1、Echocardiography,Hypertensive Heart Disease,Hypertensive Heart Disease,End Organ Damage as a consequence of systemic hypertension.Chronic systemic pressure overload,Hypertensive Heart Disease,Results in LVH to maintain normal wall stressInitially impaired diastolic functionNormal systolic function,H
2、ypertensive Heart Disease,Long standing hypertensionResults in systolic dysfunctionLV dilation,Hypertensive Heart Disease,Other FindingsAortic root dilationAortic valve sclerosis,Hypertensive Heart Disease,Mitral annular calcificationLeft atrial enlargmentAtrial fibrillation,Hypertensive Heart Disea
3、se,2- Dimension/ M-modeConcentric LVHIncreased wall thickness ( 11 mm)Non-dilated chamberIncreased LV mass,Hypertensive Heart Disease,Diastolic function Impaired RelaxationProlonged IVRTDecreased E waveDecreased early deceleration slopeIncreased A wave,Hypertensive Heart Disease,Systolic FunctionPre
4、served until late in the diseased.Small hypertrophied ventricle mid cavity obliteration at the end of systole may be seen with an associated Doppler high-velocity signal.,Hypertensive Heart Disease,Systolic FunctionSignal is briefer (cf HCM)Level of obstruction is mid ventricleObstruction exacerbate
5、d by hypovolemia or increased contractility.,Hypertensive Heart Disease,Other Echocardiagraphic findingsAortic root dilationTortuosity of the ascending aorta, arch and descending aorta,Hypertensive Heart Disease,Increased irregular echogenicity of the aortic walls atherosclerosisAortic annulus is no
6、t dilated,Hypertensive Heart Disease,Aortic valve leaflet shows calcification aortic regurgitation.Mitral annular calcification mitral regurgitation.LA dilation due to MR and the chronically elevated LV-EDP.,Hypertensive Heart Disease,Clinical UtilityLV mass strong predictor of clinical outcome.LV mass more accurate way of assessing the severity of the hypertension.LV mass efficacy of the medical therapy.,Hypertensive Heart Disease,Hypertensive Heart Disease,Hypertensive Heart Disease,Hypertensive Heart Disease,Choice of Medical therapyBP = CO x PRCO = SV x HRSV = CSA x VTI,
