کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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2934621 | 1576350 | 2008 | 8 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Integrated evaluation of hypertensive patients with cardiovascular magnetic resonance Integrated evaluation of hypertensive patients with cardiovascular magnetic resonance](/preview/png/2934621.png)
BackgroundHypertension causes cardiac morbidity and premature mortality. Accurate evaluation to exclude potentially curable causes is important. Cardiovascular Magnetic Resonance and Magnetic Resonance Angiography (CMR/CE-MRA) provide an integrated approach to the assessment of hypertensive patients — a single study can identify certain secondary causes and assess left ventricular (LV) mass and function. The aim of this study was to prospectively evaluate the feasibility of CMR/CE-MRA to define LV dimensions and exclude some secondary causes in a selected group of hypertensives.Methods and resultsFifty-three hypertensives (46 ± 17 years, 18 females) were prospectively studied (early onset hypertension, n = 17; drug resistant hypertension, n = 23; hypertension with increased creatinine at baseline/after ACEi, n = 12; hypertension with peripheral vessel disease, n = 1). Study protocol included assessment of LV and aorta, imaging of adrenals and 3D CE-MRA of aorta and renal arteries. Significant abnormalities were found in 13 patients (25%) — renal artery stenosis (n = 8), aortic coarctation (n = 4), adrenal mass (n = 1). Mean LV mass index was increased compared with matched controls. LV systolic dysfunction was found in 9 patients.ConclusionsCMR/CE-MRA provides comprehensive evaluation of hypertensive patients and could allow for a unique integrated approach with assessment of LV dimensions as well as detection of some secondary causes.
Journal: International Journal of Cardiology - Volume 125, Issue 3, 25 April 2008, Pages 383–390