Hypertensive Cardiomyopathy in Asymptomatic Patients: A Neglected Diagnosis

Author(s): Pasquale Palmiero, Maria Maiello, Annapaola Zito, Marco M. Ciccone.

Journal Name: Current Hypertension Reviews

Volume 10 , Issue 4 , 2014

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Abstract:

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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Article Details

VOLUME: 10
ISSUE: 4
Year: 2014
Page: [239 - 245]
Pages: 7
DOI: 10.2174/157340211004150319123635
Price: $58

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