Alsharari, R, Oxborough, D, Lip, GYH and Shantsila, A (2021) Myocardial Strain Imaging in Resistant Hypertension. Current Hypertension Reports, 23 (5). ISSN 1522-6417

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Abstract

PURPOSE OF REVIEW: Resistant hypertension (RH) is a major contributor to cardiovascular diseases and is associated with increased all-cause and cardiovascular mortality. Cardiac changes such as impaired left ventricular (LV) function, left ventricular hypertrophy (LVH), myocardial fibrosis, and enlarged left atrium (LA) are consequences of chronic exposure to an elevated blood pressure. The purpose of this review article is to demonstrate the potential benefits of using STE as a non-invasive imaging technique in the assessment of cardiac remodeling in patients with hypertension and specifically in uncontrolled and RH population. RECENT FINDINGS: It is well-recognized that conventional transthoracic echocardiography is a useful analytic imaging modality to evaluate hypertension-mediated organ damage (HMOD) and in a resistant hypertensive population. More recently two-dimensional speckle tracking echocardiography (STE) has been utilized to provide further risk assessment to this population. Recent data has shown that STE is a new promising echocardiographic marker to evaluate early stage LV dysfunction and myocardial fibrosis over conventional 2D parameters in patients with cardiovascular diseases.

Item Type:	Article
Uncontrolled Keywords:	1103 Clinical Sciences, 1115 Pharmacology and Pharmaceutical Sciences
Subjects:	R Medicine > RM Therapeutics. Pharmacology R Medicine > RT Nursing
Divisions:	Sport & Exercise Sciences Nursing & Allied Health
Publisher:	Springer
Related URLs:	Author
Date Deposited:	11 May 2021 10:26
Last Modified:	04 Sep 2021 05:29
DOI or ID number:	10.1007/s11906-021-01148-3
URI:	https://researchonline.ljmu.ac.uk/id/eprint/14978

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