Document Detail

Is there a role for echocardiography in intracerebral haemorrhage?
MedLine Citation:
PMID:  20854622     Owner:  NLM     Status:  MEDLINE    
Hypertension (HTN) is the most common cause of non-traumatic ICH, yet echocardiography, which can stage hypertensive heart disease (HHD), is not part of the routine evaluation of patients with ICH. Previous studies have shown that angiotensin converting enzyme inhibitors and angiotensin receptor blockers are associated with regression of left ventricular hypertrophy (LVH) and reversal of myocardial fibrosis. Improvement in these architectural changes in the heart has been shown to improve outcomes and prevent major adverse cardiac events, including stroke. Obtaining echocardiography on ICH patients routinely could help to access the prevalence of HHD and to tailor antihypertensive regimens in this high risk group of patients. Further study is required to determine whether angiotensin directed therapies provide optimal secondary prevention in ICH patients with HHD.
Karen C Albright; Andrei Alexandrov; George Howard; Sheryl Martin-Schild
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of stroke : official journal of the International Stroke Society     Volume:  5     ISSN:  1747-4949     ISO Abbreviation:  Int J Stroke     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-21     Completed Date:  2011-01-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101274068     Medline TA:  Int J Stroke     Country:  England    
Other Details:
Languages:  eng     Pagination:  383-4     Citation Subset:  IM    
Comprehensive Stroke Center, University of Alabama at Birmingham, Birmingham, AL, USA.
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MeSH Terms
Cerebral Hemorrhage / diagnosis*,  etiology*
Heart Diseases / etiology,  ultrasonography*
Hypertension / complications,  ultrasonography*

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