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Cardiac Magnetic Resonance in Hypertensive Heart Disease: Time for a New Chapter
Marija Zdravkovic1,2, Slobodan Klasnja1, Maja Popovic1
1University Hospital Medical Center Bezanijska Kosa, 11000 Belgrade, Serbia.
Insights
Cardiac magnetic resonance (CMR) offers a comprehensive assessment for hypertensive heart disease, detecting subtle myocardial changes and evaluating fibrosis. It is crucial for managing this common cardiovascular risk factor.
Area of Science:
- Cardiology
- Cardiovascular Imaging
- Radiology
Background:
- Hypertension is a major cardiovascular risk factor, leading to myocardial structural and functional changes.
- Hypertensive heart disease often presents subclinically, necessitating advanced detection methods.
Purpose of the Study:
- To provide a comprehensive review of cardiac magnetic resonance (CMR) applications in hypertensive heart disease.
- To highlight CMR's role in assessing disease severity and guiding therapeutic strategies.
Main Methods:
- Utilizing cardiac magnetic resonance for detailed assessment of cardiac structure and function.
- Employing CMR for tissue characterization and myocardial fibrosis quantification.
Main Results:
- CMR enables accurate measurement of ventricle volumes and function.
- CMR effectively identifies left ventricle hypertrophy patterns and myocardial fibrosis.
- CMR can detect subtle, subclinical changes associated with hypertensive heart disease.
Conclusions:
- Cardiac magnetic resonance is an invaluable tool for evaluating hypertensive heart disease.
- CMR aids in understanding disease progression and assessing treatment efficacy.
- Early detection of subclinical changes with CMR is critical for patient management.
Abstract:
Hypertension is one of the most important cardiovascular risk factors, associated with significant morbidity and mortality. Chronic high blood pressure leads to various structural and functional changes in the myocardium. Different sophisticated imaging methods are developed to properly estimate the severity of the disease and to prevent possible complications. Cardiac magnetic resonance can provide a comprehensive assessment of patients with hypertensive heart disease, including accurate and reproducible measurement of left and right ventricle volumes and function, tissue characterization, and scar quantification. It is important in the proper evaluation of different left ventricle hypertrophy patterns to estimate the presence and severity of myocardial fibrosis, as well as to give more information about the benefits of different therapeutic modalities. Hypertensive heart disease often manifests as a subclinical condition, giving exceptional value to cardiac magnetic resonance as an imaging modality capable to detect subtle changes. In this article, we are giving a comprehensive review of all the possibilities of cardiac magnetic resonance in patients with hypertensive heart disease.
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