Keywords: Myocardium, Cardiovascular
Motivation: Early detection of hypertensive heart disease (HHD) in the compensatory stage is clinically challenging, necessitating novel evaluative parameters for cardiac function alterations due to HHD.
Goal(s): This research aimed to ascertain the diagnostic value of multiparametric cardiac magnetic resonance (CMR) imaging in this phase.
Approach: We compared cardiac functional parameters, T1 mapping, extracellular volume fraction (ECV), and myocardial strain metrics obtained via CMR among compensatory HHD, decompensated HHD, and a normotensive control group.
Results: Findings reveal that both circumferential and longitudinal strains in the compensatory HHD cohort were significantly reduced compared to the control group (P<0.05).
Impact: Employing quantitative CMR parameters facilitates the assessment of myocardial functional impairments in hypertensive heart disease, potentially unmasking subclinical cardiac dysfunction and providing prognostic value for disease progression.
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