Role of strain echocardiography in patients with hypertension
Jin Kyung Oh1, Jae-Hyeong Park2
1Division of Cardiology in Internal Medicine, Chungnam National University Sejong Hospital, Chungnam National University School of Medicine, Sejong, Republic of Korea.
Insights
Strain echocardiography detects subtle cardiac changes in hypertensive heart disease (HHD) earlier than conventional methods. This imaging technique aids in the early detection and management of subclinical myocardial dysfunction caused by hypertension.
Area of Science:
- Cardiology
- Medical Imaging
- Hypertension Research
Background:
- Hypertension is a major risk factor for cardiovascular disease.
- Hypertensive heart diseases (HHD) involve structural and functional cardiac changes due to hypertension.
- Conventional echocardiography has limitations in detecting subtle, subclinical cardiac alterations.
Purpose of the Study:
- To review the basic principles of strain echocardiography.
- To summarize clinical studies on the utility of strain echocardiography in HHD detection.
- To highlight strain echocardiography's role in identifying subclinical myocardial dysfunction.
Main Methods:
- Review of existing literature and clinical studies.
- Explanation of strain echocardiography principles and measurements.
- Analysis of strain echocardiography's application in hypertensive patients.
Main Results:
- Strain echocardiography measures intrinsic myocardial deformation.
- It can detect subclinical myocardial dysfunction not visible with conventional echocardiography.
- Clinical studies demonstrate its value in the early detection of HHD.
Conclusions:
- Strain echocardiography is a valuable tool for detecting early cardiac changes in HHD.
- Its ability to identify subclinical dysfunction allows for timely intervention.
- This modality enhances the diagnosis and management of hypertension-related cardiac conditions.
Abstract:
Hypertension is a well-recognized risk factor for the development of cardiovascular disease, and the early detection of cardiac changes from hypertension can allow reversing these. Hypertensive heart diseases (HHD) refer to the complex and diverse change of the cardiac structure and function secondary to hypertension. Although conventional echocardiography is the most common imaging modality in detecting HHD, it cannot detect subtle changes of cardiac structure in subclinical states. Because strain echocardiography is another echocardiographic modality can detect subclinical myocardial dysfunction by measuring intrinsic myocardial deformation, it became more and more popular in clinical and research fields. In this review article, we described the basic concept of strain echocardiography and summarized several clinical studies showing its clinical utilities in the detection of HHD.
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