Should all patients with hypertension have echocardiography
G. De Simone,G. De Simone,Giuseppe Schillaci,Vittorio Palmieri,Vittorio Palmieri,Richard B. Devereux +5 more
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TL;DR: There is not sufficient evidence to extend the indication of echocardiography also to patients for whom antihypertensive management is already necessitated by identification of high or very high risk status.
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Abstract: The feasibility of echocardiographic determination of left ventricular (LV) mass, as well as the advantages that might be gained in some clinical circumstances and possible indications are examined in the present review, in relation to the recent WHO/ISH. The information obtained with echocardiograms in arterial hypertension is an important contribution to risk stratification on an epidemiological scale. In clinical practice, under the ascertained condition of a good reliability, an echocardiogram should be recommended as part of the initial work up when patients meet criteria for not starting therapy (low or mild risk WHO-ISH) or in all circumstances in which decision-making might be affected by the echocardiographic result. At present, there is not sufficient evidence to extend the indication of echocardiography also to patients for whom antihypertensive management is already necessitated by identification of high or very high risk status.
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Citations
Is High Pulse Pressure a Marker of Preclinical Cardiovascular Disease
Giovanni de Simone,Mary J. Roman,Michael H. Alderman,Maurizio Galderisi,Oreste de Divitiis,Richard B. Devereux +5 more
TL;DR: The hypothesis is that in hypertension, pulse pressure may be considered as a marker of preclinical cardiovascular disease, similar to LV mass and PP/SV, rather than a cardiovascular risk factor.
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Electrocardiographic criteria of left ventricular hypertrophy in general population.
Edoardo Casiglia,Laura Schiavon,Valérie Tikhonoff,Anna Bascelli,Bortolo Martini,Alberto Mazza,Sandro Caffi,Daniele D′Este,Francesco Bagato,Monica Bolzon,Federica Guidotti,Hilda Haxhi Nasto,Mario Saugo,Francesco Guglielmi,Achille C. Pessina +14 more
TL;DR: Electrocardiographic tests cannot be used as a surrogate of echocardiogram in detecting LVH in the general population because their positive predictive value (PPV) is unacceptably low and on the contrary, they could replace eChocardiography in the follow up and for prediction of outcome.
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•Journal Article
Prognostic Significance of Serial Changes in Left Ventricular Mass in Essential Hypertension
PaoloVerdecchia,GiuseppeSchillaci,ClaudiaBorgioni,AntonellaCiucci,RobertoGattobigio,IvanoZampi,GianpaoloReboldi,CarloPorcellati +7 more
TL;DR: This study examined the relation between changes in LV mass during antihypertensive treatment and subsequent prognosis in patients with essential hypertension and found the lesser cardiovascular risk in the group with a decrease inLV mass.
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Excessive increase in left ventricular mass identifies hypertensive subjects with clustered geometric and functional abnormalities.
Marcello Chinali,Marina De Marco,Gianpaolo D'Addeo,Margherita Benincasa,Carmela Romano,Maurizio Galderisi,Giovanni de Simone +6 more
TL;DR: Compared with LVH, inappropriate LVM is more accurate at identifying patients with clustered left ventricular geometric and functional abnormalities, and is associated with higher RWT, lower left Ventricular systolic function, longer IVRT and prolonged E-deceleration time.
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Evaluation of an open access echocardiography service in the Netherlands: a mixed methods study of indications, outcomes, patient management and trends
Leanne M. S. G. van Heur,L.H.B. Baur,Marleen Tent,Cara L. B. Lodewijks-van der Bolt,Marjolijn Streppel,Ron Winkens,Henri E J H Stoffers +6 more
TL;DR: Overall, GPs used the open access echocardiography service efficiently but efficiency decreased slightly over the years, and indications might be widened with 'suspicion LVH'.
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