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Published on: June 14, 2016
Subclinical HMOD in Hypertension: Left Ventricular Diastolic Dysfunction
Fabio Bertacchini1, Claudia Agabiti Rosei1, Giacomo Buso1
1Department of Clinical and Experimental Sciences, 2a Medicina-ASST Spedali Civili Brescia, University of Brescia, 25100, Brescia, Italy.
Insights
Arterial hypertension can cause organ damage, particularly affecting the heart. This review details diagnosing and treating diastolic dysfunction, a key indicator of hypertension-related cardiac changes.
Area of Science:
- Cardiology
- Nephrology
- Vascular Medicine
Background:
- Arterial hypertension is a major risk factor for cardiovascular, cerebrovascular, and renal events.
- Hypertension-induced organ damage (HMOD) has prognostic importance and impacts treatment decisions.
- Cardiac structure and function alterations are the most frequently evaluated HMOD.
Purpose of the Study:
- To review diagnostic methods for diastolic dysfunction.
- To discuss the prognostic significance of diastolic dysfunction in hypertension.
- To outline treatment strategies for diastolic dysfunction.
Main Methods:
- Literature review of diagnostic tools for diastolic dysfunction.
- Analysis of studies on the prognostic value of diastolic dysfunction.
- Synthesis of current treatment guidelines for hypertension-related diastolic dysfunction.
Main Results:
- Diastolic dysfunction is a common manifestation of HMOD.
- Early detection and management of diastolic dysfunction are crucial.
- Treatment of hypertension and diastolic dysfunction can improve outcomes.
Conclusions:
- Diastolic dysfunction is a significant HMOD with prognostic implications.
- Comprehensive assessment and tailored treatment are essential for hypertensive patients.
- Addressing diastolic dysfunction is key to preventing adverse cardiovascular events.
Abstract:
Arterial hypertension represents an important risk factor for the development of cardiac, vascular and renal events, predisposing to heart failure, acute coronary syndromes, peripheral artery disease, stroke, and chronic renal disease. Arterial hypertension leads to the development of subclinical hypertension mediated organ damage (HMOD) which has prognostic relevance and may influence the choice of treatment options. Alterations of cardiac structure and function represent the more widely assessed form of HMOD. This manuscript will focus on the diagnostic opportunities, prognostic significance and treatment of diastolic dysfunction alterations.
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