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,...

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Main Authors: Lønnebakken Mai, Rieck Åshild E, Gerdts Eva
Format: Article
Language:English
Published: BMC 2011-11-01
Series:Cardiovascular Ultrasound
Subjects:
Online Access:http://www.cardiovascularultrasound.com/content/9/1/33
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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>
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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