Doppler echocardiography is a fundamental instrument to understand heart damage during essential arterial hypertension. Left ventricular (LV) hypertrophy may also be conveniently studied in its morphological and functional aspects by ultrasound application. Echocardiography can also provide important morphological and functional information in hypertensive patients for therapeutic management and prognostic stratification. In recent years, echocardiography has been enriched by very refined techniques that are capable of studying the physiopathological intramyocardial phenomena: (i) tissue Doppler (which studies intramyocardial velocities and time intervals and allows the analysis of strain and strain rate); (ii) integrated backscatter (which analyzes variations of myocardial reflectivity in decibels); (iii) transthoracic Doppler derived coronary flow reserve (which quantifies the vasodilator response of coronary velocities to a hyperaernic stimulation); (iv) myocardial echo-contrast-echocardiography (which studies the kinetics of ultrasound contrast microbubbles at the intrannyocardial level); and (v) real-time three-dimensional (3-D) echocardiography [which allows a more precise evaluation of left ventricular (LV) volumes and LV mass]. These new methodological approaches have recently been used in the hypertensive-clinical setting to provide a deeper knowledge of the complex physiopathological and histopathological mechanisms underlying the modifications induced by arterial hypertension at the myocardial tissue level (myocytes, collagen, microcirculation). This review shows the advancement of high-tech ultrasound applied to hypertensive heart disease, pointing out limitations and incremental potentialities in comparison with conventional echocardiography.

New echocardiographic technologies in the clinical management of hypertensive heart disease / Vitantonio Di, Bello; Maurizio, Galderisi; Cesare De, Gregorio; Gerardo, Ansalone; Frank Lloyd, Dini; Giovanni Di, Salvo; Sabina, Gallina; Donato, Mele; Sciomer, Susanna; Roberta, Montisci; Sergio, Mondillo; Paolo Nicola, Marino; O. F., Cardiology Working Group Of Echocardiography Of The Italian Society. - In: JOURNAL OF CARDIOVASCULAR MEDICINE. - ISSN 1558-2027. - STAMPA. - 8:12(2007), pp. 997-1006. [10.2459/jcm.0b013e3281053ad2]

New echocardiographic technologies in the clinical management of hypertensive heart disease

SCIOMER, Susanna;
2007

Abstract

Doppler echocardiography is a fundamental instrument to understand heart damage during essential arterial hypertension. Left ventricular (LV) hypertrophy may also be conveniently studied in its morphological and functional aspects by ultrasound application. Echocardiography can also provide important morphological and functional information in hypertensive patients for therapeutic management and prognostic stratification. In recent years, echocardiography has been enriched by very refined techniques that are capable of studying the physiopathological intramyocardial phenomena: (i) tissue Doppler (which studies intramyocardial velocities and time intervals and allows the analysis of strain and strain rate); (ii) integrated backscatter (which analyzes variations of myocardial reflectivity in decibels); (iii) transthoracic Doppler derived coronary flow reserve (which quantifies the vasodilator response of coronary velocities to a hyperaernic stimulation); (iv) myocardial echo-contrast-echocardiography (which studies the kinetics of ultrasound contrast microbubbles at the intrannyocardial level); and (v) real-time three-dimensional (3-D) echocardiography [which allows a more precise evaluation of left ventricular (LV) volumes and LV mass]. These new methodological approaches have recently been used in the hypertensive-clinical setting to provide a deeper knowledge of the complex physiopathological and histopathological mechanisms underlying the modifications induced by arterial hypertension at the myocardial tissue level (myocytes, collagen, microcirculation). This review shows the advancement of high-tech ultrasound applied to hypertensive heart disease, pointing out limitations and incremental potentialities in comparison with conventional echocardiography.
2007
arterial hypertension; coronary flow reserve; integrated backscatter; myocardial contrast echocardiography; three-dimensional echocardiography; threedimensional echocardiography; tissue doppler
01 Pubblicazione su rivista::01a Articolo in rivista
New echocardiographic technologies in the clinical management of hypertensive heart disease / Vitantonio Di, Bello; Maurizio, Galderisi; Cesare De, Gregorio; Gerardo, Ansalone; Frank Lloyd, Dini; Giovanni Di, Salvo; Sabina, Gallina; Donato, Mele; Sciomer, Susanna; Roberta, Montisci; Sergio, Mondillo; Paolo Nicola, Marino; O. F., Cardiology Working Group Of Echocardiography Of The Italian Society. - In: JOURNAL OF CARDIOVASCULAR MEDICINE. - ISSN 1558-2027. - STAMPA. - 8:12(2007), pp. 997-1006. [10.2459/jcm.0b013e3281053ad2]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/109115
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