How to identify hypertensive patients at high cardiovascular risk? The role of echocardiography

High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension
Cesare CuspidiGuido Grassi

Abstract

Scientific authorities recommend that patients with arterial hypertension should be managed not only on the basis of blood pressure (BP) levels, but also on the assemement of total cardiovascular risk. In particular, evaluation of target organ damage (TOD) is of major relevance for identifying hypertensive individuals at high cardiovascular risk independently of clinic BP levels. Evidence of cardiac and extra-cardiac TOD has been consistently associated with worse cardiovascular prognosis. Unfortunately, detection of TOD markedly depends on sensitivity of diagnostic tools, at difference from evaluation of risk factors and associated diseases, usually reliably provided by accurate clinical examination and routine investigation. The purpose of this paper was to provide an updated, comprehensive review on the role of echocardiography in identifying hypertensive patients apparently uncomplicated, but exposed to a high cardiovascular risk due to the presence of subclinical structural and functional cardiac alterations of adverse prognostic significance.

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Citations

Sep 6, 2005·Journal of the American College of Cardiology·Willem J VerberkPeter W de Leeuw
Feb 14, 2019·Cardiovascular Diabetology·Andrea Maria MarescaColomba Falcone
Jun 23, 2018·The International Journal of Cardiovascular Imaging·Luca SabiaAlberto Milan

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