Myocardial Strain Imaging in Resistant Hypertension

Overview

Journal Curr Hypertens Rep

Specialty Cardiology & Vascular Diseases

Date 2021 May 5

PMID 33950321

Citations 4

Authors

Reem Alsharari

David Oxborough

Gregory Y H Lip

Alena Shantsila

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: Resistant hypertension (RH) is a major contributor to cardiovascular diseases and is associated with increased all-cause and cardiovascular mortality. Cardiac changes such as impaired left ventricular (LV) function, left ventricular hypertrophy (LVH), myocardial fibrosis, and enlarged left atrium (LA) are consequences of chronic exposure to an elevated blood pressure. The purpose of this review article is to demonstrate the potential benefits of using STE as a non-invasive imaging technique in the assessment of cardiac remodeling in patients with hypertension and specifically in uncontrolled and RH population.

Recent Findings: It is well-recognized that conventional transthoracic echocardiography is a useful analytic imaging modality to evaluate hypertension-mediated organ damage (HMOD) and in a resistant hypertensive population. More recently two-dimensional speckle tracking echocardiography (STE) has been utilized to provide further risk assessment to this population. Recent data has shown that STE is a new promising echocardiographic marker to evaluate early stage LV dysfunction and myocardial fibrosis over conventional 2D parameters in patients with cardiovascular diseases.

Citing Articles

Analysis of Factors Related to Early Left Ventricular Dysfunction in Hypertensive Patients with Preserved Ejection Fraction Using Speckle Tracking Echocardiography: A Cross-Sectional Study in Vietnam.

Tran H, Truong H, Tran C, Vo T, Nguyen D, Dao L Diagnostics (Basel). 2025; 15(2.

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The Pandora's Box of Hypertensive Heart Disease in Women.

Mulvagh S, Stewart R, Losier E JACC Adv. 2024; 3(10):101255.

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Application of Speckle Tracking Echocardiography for Evaluating Ventricular Function after Transcatheter Pulmonary Valve Replacement.

Ji M, Zhang L, Gao L, Lin Y, He Q, Xie M Diagnostics (Basel). 2024; 14(1).

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Assessment of left atrioventricular coupling and left atrial function impairment in diabetes with and without hypertension using CMR feature tracking.

Shi R, Jiang Y, Qian W, Guo Y, Gao Y, Shen L Cardiovasc Diabetol. 2023; 22(1):295.

PMID: 37904206 PMC: 10617180. DOI: 10.1186/s12933-023-01997-z.

Left ventricular myocardial strain responding to chronic pressure overload in patients with resistant hypertension evaluated by feature-tracking CMR.

Chen H, Brunner F, Ozden C, Wenzel U, Neumann J, Erley J Eur Radiol. 2023; 33(9):6278-6289.

PMID: 37032365 PMC: 10415476. DOI: 10.1007/s00330-023-09595-z.

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