Recommendations on the use of echocardiography in adult hypertension: a report from the European Association of Cardiovascular Imaging (EACVI) and the American Society of Echocardiography (ASE)

Assessment of the Left Ventricle Systolic Function With Ultrasound 2d-Strain Technology in Arterial Hypertension

“…Известно, что основной вклад в вели-чину показателя ФВ вносит систолическое укороче-ние ЛЖ по короткой оси и в меньшей степени вели-чина ФВ зависит от укорочения сердца по длинной оси, поэтому ФВ ЛЖ отражает главным образом сокращение среднего мышечного слоя миокарда. Следовательно, ориентируясь только на ФВЛЖ, мы пропускаем доклинические нарушения продольной систолической функции ЛЖ, поэтому наиболее пер-спективным для клинической практики считается оценка продольной деформации и скорости дефор-мации ЛЖ [8,9]. Мы провели дополнительный ана-лиз систолической функции ЛЖ с оценкой глобаль-ной продольной деформации и скорости деформации с помощью ультразвуковой технологии 2D-стрейн у 40 больных АГ 1-й и 45 больных 2-й группы, а также у 26 добровольцев контрольной группы c хорошим качеством трассировки всех сегментов ЛЖ.…”

A Novel Index of Remodeling in Hypertensive Heart Disease

“…However, as we have noted above and elsewhere, 11 not all pressure overload results in a concentric geometry of the LV: some patients with hypertension exhibit an eccentric remodeling pattern with normal systolic function 4,8 ; others with aortic stenosis despite minimal LVH maintain normal LV systolic performance. 12 Furthermore in iPreserve, an important study of patients with heart failure with preserved ejection fraction (HFpEF), the prevalence of the concentric adaptations, concentric LVH and concentric remodeling accounted for little over half of the patients with HFpEF 13 ; in other words, half of patients with HFpEF did not have concentric geometry.…”

“…4,10 One might add that the interest in the field of remodeling in pressure overload has experienced a renaissance with the introduction of transcutaneous aortic valve replacement and the ubiquity of elderly patients with moderate-to-severe or greater aortic stenosis.…”

“…2 Echocardiography helped create the dossier on the prevalence and consequences of LVH in hypertension and outcome response to treatment. 3,4 Echocardiography and now cardiac magnetic resonance imaging (CMR), a more precise means to measure LVH, have been used in cross-sectional and epidemiological studies and serially in clinical trials. 4,5 See Article by Goh et al LVH, which is most properly defined as an increase in left ventricular (LV) mass in relation to body size (ie, high LV mass index), 4,6 is produced either by an abnormal increase in chamber size, an abnormal increase in wall thickness, or abnormal increases in both.…”

Impact of the Management of Type B Aortic Dissection on the Long-Term Blood Pressure

“…Left ventricular ejection fraction was estimated with Simpson's rules. Left ventricle mass was measured according the American Society of Echocardiography and normalized against body surface area and against height 1.7 [9].…”