Hypertensive Heart Disease-The Imaging Perspective.
Tevfik F IsmailSimon Martin FreyBeat A KaufmannDavid Jean WinkelDaniel T BollMichael J ZellwegerPhilip HaafPublished in: Journal of clinical medicine (2023)
Hypertensive heart disease (HHD) develops in response to the chronic exposure of the left ventricle and left atrium to elevated systemic blood pressure. Left ventricular structural changes include hypertrophy and interstitial fibrosis that in turn lead to functional changes including diastolic dysfunction and impaired left atrial and LV mechanical function. Ultimately, these changes can lead to heart failure with a preserved (HFpEF) or reduced (HFrEF) ejection fraction. This review will outline the clinical evaluation of a patient with hypertension and/or suspected HHD, with a particular emphasis on the role and recent advances of multimodality imaging in both diagnosis and differential diagnosis.
Keyphrases
- blood pressure
- left ventricular
- left atrial
- ejection fraction
- aortic stenosis
- heart failure
- mitral valve
- hypertensive patients
- pulmonary hypertension
- high resolution
- atrial fibrillation
- heart rate
- cardiac resynchronization therapy
- hypertrophic cardiomyopathy
- pulmonary artery
- acute myocardial infarction
- catheter ablation
- pulmonary embolism
- case report
- transcatheter aortic valve replacement
- weight loss
- living cells
- left atrial appendage
- vena cava
- photodynamic therapy
- blood glucose
- coronary artery disease
- mass spectrometry