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.Patients without a history and medication of arterial hypertension as well as other cardiac diseases were screened.Data showed that echocardiographic septal bulge sign strongly predicted the presence of arterial hypertension.The septal bulge is also linked with reduced local myocardial function.Sophisticated blood pressure evaluation including resting blood pressure, ambulatory blood pressure monitoring, and cycle ergometer test should thus be performed in all patients with an accidental finding of a septal bulge in echocardiography. Patients in the early stage of hypertensive heart disease tend to have normal echocardiographic findings. The aim of this study was to investigate whether pathology-specific echocardiographic morphologic and functional parameters can help to detect subclinical hypertensive heart disease. One hundred ten consecutive patients without a history and medication for arterial hypertension (AH) or other cardiac diseases were enrolled.
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