title: [Hypertensive microvascular disease].
abstract: Arterial hypertension is a major cardiovascular risk factor and leads to vascular as well as to myocardial manifestations. Particularly hypertensive microvascular disease is of great importance. Major clinical manifestations of hypertensive heart disease are symptoms of coronary insufficiency with typical angina pectoris, but also heart failure (systolic or diastolic dysfunction) and arrhythmia. Different non-invasive and invasive procedures are available for screening. For ultimate quantitative assessment of the coronary reserve, invasive procedures are still required. Beside lowering blood pressure primary therapeutic target is to reverse cardiac manifestations of arterial hypertension using specific therapeutic algorithms.
authors.affiliation: Klinik für Kardiologie, Pneumologie und Angiologie, Universitätsklinikum Düsseldorf. schannw@uni-duesseldorf.de
authors.forename: Christiana Mira
authors.initials: CM
authors.lastname: Schannwell
authors.forename: Stephan
authors.initials: S
authors.lastname: Steiner
authors.forename: Bodo-Eckehard
authors.initials: BE
authors.lastname: Strauer
mesh_terms: D002986:Clinical Trials as Topic; D003937:Diagnosis, Differential; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D017379:Hypertrophy, Left Ventricular / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D017566:Microvascular Angina / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors