高血压性心脏病。影像学提供的综合认识。
The hypertensive heart. An integrated understanding informed by imaging.
机构信息
Department of Internal Medicine and Biomedical Informatics, The Ohio State University, Columbus, Ohio, USA.
出版信息
J Am Coll Cardiol. 2010 Jan 12;55(2):91-6. doi: 10.1016/j.jacc.2009.07.059.
Abstract
Clinical sequelae of hypertension include heart failure, arrhythmias, and ischemic events, especially myocardial infarction and stroke. Recognizing the hypertensive heart has diagnostic as well as prognostic implications. Current imaging techniques offer noninvasive approaches to detecting myocardial fibrosis, ischemia, hypertrophy, and disordered metabolism that form the substrate for hypertensive heart disease. In addition, recognition of aortopathy and atrial myopathy as contributors to myocardial disease warrant incorporation of aortic and atrial functional measurements into a comprehensive understanding of the hypertensive heart.
摘要
高血压的临床后遗症包括心力衰竭、心律失常和缺血性事件，尤其是心肌梗死和中风。认识到高血压性心脏具有诊断和预后意义。目前的成像技术提供了非侵入性的方法来检测心肌纤维化、缺血、肥大和代谢紊乱，这些构成了高血压性心脏病的基础。此外，认识到主动脉病变和心房心肌病是心肌疾病的原因，这就需要将主动脉和心房功能测量纳入对高血压性心脏的全面理解中。
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