging (EACVI) and the American Society of Echocardiography (ASE). J Am Soc Echocardiogr. 2015(28):727–54.
Karabinos I, Grassos C, Kostaki P, Kranidis A. Echocardiography in the evaluation of a hypertensive patient: an invaluable tool or simply following the routine? Hell J Cardiol. 2013;54:47–57.
Yuda S, Shimamoto K, Watanabe N. Clinical applications of strain rate imaging for evaluation of left atrial function. Rinsho Byori. 2010;58:799–808.
Owan TE, Hodge DO, Herges RM, Jacobsen SJ, Roger VL, Redfield MM. Trends in prevalence and outcome of heart failure with preserved ejection fraction. N Engl J Med. 2006;355:251–9.
Devereux RB, Roman MJ, Palmieri V, et al. Left ventricular wall stresses and wall stress-mass-heart rate products in hypertensive patients with electrocardiographic left ventricular hypertrophy: the LIFE study. Losartan intervention for endpoint reduction in hypertension. J Hypertens. 2000;18:1129–38.
Ruan Q, Nagueh SF. Usefulness of isovolumic and systolic ejection signals by tissue Doppler for the assessment of left ventricular systolic function in ischemic or idiopathic dilated cardiomyopathy. Am J Cardiol. 2006;97:872–5.
Fici F, Ural D, Tayfun S, et al. Left ventricular diastolic dysfunction in newly diagnosed untreated hypertensive patients. Blood Press. 2012;21:331–7.
Bella JN, Palmieri V, Roman MJ, et al. Mitral ratio of peak early to late diastolic filling velocity as a predictor of mortality in middle-aged and elderly adults: the strong heart study. Circulation. 2002;105:1928–33.
Lang RM, Badano L, Afilalo J, Chamber Quantification Writing Group, American Society of Echocardiography’s Guidelines, Standards Committee, European Association of Echocardiography. Recommendations for cardiac chamber quantification by echocardiography: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2015;28:1–39.
Tsang TS, Abhayaratna WP, Barnes ME, Miyasaka Y, Gersh BJ, Bailey KR, et al. Prediction of cardiovascular outcomes with left atrial size: is volume superior to area or diameter? J Am Coll Cardiol. 2006;47:1018–23.
Mornoş C, Ruşinaru D, Manolis AJ, Zacharopoulou I, Pittaras A, Ionac A. The value of a new speckle tracking index including left ventricular global longitudinal strain and torsion in patients with dilated cardiomyopathy. Hell J Cardiol. 2011;52:299–306.
Feigenbaum H, Mastouri R, Sawada S. A practical approach to using strain echocardiography to evaluate the left ventricle. Circ J. 2012;76:1550–5.
Imbalzano E, Zito C, Carerj S, et al. Left ventricular function in hypertension: new insight by speckle tracking echocardiography. Echocardiography. 2011;28:649–57.
Kouzu H, Yuda S, Muranaka A, et al. Left ventricular hypertrophy causes different changes in longitudinal, radial, and circumferential mechanics in patients with hypertension: a two-dimensional speckle tracking study. J Am Soc Echocardiogr. 2011;24:192–9.
Galderisi M, Lomoriello VS, Santoro A, et al. Differences of myocardial systolic deformation and correlates of diastolic function in competitive rowers and young hypertensives: a speckle-tracking echocardiography study. J Am Soc Echocardiogr. 2010;23:1190–8.
Jenkins C, Moir S, Chan J, Rakhit D, Haluska B, Marwick TH. Left ventricular volume measurement with echocardiography: a comparison of left ventricular opacification, three-dimensional echocardiography, or both with magnetic resonance imaging. Eur Heart J. 2009;30:98–106.
Dorosz JL, Lezotte DC, Weitzenkamp DA, Allen LA, Salcedo EE. Performance of 3-dimensional echocardiography in measuring left ventricular volumes and ejection fraction: a systematic review and meta-analysis. J Am Coll Cardiol. 2012;59:1799–808.
Lang RM, Badano LP, Tsang W, Adams DH, Agricola E, Buck T, et al. EAE/ASE recommendations for image acquisition and display using three-dimensional echocardiography. J Am Soc Echocardiogr. 2012;25:3–46.
Takeuchi M, Nishikage T, Mor-Avi V, Sugeng L, Weinert L, Nakai H, et al. Measurement of left ventricular mass by real-time three-dimensional echocardiography: validation against magnetic resonance and comparison with two-dimensional and M-mode measurements. J Am Soc Echocardiogr. 2008;21:1001–5.
van den Bosch AE, Robbers-Visser D, Krenning BJ, McGhie JS, Helbing WA, Meijboom FJ, et al. Comparison of real-time three-dimensional echocardiography to magnetic resonance imaging for assessment of left ventricular mass. Am J Cardiol. 2006;97:113–7.
Shimada YJ, Shiota T. Meta-analysis of accuracy of left ventricular mass measurement by three-dimensional echocardiography. Am J Cardiol. 2012;110:445–52.
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Alizadehasl, A., Sadeghpour, A. (2018). Echocardiography in Hypertension. In: Sadeghpour, A., Alizadehasl, A. (eds) Case-Based Textbook of Echocardiography. Springer, Cham. https://doi.org/10.1007/978-3-319-67691-3_16
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