The emerging role of Cardiovascular Magnetic Resonance in the evaluation of hypertensive heart disease

BMC Cardiovascular Disorders

Review

Athanasios Manolis¹  Michel Noutsias²  Vasiliki Katsi³  Vasiliki Vartela⁴  George Markousis-Mavrogenis⁴  Genovefa Kolovou⁴  Sophie Mavrogeni⁴ 

[1] Asklipiion Voulas, Athens, Greece;Department of Cardiology, Pneumonology and Intensive Care Medicine, Clinic for Internal Medicine I, University Hospital Jena, Friedrich-Schiller-University, Jena, Germany;Hippokration Hospital, Athens, Greece;Onassis Cardiac Surgery Center, 50 Esperou Street, 175 61 P.Faliro, Athens, Greece;

关键词: Hypertension;    Cardiovascular magnetic resonance;    ECG;    Echocardiography;    Coronary angiography;   

DOI  :  10.1186/s12872-017-0556-8

 received in 2017-03-05, accepted in 2017-05-07,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundArterial hypertension is the commonest cause of cardiovascular death. It may lead to hypertensive heart disease (HHD), including heart failure (HF), ischemic heart disease (IHD) and left ventricular hypertrophy (LVH).Main bodyAccording to the 2007 ESH/ESC guidelines, the recommended imaging technique is echocardiography (echo), when a more sensitive detection of LVH than that provided by ECG, is needed. Cardiovascular Magnetic Resonance (CMR), a non-invasive, non-radiating technique, offers the following advantages, beyond echo:a) more reliable and reproducible measurements of cardiac parameters such as volumes, ejection fraction and cardiac mass b) more accurate differentiation of LVH etiology by providing information about tissue characterisation c) more accurate evaluation of myocardial ischemia, specifically if small vessels disease is present d) technique of choice for diagnosis of renovascular, aortic tree/branches lesions and quantification of aortic valve regurgitation e) technique of choice for treatment evaluation in clinical trials.The superiority of CMR against echocardiography in terms of reproducibility, operator independency, unrestricted field of view and capability of tissue characterization makes the technique ideal for evaluation of heart, quantification of aortic valve regurgitation, aorta and aortic branches.ConclusionsCMR has a great potential in early diagnosis, risk stratification and treatment follow up of HHD. However, an international consensus about CMR in HHD, taking under consideration the cost-benefit ratio, expertise and availability, is still warranted.

【 授权许可】

CC BY   
© The Author(s). 2017