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Imaging in hypertensive heart disease

Rajesh Janardhanan1, Christopher M Kramer

  • 1Department of Medicine (Cardiology), Cardiovascular Imaging Center, University of Virginia Health System, 1215 Lee St., Box 800170, Charlottesville, VA 22908, USA.

Expert Review of Cardiovascular Therapy
|April 2, 2011
PubMed

Insights

Hypertensive heart disease involves changes in the heart due to high blood pressure. Advanced cardiac imaging helps detect left ventricular hypertrophy, fibrosis, and dysfunction, improving cardiovascular event prediction.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Hypertensive heart disease is a major cause of cardiovascular events.
  • Left ventricular hypertrophy and myocardial fibrosis are key indicators in hypertensive heart disease.
  • These conditions contribute to diastolic dysfunction.

Purpose of the Study:

  • To review the current state of multimodality imaging for hypertensive heart disease.
  • To discuss future advancements in cardiac imaging techniques.

Main Methods:

  • Echocardiography for detecting left ventricular hypertrophy and assessing diastolic function.
  • Cardiac magnetic resonance for reproducible estimation of left ventricular mass.
  • Discussion of emerging techniques for quantifying diffuse fibrosis.

Main Results:

  • Echocardiography is widely available for hypertrophy and diastolic function assessment.
  • Cardiac magnetic resonance offers superior reproducibility for left ventricular mass.
  • Future cardiac MRI may quantify diffuse fibrosis in hypertensive heart disease.

Conclusions:

  • Multimodality cardiac imaging provides comprehensive, noninvasive tools for hypertensive heart disease.
  • Imaging is crucial for evaluating left ventricular hypertrophy, diastolic dysfunction, fibrosis, and ischemia.
  • Advances in imaging are vital for managing hypertensive heart disease and predicting cardiovascular events.

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