Hypertensive Cardiovascular Disease

High blood pressure is commonly seen in most people these days. But do you know that it has a very close connection with cardiovascular diseases? Read on to learn about hypertensive cardiovascular disease.
| Thursday, October 9, 2008
Hypertensive cardiovascular disease also known as hypertensive heart disease occurs due to the complication of hypertension or high blood pressure. In this condition the workload of the heart is increased manifold and with time this causes the heart muscles to thicken. The heart continues pumping blood against this increased pressure and over a period of time the left ventricle of the heart enlarges and this in turn causes the blood pumped by heart to reduce. If proper treatment is not taken at this stage then symptoms of congestive heart failure may be observed.

High blood pressure or hypertension is among the top most factors associated with cardiovascular diseases. This can result in ischemic heart disease.  High blood pressure is also a contributing factor to the eventual thickening of walls of blood vessels. This increases the possibility of heart attacks and strokes. Hypertensive cardiovascular disease is among the leading killers in present times. Around 7 people out of every 1000 suffer from this disease. Heredity is an important factor so far as people suffering from hypertension are concerned. Other factors include excessive consumption of salt and excessive stress.

Symptoms

It usually takes some time for the problem of high blood pressure to eventually lead to hypertensive cardiovascular disease and therefore high blood pressure is often called the silent killer. Eventually hypertensive heart disease can also lead to congestive heart failure. Some symptoms of hypertension and the eventual congestive heart failure include arrhythmias, shortness of breath, weakness and fatigue, swelling in lower extremities and greater frequency of urination during the night. Hypertensive cardiovascular disease may also result in ischemic heart condition and in this case there might be chest pain, sweating and dizziness, nausea and shortness of breath. Hypertrophic cardiomyopathy could also be a result of hypertensive heart disease.

Tests

Usually the first signal is elevated blood pressure together with a possibility of enlargement of the heart. Fluid within the lungs may also be found in preliminary examination by using the stethoscope and some abnormal heart sounds may also be detected. ECG is ordinarily done and this may show abnormal results in those who have possible hypertensive cardiovascular disease. Evidence of ischemia which is the lack of oxygen in the heart muscle may also be detected. Some other tests ordinarily conducted may include a chest X ray, a CT scan of the chest, echocardiogram and coronary angiogram.

Treatment

The primary aim of any treatment in hypertensive cardiovascular disease is reduction of blood pressure and then eventual control of the heart disease. The line of treatment will ordinarily depend on the condition such as whether there is angina or acute myocardial infarction. The line of treatment may include beta blockers, angiotensin converting enzyme inhibitors (ACE), calcium channel blockers, diuretics etc depending upon particulars of each individual case. The blood pressure is consistently required to be checked and kept under control in this condition.

Likewise people experiencing hypertensive cardiovascular disease have to make certain changes in their lifestyle and diet patters. These would ordinarily include weight loss where obesity is identified, moderate exercise as per directions of the medical professional and adjustments in the diet. These adjustments would include inake of healthy food including vegetables, fresh fruits and low fat dairy items. Smoking is also a contributing factor to hypertension and therefore these lifestyle changes would have to include the patient quitting smoking. Consumption of fish, whole grains are also recommended. In the long run the outcome largely depends on the possibility and extent of complications. In hypertensive cardiovascular disease the treatment will depend largely on the degree of enlargement of the left ventricle. However some medicines such as ACE inhibitors and others can reverse this enlargement and thereby help in improving the chances of survival in the patients in the long run.
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