Recommendations on the Use of Echocardiography in Adult Hypertension: A Report from the European Association of Cardiovascular Imaging (EACVI) and the American Society of Echocardiography (ASE)

Recommendations on the Use of Echocardiography in Adult Hypertension: A Report from the European Association of Cardiovascular Imaging (EACVI) and the American Society of Echocardiography (ASE)
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DOI:
10.1016/j.echo.2015.05.002
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发表时间:
2015-07-01
影响因子:
6.5
通讯作者:
Zamorano, Jose L.
Zamorano, Jose L.
中科院分区:
医学2区
文献类型:
--
作者:
Marwick, Thomas H.;Gillebert, Thierry C.;Zamorano, Jose L.

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高血压仍然是全球疾病负担的主要贡献者。血压的测量仍然存在与生理方面和急性变化相关的缺陷。由于左心室(LV)仍然是高血压的主要靶器官之一,超声心动图测量的结构和功能在这种情况下携带预后信息,因此在这种情况下使用超声心动图的共识立场的发展是重要的。在评估LV肥大和LV收缩和舒张功能方面的最新进展促使了本文件的编写。这项工作的重点是对高血压的心血管反应,而不是继发性高血压的诊断。章节阐述了心脏和血管对高血压反应的病理生理学,LV质量、几何结构和功能的测量,以及治疗效果。
Hypertension remains a major contributor to the global burden of disease. The measurement of blood pressure continues to have pitfalls related to both physiological aspects and acute variation. As the left ventricle (LV) remains one of the main target organs of hypertension, and echocardiographic measures of structure and function carry prognostic information in this setting, the development of a consensus position on the use of echocardiography in this setting is important. Recent developments in the assessment of LV hypertrophy and LV systolic and diastolic function have prompted the preparation of this document. The focus of this work is on the cardiovascular responses to hypertension rather than the diagnosis of secondary hypertension. Sections address the pathophysiology of the cardiac and vascular responses to hypertension, measurement of LV mass, geometry, and function, as well as effects of treatment.