How to Identify Hypertensive Patients at High Cardiovascular Risk? The Role of Echocardiography

Cesare Cuspidi, Marijana Tadic, Carla Sala, Guido Grassi

Research output: Contribution to journalArticlepeer-review

Abstract

Scientific authorities recommend that patients with arterial hypertension should be managed not only on the basis of blood pressure (BP) levels, but also on the assemement of total cardiovascular risk. In particular, evaluation of target organ damage (TOD) is of major relevance for identifying hypertensive individuals at high cardiovascular risk independently of clinic BP levels. Evidence of cardiac and extra-cardiac TOD has been consistently associated with worse cardiovascular prognosis. Unfortunately, detection of TOD markedly depends on sensitivity of diagnostic tools, at difference from evaluation of risk factors and associated diseases, usually reliably provided by accurate clinical examination and routine investigation. The purpose of this paper was to provide an updated, comprehensive review on the role of echocardiography in identifying hypertensive patients apparently uncomplicated, but exposed to a high cardiovascular risk due to the presence of subclinical structural and functional cardiac alterations of adverse prognostic significance.

Original languageEnglish
Pages (from-to)113-117
Number of pages5
JournalHigh Blood Pressure and Cardiovascular Prevention
Volume22
Issue number2
DOIs
Publication statusPublished - Jun 11 2015

Keywords

  • Echocardiography
  • High cardiovascular risk
  • Hypertension

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Internal Medicine

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