Advanced echocardiography techniques (AETs) to assess left atrial structure and function in individuals with resistant hypertension

Aims Resistant hypertension (RH) is a challenging phenotype within the hypertension (HTN) spectrum, requiring careful assessment and follow‐up. Evaluation of left atrial function may be clinically informative, but is usually neglected. Advanced Echocardiography Techniques (AETs), such as Strain Anal...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2023-08, Vol.40 (8), p.792-801
Main Authors: Souza, Jonathan Batista, Sousa, Márcio Gonçalves, Laurinavicius, Antonio Gabriele, Hygídio, Daniel de Andrade, Vilela, Andrea de Andrade, Colombo, Fernanda Consolim, Assef, Jorge Eduardo
Format: Article
Language:English
Subjects:
advanced echocardiography techniques
left atrium
resistant hypertention
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Summary:Aims Resistant hypertension (RH) is a challenging phenotype within the hypertension (HTN) spectrum, requiring careful assessment and follow‐up. Evaluation of left atrial function may be clinically informative, but is usually neglected. Advanced Echocardiography Techniques (AETs), such as Strain Analysis and three‐dimensional echocardiography (3D ECHO) may be useful complementary tools to assess atrial function in patients with RH. Methods and Results Ninety‐six eligible adult patients were categorized into three groups: resistant hypertensive (RH), controlled hypertensive (CH), and normotensive (N), and underwent AETs to identify morphofunctional changes in the left atrium (LA) across different HTN phenotypes. The LA reservoir strain was significantly lower among RH than in N and CH patients (p 
ISSN:0742-2822
1540-8175
DOI:10.1111/echo.15646