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Cardiovascular Ultrasound
Published in: Cardiovascular Ultrasound 1/2011

Open Access 01-12-2011 | Case report

Contrast stress echocardiography in hypertensive heart disease

Authors: Mai Tone Lønnebakken, Åshild E Rieck, Eva Gerdts

Published in: Cardiovascular Ultrasound | Issue 1/2011

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Abstract

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.
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Metadata
Title
Contrast stress echocardiography in hypertensive heart disease
Authors
Mai Tone Lønnebakken
Åshild E Rieck
Eva Gerdts
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Cardiovascular Ultrasound / Issue 1/2011
Electronic ISSN: 1476-7120
DOI
https://doi.org/10.1186/1476-7120-9-33

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