By Enrico Agabiti Rosei, Giuseppe Mancia
This e-book offers up to date info on the right way to verify early preclinical adjustments within the center, the small and big arteries and the kidney utilizing the main delicate, particular and low cost innovations. a large choice of options are mentioned, with cautious realization to the most recent advancements. for every organ, facts is documented in regards to the incidence of organ harm within the common and the hypertensive inhabitants. details is equipped at the strength induction of regression of organ harm through remedy, the standards for developing major alterations and the medical prognostic value of regression. The guide should be priceless for all practitioners answerable for the scientific administration of hypertensive sufferers, on condition that the review of early preclinical cardiovascular and renal harm allows extra actual probability stratification at baseline and enables review of cardiovascular safeguard whilst regression of structural adjustments is accomplished in the course of treatment.
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J Hypertens. 1999;17(12 Pt 2):1955–63. 20. Muiesan ML, de Simone G, Ganau A, Longhini C, Verdecchia P, Mancia G, et al. Inappropriate left ventricular mass: reliability and limitations of echocardiographic measurement for risk stratification and follow-up in single patients. J Hypertens. 2006;24(11):2293–8. 21. Kusunose K, Kwon DH, Motoki H, Flamm SD, Marwick TH. Comparison of three-dimensional echocardiographic findings to those of magnetic resonance imaging for determination of left ventricular mass in patients with ischemic and non-ischemic cardiomyopathy.
Conclusively, 3D echocardiography is a novel technique that permits accurate and reproducible assessment of left ventricular mass and left ventricular volumes in comparison to the gold standard technique—CMR. Further studies are necessary for the implementation of 3D echocardiography in the evaluation of left atrial structure and function and left ventricular diastolic function. J. Manolis et al. Cardiac Computed Tomography in Hypertension Cardiac computed tomography (CT) is not currently a first-line exam in the evaluation of hypertensive patients.
Furthermore, changes in plaque composition characteristics seem to have additional prognostic significance . 48 E. Agabiti Rosei et al. Conclusions An ultrasound examination of the common bifurcation and internal carotid arteries should be performed in hypertensive patients with concomitant risk factors, such as smoking, dyslipidemia, diabetes, and family history for cardiovascular diseases. However, methodological standardization for IMT measurement needs to be further implemented for the routine measurement of IMT in clinical practice for stratifying cardiovascular risk.
Assessment of Preclinical Organ Damage in Hypertension by Enrico Agabiti Rosei, Giuseppe Mancia