The detection of preclinical atherosclerosis may contribute to better
identifying hypertensive subjects at high risk of complications. Three
alterations can be diagnosed noninvasively: calcification, thickening
, and stiffening of the arterial wall. Their prevalence is increased i
n asymptomatic hypertensives and their presence may have important pro
gnostic significance, especially with respect to coronary artery disea
se. They are also ideal targets to test the efficacy of hypertensive t
herapy on the arterial wall. Finally, the detection of early atheroscl
erosis may help to improve the clinical management of hypertensive pat
ients. Am J Hypertens 1998;11:882-883 (C) 1998 American Journal of Hyp
ertension, Ltd.