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- Offers up-to-date guidance on assessment of preclinical alterations in the heart, small and large arteries and kidney
- Discusses potential treatment impacts
- Explains the criteria for and the significance of preclinical organ damage
- Includes contributions by European Society of Hypertension experts
This book presents up-to-date information on how to assess early preclinical alterations in the heart, the small and large arteries and the kidney in the general and the hypertensive population, using the most sensitive, specific and cost-effective techniques. A wide variety of techniques are discussed, with careful attention to the latest developments. For each organ, evidence is documented regarding the prevalence of organ damage. Information is provided on the potential induction of regression of organ damage by treatment, the criteria for establishing significant changes and the clinical prognostic significance of regression. The manual will be invaluable for all practitioners responsible for the clinical management of hypertensive patients, given that the assessment of early preclinical cardiovascular and renal damage permits more accurate risk stratification at baseline and facilitates evaluation of cardiovascular protection when regression of structural changes is achieved during treatment. Table of ContentsPART I: HEART - 1 Electrocardiography
- 2 Echocardiography
- 3 New techniques: 3D, CT, MRI
PART II: LARGE ARTERIES - 4 Ultrasound of Carotid IMT and plaque
- 5 Ultrasound of the Aorta/coronary arteries
- 6 Pulse wave velocity and central BP
- 7 Ankle-brachial index
- 8 Atherosclerosis and general principles of arterial imaging
- 9 Imaging and ageing of the aorta and large arteries in the lower extremities
PART III: SMALL ARTERIES - 10 Micro myography
- 11 Damage of the retinal arterioles
- 12 Capillaroscopy
- 13 Other techniques for assessment
PART IV: KIDNEY - 14 Proteinuria
- 15 Glomerular Filtration Rate
- 16 Other techniques
PART V: BRAIN 17 RMN/TC: - Evaluation of Brain damage
- 18 Questionnaires for cognitive function
- 19 Other techniques for neurological damage
- 20 Relation between blood pressure and markers of organ damage
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