Monday, April 05, 2021

What is hypertensive heart disease?

Hypertension can lead to hypertensive heart disease, which is a condition that represents an important underlying mechanism for the occurrence of blood pressure-related CVD morbidity and mortality.

Hypertensive heart disease encompasses anatomical changes and altered physiology of heart muscle, coronary arteries, and great vessels.

Hypertensive heart disease is a constellation of abnormalities that includes left ventricular hypertrophy (LVH), systolic and diastolic dysfunction, and their clinical manifestations including arrhythmias and symptomatic heart failure.

Hypertensive heart disease results from chronic high blood pressure. Hypertension can be defined as blood pressure as a systolic blood pressure higher than 120 mm Hg or a diastolic pressure more than 80mm Hg. The risk of cardiovascular mortality doubles for every 20mmHg systolic and 10mmHg diastolic pressure increase over a baseline blood pressure of 115/75.

Clinically, hypertensive heart disease is characterized by the presence of left ventricular hypertrophy (LVH) in the absence of a cause other than arterial hypertension.

Hypertensive individuals with hypertensive heart disease are more prone to myocardial infarction, congestive heart failure, stroke, and sudden death then persons with hypertension alone.

The main risk factor for hypertensive heart disease is high blood pressure. The risk increases if the person overweight, not exercise enough, smoking, eating food high in fat and cholesterol.

Types of hypertensive heart disease:
*Narrowing of the arteries
*Thickening and enlargement of the heart
What is hypertensive heart disease?

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