Echocardiography in Hypertension

  • Azin Alizadehasl
  • Anita Sadeghpour


Hypertension (HTN) is a heterogeneous disease with a number of well-defined as well as supposed reasons. HTN is a main risk factor for stroke and all cardiovascular disorders and is, therefore, associated with significant morbidity and mortality rates. The key role of echocardiography in the management of hypertension is the evaluation of left ventricular hypertrophy (LVH) and left ventricular mass (LVM). Indeed, LVH, LV diastolic dysfunction, and left atrial (LA) enlargement are specific signs of hypertensive heart disease (HHD).

The development of Doppler echocardiography, strain imaging, and three-dimensional echocardiography (3DE) has offered new approaches regarding perceptions in pathophysiology and also clinical implications in hypertensive patients.


Echocardiography Hypertensive heart disease LA volume Left ventricular hypertrophy LV mass Relative wall thickness (RWT) Concentric hypertrophy Eccentric hypertrophy Concentric remodeling 



Three-dimensional echocardiography


American college of cardiology


American society of echocardiography


Appropriate use criteria


Cardiac magnetic resonance


European association of cardiovascular imaging


Hypertensive heart disease




Interventricular septum


Joint national committee


Left atrial


Left ventricular hypertrophy


Left ventricular mass


Posterior wall


Relative wall thickness


Transthoracic echocardiography


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Azin Alizadehasl
    • 1
  • Anita Sadeghpour
    • 2
  1. 1.Echocardiologist, Echocardiography and Cardiogenetic Research CentersCardio-Oncology Department, Rajaie Cardiovascular Medical and Research CenterTehranIran
  2. 2.Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical ScienceTehranIran

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