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hypertensives ( EHT, 49 4 years, 60 % males, BP 155 16/ 95 10 mmHg) and in 20 normotensives (NT, 42 4 years, 40 % males, BP 120 11/ 79 7 mmHg). Ultrasonic myocardial backscatter signal (IBS) was analysed with an “acoustic densitometry” method and IBS end-diastolic amplitude and absolute systo-diastolic variation of backscatter (CV) at interventricular septum (IVS) and posterior wall (PW) were considered. LV mass index was higher in patients with PA and RVH as compared to NT and EHT (ANOVA p 0.001). End-diastolic IBS amplitude (dB) at IVS and PW did not differ among the four groups; IVS CV was significantly lower in patients with PA and RVH as compared with NT and EHT (ANOVA p 0.001). In patients with secondary hypertension due to activation of the RAAS or to increased levels of aldosterone, indexes of ultrasound tissue characterization, possibly related to collagen content, are observed.

Sensibility and specificity of tilt table test potentiated with nitroglycerin in hypertensives are lower than in normotensives