Hypertensive Cardiomyopathy in Asymptomatic Patients: A Neglected Diagnosis
Marco M. Ciccone.
Hypertensive Cardiomyopathy diagnosis includes different clinical conditions, on asymptomatic patients,
assessed by LV changes in geometry, mass and function, i.e. concentric remodeling, concentric or eccentric hypertrophy
and filling impairment or early stage of diastolic dysfunction. Often LA is involved and increases its volume and
undergoes to geometrical remodeling. Sometimes it occurs clinical heart failure, the patients became symptomatic, with
either a preserved or a reduced LVEF. There is considerable variability in the progression from hypertension to
Hypertensive Cardiomyopathy, according to differences in the pressure or volume load and to underlying neurohormonal
status; but these differences in LV geometry probably are influenced on genetic basis too. A better comprehension of the
mechanisms underlying the development of Hypertensive Cardiomyopathy on hypertensive patients will help to prevent
among them the onset of cardiovascular events.
Keywords: Cardiomyopathy, heart failure, hypertension, hypertrophy, remodeling.
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