Prevention and treatment of hypertensive left ventricular hypertrophy

被引:0
作者
Tatavarthy, Manvita [1 ]
Stathopoulos, John [1 ]
Oktay, Ahmet Afsin [2 ,3 ]
机构
[1] Rush Univ, Med Ctr, Dept Med, Chicago, IL 60612 USA
[2] Rush Univ, Med Ctr, Div Cardiol, Chicago, IL 60612 USA
[3] Rush Univ, Med Ctr, Dept Med, Div Cardiol, 1717W Congress Pkwy,Kellogg 316, Chicago, IL 60612 USA
关键词
antihypertensives; ECG; echocardiography; hypertension; left ventricular hypertrophy; PRESERVED EJECTION FRACTION; BLOOD-PRESSURE; HEART-FAILURE; PROGNOSTIC IMPLICATIONS; EUROPEAN-SOCIETY; DIETARY-SODIUM; MASS; RISK; PREVALENCE; REGRESSION;
D O I
10.1097/HCO.0000000000001135
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of reviewLeft ventricular (LV) hypertrophy (LVH) is a well recognized target organ adaptation to longstanding uncontrolled hypertension and other cardiovascular risk factors. It is also a strong and independent predictor of many cardiovascular disorders.Recent findingsThis focused review explores the current concepts in screening, diagnosis, prevention, and treatment of LVH in patients with hypertension. Currently, the primary screening and diagnostic tools for LVH are ECG and 2D echocardiography. Implementing machine learning in the diagnostic modalities can improve sensitivity in the detection of LVH. Lifestyle modifications, blood pressure control with antihypertensive therapy, and management of comorbidities aid in preventing and reversing LV remodeling.SummaryLVH is a common and often silent complication of hypertension. Prevention and reversal of LV remodeling are crucial for cardiovascular risk reduction in patients with hypertension.
引用
收藏
页码:251 / 258
页数:8
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