What is the main indication for echocardiography in patients with hypertension (high blood pressure)?

Updated: Feb 22, 2019
  • Author: Matthew R Alexander, MD, PhD; Chief Editor: Eric H Yang, MD  more...
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Answer

The main indication for echocardiography is evaluation for end-organ damage in a patient with borderline-high blood pressure (BP). Therefore, the presence of left ventricular hypertrophy (LVH) despite normal or borderline-high BP measurements requires antihypertensive therapy. Echocardiography may detect left atrial dilatation, LVH, and diastolic or systolic left ventricular dysfunction more frequently than electrocardiography. In addition, a stress echocardiogram can provide prognostic information in patients with hypertension and coronary artery disease (CAD). [69]


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