Table 1.

Summary of the diagnostic tests that may be used to identify the different cardiovascular alterations in patients with acromegaly.

Diagnostic test	Utility
- Manual office blood pressure measurements - Repeated home blood pressure measurement - 24-h ambulatory blood pressure measurement (ABPM) - Automated office blood pressure (AOBP) measurement	Hypertension
- Electrocardiography (ECG) (single clinic 12-lead ECG) - 24-h Holter ECG monitoring	Arrhythmias Cardiomyopathy
- Exercise, tredmill - Stress tolerance test - Echocardiography - Ultrasound and duplex study of carotid and supraaortic trunk, including intima-media thickness measurement, quantification of internal carotid stenosis and number, morphology and surface characteristics of carotid plaques - Cardiac magnetic resonance imaging (cardiac MRI)	Arrhythmias Cardiomyopathy Coronary artery diseases Heart valve disease
- Coronary computed tomography angiography - Coronary catheterization - Positron-emitted tomography,	Cardiomyopathy Coronary artery diseases