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EchoMetrics Clinical Corner
Current Literature Quotes

CARDIOVASCULAR DISEASE AND
HYPERTENSION MANAGEMENT CONSIDERATIONS

Cardiovascular diseases, e.g. diastolic dysfunction, are known to improve with optimization of blood pressure (systolic BP <120mmHg), using a combination of high dose ARBs or ACEIs and calcium channel blocker. Other considerations include statin therapy with a goal of LDL cholesterol <70 mg/dl; low dose thiazide diuretic; beta-blocker.“ (REFERENCE: Mayo Clinic Proc 2009;84:741-757. Primary and Secondary Prevention of CV Diseases).

In diabetics, cardiovascular diseases, e.g. diastolic dysfunction, are known to improve with aggressive optimization of blood pressure (systolic BP <115mmHg) using a combination of high dose ARB. Other considerations include statin therapy with a goal of LDL cholesterol <70 mg/dl; low dose thiazide diuretic; beta-blocker.” (REFERENCE: JAMA 2008;299(14): 1678-1689).


Outdated Measurements

M-Mode measurements of EPSS, D-E, and E-F slopes are outdated. With the advent of higher quality 2-D imaging instruments and Doppler assessment of Diastolic Function, these measurements are no longer clinically useful or required by ICAEL.


 

 

 

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