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. 2018 Nov 19;10(1):29.
doi: 10.1186/s13089-018-0110-7.

Strain analysis for the identification of hypertensive cardiac end-organ damage in the emergency department

Pavitra Kotini-Shah  1 , Susana Cuadros  2 , Felix Huang  3 , Joseph S Colla  3
Affiliations

Strain analysis for the identification of hypertensive cardiac end-organ damage in the emergency department

Pavitra Kotini-Shah et al. Crit Ultrasound J. .

Abstract

Hypertensive emergency is a life-threatening state. End-organ damage affecting the heart accounts for up to 52% of hypertensive emergencies commonly encountered in the emergency department. Recent evidence indicates that strain echocardiography with computerized speckle-tracking is more sensitive at identifying hypertension induced changes in the left ventricle (LV) mechanical function than traditional 2-D echocardiography. We present a case demonstrating the use of emergency physician performed point-of-care strain echocardiography to identify and quantify LV mechanical dysfunction during a hypertensive crisis and to monitor improvement over 6 h.

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Figures

Fig. 1
Fig. 1
Quad display of peak longitudinal strain of patient before treatment
Fig. 2
Fig. 2
Quad display of peak longitudinal strain of patient after treatment
See this image and copyright information in PMC

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