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01.12.2018 | Case report | Ausgabe 1/2018 Open Access

The Ultrasound Journal 1/2018

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

The Ultrasound Journal > Ausgabe 1/2018
Pavitra Kotini-Shah, Susana Cuadros, Felix Huang, Joseph S. Colla


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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