Contrast stress echocardiography in hypertensive heart disease
<p>Abstract</p> <p>Hypertension is associated with atherosclerosis and cardiac and vascular structural and functional changes. Myocardial ischemia may arise in hypertension independent of coronary artery disease through an interaction between several pathophysiological mechanisms,...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2011-11-01
|
Series: | Cardiovascular Ultrasound |
Subjects: | |
Online Access: | http://www.cardiovascularultrasound.com/content/9/1/33 |
_version_ | 1818927403601231872 |
---|---|
author | Lønnebakken Mai Rieck Åshild E Gerdts Eva |
author_facet | Lønnebakken Mai Rieck Åshild E Gerdts Eva |
author_sort | Lønnebakken Mai |
collection | DOAJ |
description | <p>Abstract</p> <p>Hypertension is associated with atherosclerosis and cardiac and vascular structural and functional changes. Myocardial ischemia may arise in hypertension independent of coronary artery disease through an interaction between several pathophysiological mechanisms, including left ventricular hypertrophy, increased arterial stiffness and reduced coronary flow reserve associated with microvascular disease and endothelial dysfunction. The present case report demonstrates how contrast stress echocardiography can be used to diagnose myocardial ischemia in a hypertensive patient with angina pectoris but without significant obstructive coronary artery disease. The myocardial ischemia was due to severe resistant hypertension complicated with concentric left ventricular hypertrophy and increased arterial stiffness.</p> |
first_indexed | 2024-12-20T03:12:28Z |
format | Article |
id | doaj.art-b22da5cf820d4e289158d684b10ca394 |
institution | Directory Open Access Journal |
issn | 1476-7120 |
language | English |
last_indexed | 2024-12-20T03:12:28Z |
publishDate | 2011-11-01 |
publisher | BMC |
record_format | Article |
series | Cardiovascular Ultrasound |
spelling | doaj.art-b22da5cf820d4e289158d684b10ca3942022-12-21T19:55:25ZengBMCCardiovascular Ultrasound1476-71202011-11-01913310.1186/1476-7120-9-33Contrast stress echocardiography in hypertensive heart diseaseLønnebakken MaiRieck Åshild EGerdts Eva<p>Abstract</p> <p>Hypertension is associated with atherosclerosis and cardiac and vascular structural and functional changes. Myocardial ischemia may arise in hypertension independent of coronary artery disease through an interaction between several pathophysiological mechanisms, including left ventricular hypertrophy, increased arterial stiffness and reduced coronary flow reserve associated with microvascular disease and endothelial dysfunction. The present case report demonstrates how contrast stress echocardiography can be used to diagnose myocardial ischemia in a hypertensive patient with angina pectoris but without significant obstructive coronary artery disease. The myocardial ischemia was due to severe resistant hypertension complicated with concentric left ventricular hypertrophy and increased arterial stiffness.</p>http://www.cardiovascularultrasound.com/content/9/1/33HypertensionMyocardial hypoperfusionConcentric left ventricular hypertrophyArterial stiffness |
spellingShingle | Lønnebakken Mai Rieck Åshild E Gerdts Eva Contrast stress echocardiography in hypertensive heart disease Cardiovascular Ultrasound Hypertension Myocardial hypoperfusion Concentric left ventricular hypertrophy Arterial stiffness |
title | Contrast stress echocardiography in hypertensive heart disease |
title_full | Contrast stress echocardiography in hypertensive heart disease |
title_fullStr | Contrast stress echocardiography in hypertensive heart disease |
title_full_unstemmed | Contrast stress echocardiography in hypertensive heart disease |
title_short | Contrast stress echocardiography in hypertensive heart disease |
title_sort | contrast stress echocardiography in hypertensive heart disease |
topic | Hypertension Myocardial hypoperfusion Concentric left ventricular hypertrophy Arterial stiffness |
url | http://www.cardiovascularultrasound.com/content/9/1/33 |
work_keys_str_mv | AT lønnebakkenmai contraststressechocardiographyinhypertensiveheartdisease AT rieckashilde contraststressechocardiographyinhypertensiveheartdisease AT gerdtseva contraststressechocardiographyinhypertensiveheartdisease |