Contrast stress echocardiography in hypertensive heart disease
Peer reviewed, Journal article
Published version
Date
2011-11-18Metadata
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Original version
https://doi.org/10.1186/1476-7120-9-33Abstract
Hypertension is associated with atherosclerosis and cardiac and vascular structural and functional changes. Myocardial ischemia may arise in hypertension independent of coronary artery disease through an interaction between several pathophysiological mechanisms, including left ventricular hypertrophy, increased arterial stiffness and reduced coronary flow reserve associated with microvascular disease and endothelial dysfunction. The present case report demonstrates how contrast stress echocardiography can be used to diagnose myocardial ischemia in a hypertensive patient with angina pectoris but without significant obstructive coronary artery disease. The myocardial ischemia was due to severe resistant hypertension complicated with concentric left ventricular hypertrophy and increased arterial stiffness.
Publisher
BioMed CentralJournal
Cardiovascular UltrasoundCopyright
Copyright 2011 Lønnebakken et al; licensee BioMed Central LtdMai Lønnebakken et al.; licensee BioMed Central Ltd.