Prisant L M, Houghton J L, Bottini P B, Carr A A
Section of Hypertension and Vascular Diseases, Medical College of Georgia Augusta 30912-3150.
Postgrad Med. 1994 May 1;95(6):59-62, 66-76.
Currently, echocardiography is the most accepted tool for diagnosing the left ventricular hypertrophy that characterizes hypertensive heart disease; electrocardiography is not adequately sensitive. The symptoms and signs of coronary artery disease (CAD) and of hypertensive heart disease are similar and include angina, myocardial infarction, systolic and diastolic heart failure, atrial fibrillation, ventricular ectopy, and sudden death. Thallium stress testing is useful for excluding significant CAD; a positive test requires cardiac catheterization to eliminate large-vessel disease as the cause of myocardial ischemia. Regression of left ventricular hypertrophy is a treatment goal.
目前，超声心动图是诊断作为高血压性心脏病特征的左心室肥厚最被认可的工具；心电图的敏感性不足。冠状动脉疾病（CAD）和高血压性心脏病的症状和体征相似，包括心绞痛、心肌梗死、收缩期和舒张期心力衰竭、心房颤动、室性早搏及猝死。铊负荷试验有助于排除严重的CAD；阳性试验需要进行心导管检查以排除大血管疾病作为心肌缺血的病因。左心室肥厚的消退是一个治疗目标。
