Multimodality cardiovascular imaging in hypertension

Abstract

Purpose of the reviewHypertension accounts for the largest proportion of cardiovascular (CV) mortality worldwide and its prevalence continues to rise. While prominent CV societies have offered strong recommendations on the management of hypertension in adults, the role of noninvasive CV imaging in the evaluation of hypertensive patients remains incompletely defined.Recent findingsNoninvasive imaging is a rapidly expanding field with a growing number of sophisticated and readily applicable modalities to assess how cardiac structure and function changes after periods of sustained, elevated blood pressure. Echocardiography remains the initial modality to screen these patients while developments in nuclear, computed tomography and cardiac magnetic resonance complement and expand investigations for alternative diagnoses that may complement or conflict with the diagnosis of left ventricular hypertrophy.SummaryIn this review article, we summarize the application of echocardiography, nuclear imaging, cardiac computed tomography, and cardiac magnetic resonance imaging in the evaluation and management of hypertensive heart disease.

Cardiac Troponin Serum Concentration Measurement Is Useful Not Only in the Diagnosis of Acute Cardiovascular Events

“…Methods for the diagnosis and treatment of CVDs have made significant progress in recent decades. At present, various diagnostic imaging methods (ultrasound, computed tomography, magnetic resonance imaging, nuclear medicine methods, invasive angiography) [ 15 , 16 , 17 , 18 ], as well as laboratory diagnostics, play an important role in the diagnosis of CVDs [ 19 , 20 ]. The development of therapeutic methods has been enabled by significant progress in the field of pharmacotherapy, as well as the development of surgical treatment methods (e.g., surgical revascularization within various vascular beds, embolectomy, and reconstructive procedures of the aorta and other arteries) [ 21 , 22 , 23 , 24 , 25 , 26 ], endovascular treatment techniques (e.g., balloon angioplasty, stenting, lithotripsy, local fibrinolysis, and mechanical thrombectomy) [ 27 , 28 , 29 , 30 ], and hybrid procedures [ 31 ].…”