✔ Hypertensive heart disease cardiovascular disease
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Hypertensive heart disease as part of the cardiovascular diseasesThe hypertensive heart disease (also hypertensives heart called) represents an important subgroup of cardiovascular disease (CVD) and is associated directly with the essential hypertension. This disease develops due to a persistently elevated blood pressure that causes a chronic Overload of the heart muscle.PathophysiologyThe Central mechanism of the hypertensive heart disease, left ventricular hypertrophy (LVH) is. Because of the increased peripheral resistance the left ventricle must work harder to pump the blood into the General circulation. This leads to a thickening of the wall of the left ventricle (ventricular wall thickness>1.1 cm in the echocardiogram). First of all, this adaptation acts as a compensatory mechanism, in the long term, however, it reduces the elastic capacity of the heart and leads to diastolic dysfunction.Further pathophysiological changes include:Fibrosis of the myocardium;Vascular Lesions (Atherosclerosis);Disorders of the coronary circulation;possible Dilatation of the left atrium as a consequence of diastolic dysfunction.Risk factorsAmong the main risk factors for the development of hypertensive heart disease:persistent blood pressure ≥140/90 mmHg;family history;Age (particularly over 55 years in men and 65 years in women);Overweight and obesity;unhealthy lifestyle (lack of physical activity, high salt intake, alcohol, and nicotine);Diabetes mellitus;Dyslipidemia.Clinical SymptomsIn the early stages of hypertensive heart disease is often asymptomatic. With the Progression of the disease, the following symptoms may occur:Exertional dyspnoea (shortness of breath during physical exertion);Fatigue (Fatigue);Angina pectoris (chest pain);Cardiac arrhythmias (e.g., atrial fibrillation);in advanced cases, signs of congestive heart failure (Edema of the lower extremities, hepatomegaly).DiagnosticsThe diagnosis includes a combination of different methods:Blood pressure measurement (the best 24‑hour blood pressure monitoring);Echocardiography (evidence of LVH, assessment of systolic and diastolic function);Electrocardiogram (signs of LVH: high QRS amplitude in the precordial leads);Laboratory Tests (Kidney Function, Lipid Spectrum Of Blood Sugar);if necessary, stress testing or coronary angiography for suspected coronary heart disease.TherapyThe main goal of the therapy is the reduction of blood pressure to below 140/90 mmHg (in diabetic patients under 130/80 mmHg) and the prevention of complications.Drug Therapy Options:ACE inhibitors (eg, Enalapril) or AT1‑receptor blockers (e.g., Losartan), show a particularly favorable effect on the Regression of LVH;Beta-blockers (e.g., Metoprolol), while heart failure or rhythm disturbances;Calcium channel blockers (e.g. amlodipine), especially in elderly patients;Diuretics (such as hydrochlorothiazide) to the volume reduction.Non-Pharmacological Measures:Weight reduction;Reduction of salt intake (<5 g/day);regular physical activity (at least 150 minutes of moderate load per week);Waiver of Smoking and reduction of alcohol consumption;Stress management.ForecastWith adequate blood pressure control and lifestyle changes, the prognosis can be significantly improved. Without therapy, hypertensive heart disease, however, leads to an increased risk for heart failure, heart attack, stroke, and sudden cardiac death.If you want, I can make certain sections in more detail, or to add more information about a specific aspect!

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Kung nagsimula na ang pag-inom ng gamot para sa mataas na presyon, hindi ibig sabihin na hindi na maaaring gawin ang karagdagang mga hakbang para palakasin ang katawan sa programa ng therapy. Ang benepisyo ng maingat na mga hakbang na pinagkasunduan ng doktor ay nakakatulong para mapigilan ang paglala ng sakit at maiwasang lumipat ito sa mas seryosong yugto. Ang mga modernong gamot sa pag-imprenta ay hinahati sa 10 iba't ibang grupo ayon sa kanilang mekanismo ng pagkilos. Pagkatapos suriin ng doktor ang mga reklamo ng pasyente at ang resulta ng mga pagsusuri, nagrereseta siya ng isa o higit pang gamot, na hindi dapat baguhin nang mag-isa. Ang mga gamot sa puso at daluyan ng dugo ay hindi kabilang sa mga puwedeng irekomenda sa kaibigan. Ang maling desisyon ay maaaring magdulot ng malungkot na kahihinatnan. Lahat ng gamot na pampababa ng presyon ng dugo ay kailangan ng reseta. Sa artikulong ito, tinitingnan natin ang kanilang modernong klasipikasyon base sa mga aktibong sangkap at sa paraan ng epekto nito sa katawan.
