Three-dimensional echocardiographic ventricular mass/end-diastolic volume ratio in native hypertensive patients

Lembo, Maria; Esposito, Roberta; Santoro, Ciro; Iudice, Francesco Lo; Schiano-Lomoriello, Vincenzo; Fazio, Valeria; Grimaldi, M.; Trimarco, Bruno; Simone, Giovanni de; Galderisi, Maurizio

doi:10.1097/hjh.0000000000001717

Cited by 21 publications

(17 citation statements)

References 35 publications

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“…[34]: higher the ratio greater the thickness to cavity ratio of the left ventricle. This ratio was also found to correlate with myocardial fibrosis and outcome in hypertensive patients [34]. The feasibility of this index has been recently shown by using 3D-echocardiography [34,35].…”

Section: Left Ventricular Geometrymentioning

confidence: 82%

“…This ratio was also found to correlate with myocardial fibrosis and outcome in hypertensive patients [34]. The feasibility of this index has been recently shown by using 3D-echocardiography [34,35]. 3D echo derived LVM/EDV ratio was also able to detect a higher rate of LV concentric geometry in comparison with 2D assessment; 3D LV mass/EDV ratio identified also patients with low stroke volume in the context of LV remodelling due to AH.…”

Section: Left Ventricular Geometrymentioning

confidence: 83%

“…3D echo derived LVM/EDV ratio was also able to detect a higher rate of LV concentric geometry in comparison with 2D assessment; 3D LV mass/EDV ratio identified also patients with low stroke volume in the context of LV remodelling due to AH. [34] This aspect is particularly relevant since it might reveal an early functional impairment beyond the information carried by LV geometry alone Accordingly, the use of 3D echo could be a good compromise between 2D echo and CMR in characterizing subclinical organ damage in AH. Table 1 shows the main parameters and their cutoff points of abnormalcy used for assessment of LV geometry by echo techniques.…”

Section: Left Ventricular Geometrymentioning

confidence: 99%

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Identification of cardiac organ damage in arterial hypertension: insights by echocardiography for a comprehensive assessment

Cameli

Lembo

Sciaccaluga

et al. 2020

Journal of Hypertension

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Arterial hypertension (AH), a widespread disease, whose prevalence increases with age, represents a major risk factor for cardiovascular events, causing damage in several organs, including the heart. In this context, echocardiography has a clear and pivotal role, being able to assess cardiac morphology and detect hemodynamic changes induced by this disease. 2018 ESC/ESH guidelines on arterial hypertension identified main echo parameters such as left ventricular mass, relative wall thickness and left atrial volume, for detecting cardiac organ damage. The present review highlights the advantage of additional echocardiographic parameters such as diastolic

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Section: Left Ventricular Geometrymentioning

confidence: 82%

Section: Left Ventricular Geometrymentioning

confidence: 83%

Section: Left Ventricular Geometrymentioning

confidence: 99%

See 1 more Smart Citation

Identification of cardiac organ damage in arterial hypertension: insights by echocardiography for a comprehensive assessment

Cameli

Lembo

Sciaccaluga

et al. 2020

Journal of Hypertension

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“…All image acquisitions were performed by an experienced operator with a GE Vivid 7 ultrasound machine (GE Healthcare, Horten, Norway) equipped with a 3.5 MHz transducer according to the standards of our laboratory [7,8]. RV global systolic function was assessed by measuring M-mode-derived tricuspid annular plane systolic excursion (TAPSE, mm) in the apical four-chamber view.…”

Section: Methodsmentioning

confidence: 99%

Cardiac Changes in Patients on Long-Term Parenteral Nutrition

et al. 2019

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Patients with short bowel syndrome (SBS) on long-term home parenteral nutrition (HPN) chronically receive high fluid volumes directly into the right atrium (RA) through the superior vena cava. We retrospectively evaluated cardiac function measured by routine transthoracic echocardiography (TTE) in a population of 26 SBS patients on long-term HPN and compared their data on echocardiograph-derived right heart structure and function, with those of a control group of 26 patients also bearing a central venous catheter (CVC) for other reasons. Results showed that body weight and BMI were significantly higher in the control group. The echocardiographic estimate of RA pressure was higher in HPN patients than in controls (p = 0.01). An increased estimate of RA pressure indicates the need to consider TTE in the follow-up of long-term HPN patients to detect functional impairment early.

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“…Traditionally, the remodeling of the LV in AS has been considered as a compensatory response to the increased wall stress related to the severity of the valve obstruction. When HT coexists with AS, the LV is exposed to a greater hemodynamic load, so if the stenosis is moderate, ventricular remodeling is more influenced by comorbidities such as HT, and therefore, eccentric LV hypertrophy is the most frequent form of abnormal ventricular geometry [ 23 , 24 , 25 , 26 ]. In contrast, in patients with severe stenosis, remodeling is mainly driven by valve obstruction, and the most frequent geometric pattern is concentric hypertrophy [ 24 ].…”

Section: Combined Effects Of Aortic Stenosis and Hypertensionmentioning

confidence: 99%

Arterial Hypertension in Aortic Valve Stenosis: A Critical Update

Basile¹,

Fucile²,

Lembo³

et al. 2021

JCM

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Aortic stenosis (AS) is a very common valve disease and is associated with high mortality once it becomes symptomatic. Arterial hypertension (HT) has a high prevalence among patients with AS leading to worse left ventricle remodeling and faster degeneration of the valve. HT also interferes with the assessment of the severity of AS, leading to an underestimation of the real degree of stenosis. Treatment of HT in AS has not historically been pursued due to the fear of excess reduction in afterload without a possibility of increasing stroke volume due to the fixed aortic valve, but most recent evidence shows that several drugs are safe and effective in reducing BP in patients with HT and AS. RAAS inhibitors and beta-blockers provide benefit in selected populations based on their profile of pharmacokinetics and pharmacodynamics. Different drugs, on the other hand, have proved to be unsafe, such as calcium channel blockers, or simply not easy enough to handle to be recommended in clinical practice, such as PDE5i, MRA or sodium nitroprusside. The present review highlights all available studies on HT and AS to guide antihypertensive treatment.

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Three-dimensional echocardiographic ventricular mass/end-diastolic volume ratio in native hypertensive patients

Cited by 21 publications

References 35 publications

Identification of cardiac organ damage in arterial hypertension: insights by echocardiography for a comprehensive assessment

Identification of cardiac organ damage in arterial hypertension: insights by echocardiography for a comprehensive assessment

Cardiac Changes in Patients on Long-Term Parenteral Nutrition

Arterial Hypertension in Aortic Valve Stenosis: A Critical Update

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