Cardiac involvement in essential hypertension. Prevalence, pathophysiology, and prognostic implications.
Review
Overview
abstract
The understanding of the complex involvement of the heart in human hypertension has been substantially advanced by the development of methods that detect left ventricular hypertrophy. This article reviews the literature regarding cardiac involvement in systemic hypertension, blood pressure relations to cardiac hypertrophy or clinical prognosis, relation between cardiac structure and cardiac performance in hypertensive patients, and finally, neurohormonal influence on the activity of the heart.