Hypertensive Heart Disease – Definition
Hypertensive heart disease is characterized by a firmly continuous high blood pressure in which the force of blood against the artery walls is too high. Continuous hypertension causes structural and functional abnormalities of the heart. This can also cause damage to the ventricular and arterial myocardium as well as the epicardium and intramural coronary arteries. As a result, other heart diseases can occur like myocardial ischemia, arterial fibrillation, and congestive heart failure.
Epidemiology of Hypertensive Heart Disease
Hypertension or high blood pressure affects at least 4 billion people worldwide. Hypertensive heart disease is only one of several diseases attributable to high blood pressure. Other diseases caused by high blood pressure include ischemic heart disease, stroke, peripheral arterial disease, aneurysms, and kidney disease.
Hypertension increases the risk of heart failure by two or three-folds and probably accounts for about 25% of all cases of heart failure. In addition, hypertension precedes heart failure in 90% of cases, and the majority of heart failure in the elderly may be attributable to hypertension.
Hypertensive heart disease was estimated to be responsible for 1.0 million deaths worldwide in 2004 (or approximately 1.7% of all deaths globally) and was ranked 13th in the leading global causes of death for all ages.
Types of Hypertensive Heart Disease
Coronary Heart Disease (CHD):
Coronary heart disease (CHD) in general, the heart problems caused due to high blood pressure are related to the heart’s arteries and muscles. It is called coronary artery disease. It can put you at risk for a heart attack from a blood clot that gets stuck in one of the narrowed arteries and cuts off blood flow to your heart.
Left Ventricular Hypertrophy (LVH):
High blood pressure makes pumping of blood to heart difficult. Like other muscles in your body, regular hard work causes your heart muscles to thicken and grow and this alters the way, the heart functions. The main pumping functions in the chamber of the heart happen usually by changing, the left ventricle. This condition is known as left ventricular hypertrophy (LVH).
CHD can cause LVH and they are directly proportional to each other. When you have CHD, your heart must work harder. If LVH enlarges your heart, it compacts the coronary arteries.
Risk factors of Hypertensive Heart Disease
Some of the risk factors that are
- Non-modifiable
- Male sex; it is said that eostrogen produced in women confers a beneficial effect on them. However, he is lost after menopause or in DM.
- Black race
- Positive family history
- Modifiable
- Diabetes
- Phaeochromocytoma
- Smoking
- Excessive alcohol
- Hyperlipedaemia
- Sedentary lifestyle
- Obese
What causes Hypertensive Heart Disease?
- High blood pressure means the pressure inside the blood vessels (called arteries) is too high. As the heart pumps against this pressure, it must work harder. Over time, this causes the heart muscle to thicken.
- Because there are often no symptoms with high blood pressure, people can have a problem without knowing it. Symptoms most often do not occur until after many years of poor blood pressure control, when damage to the heart has occurred.
- Without treatment of high blood pressure, symptoms of heart failure may develop. Sometimes, the muscle can be so thick that it does not get enough oxygen. This can cause angina (chest pain).
- High blood pressure also leads to thickening of the blood vessel walls. When combined with cholesterol deposits in the blood vessels, the risk of heart attack and stroke increases.
- Hypertensive heart disease is the leading cause of illness and death from high blood pressure.
How do we know if Hypertensive Heart Disease arise?
There are a few symptoms of hypertensive heart disease such as :
- Fatigue
- Weakness
- Chest Pain
- Leg or ankle swelling
- Pain in the neck, shoulder, back, and arm
- A cough
- Loss of appetite
- Tightness or pressure in the chest
- Nausea
- Indigestion
- Bloating and abdominal pain
Complications
Both CHD and LVH can lead to:
Heart failure: your heart is unable to pump enough blood to the rest of your body
Arrhythmia: your heart beats abnormally
Ischemic heart disease: your heart doesn’t get enough oxygen
Heart attack: blood flow to the heart is interrupted and the heart muscle dies from lack of oxygen
Sudden cardiac arrest: your heart suddenly stops working, you stop breathing, and you lose consciousness
Stroke and sudden death
Diagnosis and test
To begin with, the treating physician will take a detailed history to include family history and social history. The physician will then conduct a physical examination to check the blood pressure and if found chronically hypertensive then the following tests will be conducted:
Electrocardiogram: This test shows the heartbeat in the form of electrical impulses. This test can show whether there is any abnormality in the rhythm of the heart and whether the heart is functioning normally.
Echocardiogram: This test makes use of ultrasound waves to look at the functioning of the heart. This test can accurately identify any abnormality of the functioning of the heart.
Chest X-ray: This can reveal whether there is any enlargement of the heart or not which can rule in or rule out cardiomegaly as a cause of the heart murmur. Apart from these tests a CT scan or an MRI will also be obtained which can accurately detect the presence of a cardiac problem.
Coronary Angiography: This test checks the blood flow to and from the heart examines. Any abnormality in flow of blood in the heart can be confirmed through this test.
Treadmill Stress Test: This test is conducted to find out the exercise tolerance of the patient and how much distance the patient can cover on the treadmill before the patient starts having symptoms. This is quite helpful in confirming the diagnosis and formulating a treatment plan.
Treatment and medications
Treatment of heart disease of involves a mix of lifestyle changes and medications. It all depends on what sort of condition the victim is in and the individual problems that are occurring. Some of the medications prescribed are:
- Angiotensin-converting enzyme (ACE) inhibitors
- Vasodilators
- Calcium channel blockers
- Diuretics
- Angiotensin II receptor antagonists
- Beta-blockers
If the symptoms of heart disease are bad enough, the doctor may want to do corrective surgery. This could be surgeries such as a coronary bypass, repair of the heart valves, or surgeries to repair damaged or malformed blood vessels.
Prevention
Diagnosing high blood pressure early can help prevent heart disease, stroke, eye problems, and chronic kidney disease.
All adults over the age of 18 should have their blood pressure checked every year. More frequent measurement may be needed for those with a history of high blood pressure readings or those with risk factors for high blood pressure.
Guidelines can change as new information becomes available, Therefore, your health care provider may recommend more frequent screenings based on your blood pressure levels and other health conditions.
If your blood pressure is high, you need to lower it and keep it under control.
- Do not stop or change high blood pressure medicines without talking to your provider.
- Carefully control diabetes and high cholesterol.
kindly send me the dosages of antihypertensive drugs
Thiazide diuretics, calcium channel blockers, ACE inhibitors, angiotensin II receptor antagonists (ARBs), and beta-blockers.
Dosage:
what are the major cure for heart problem that will be use for home remedy.
Walk and exercise regularly. Exercise is one of the best things you can do to lower high blood pressure
Reduce your sodium intake. Salt intake is high around the world
Drink less alcohol
Eat more potassium-rich foods
Cut back on caffeine
Learn to manage stress
Eat dark chocolate or cocoa
Lose weight
If you could give some names of drugs that would be great. Nice summarize though.
dc. I always have pain when I cry a lot .what is it ?
Please consult a doctor ASAP
How can you get your blood pressure medications without going and seeing your doctor for blood test if you have been taking the blood pressure medications for several years?
you should not take your own medications without the prescription form a doctor.
Dr, iam a BP patient and I have been taken the drvgs since 2010 there was no site effect along the line when I took the drugs I will be haven serious headeck when I complain to my Dr he Change the drugs for me up till now that’s the problem am facen I have change the drugs more than ten times no change, as of now, I have stop taken the medicine and is a risk for me to stay with out taken any drugs pls Dr can u prescribe some drugs for me to
try it again? pls. thks JOY
It is better to take natural remedies to get rid of the problems or you can consult another good specialist for better prescription of your drugs.
pls how do you know agood bp drug and what is the best drug
enalapril (Vasotec)
captopril (Capoten)
lisinopril (Zestril and Prinivil)
benazepril (Lotensin)
Do not consume these drugs without a prescription from a doctor.
if finger nail is swelling, is it heart disease
No, it may be an infection of your nail.
http://diseasesdic.com/finger-infection-causes-treatment-and-prevention/
i always have pain when ever i do exercise, what kind of disease is that
Please consult a doctor.
is there any natural way or thing to cure high blood pressure?
Natural ways to combat high blood pressure are
Walk and exercise regularly. Exercise is one of the best things you can do to lower high blood pressure.
Reduce your sodium intake.
Drink less alcohol.
Eat more potassium-rich foods.
Cut back on caffeine.
Learn to manage stress.
Eat dark chocolate or cocoa.
Lose weight.
can heart failure cure?
No you can just prevent the future onsets of the heart failure and to avoid it become serious you should be under the regular treatment.
Can you please explain in detail (including treatment)Pulmonary arterial hypertension (PAH).
Will update in the following days thank you.
i don’t feel confortable anytime my Doctor changes my hypertension drug. so i have remained on one drug for 18yrs now since i started takin it. i don’t have any problem if it. this there any conseqences.
No problem until you face some side effects.
on hypertension drug for 18yrs now. any other drug makes me uncomfortable. is there any consequences?
Please consult a doctor to get the prescription for hypertension.
Do we have herbal medicine for the treatment of High Blood Pressure? I do experience waist pain regularly, is there any relationship between High Blood Pressure & waist pain? What drugs/ herbal medicine can be used for the treatment of waist pain? Thank you. T. h. a. n.
There is no relation between waist pain and high bp. For this condition please consult a pain management specialist.
Home Remedies for Managing High Blood Pressure:
Get moving: Exercising 30 to 60 minutes a day is an important part of healthy living.
Follow the DASH diet: Following the Dietary Approaches to Stop Hypertension (DASH) diet can lower your blood pressure by as much as 11 mm Hg systolic.
Put down the saltshaker: Keeping your sodium intake to a minimum can be vital for lowering blood pressure.
Lose excess weight: Weight and blood pressure go hand in hand. Losing just 10 pounds (4.5 kilograms) can help lower your blood pressure.
Nix your nicotine addiction: Each cigarette you smoke temporarily raises blood pressure for several minutes after you finish. If you’re a heavy smoker, your blood pressure can stay elevated for extended periods of time.
Limit alcohol: Drinking a glass of red wine with your dinner is perfectly fine. It might even offer heart-health benefits when done in moderation.
Stress less: In today’s fast-paced world that’s filled with increasing demands, it can be hard to slow down and relax. It’s important to step away from your daily responsibilities so you can ease your stress.
is this high blood pressure has permanent treatment? I have been taking drugs over a year now and I’m still at high. amlodipin 10mg and numeretic. drugs taken
Scientists have developed a radical therapy that could provide a permanent cure for high blood pressure by zapping the kidneys with radio waves.
pls.what nature way of taken care of it, (something like harb).
.
Herbs and Supplements for Heart Disease:
Coenzyme Q10
Omega-3 Fatty Acids
Green Tea
Pomegranate
Magnesium and Potassium
I have brother whose suffering from hypertension is on medication right now it seems there is no improvement why?
It may be due to changes in lifestyle.
Great app for me (and many others) . My mother-in-law has been suffering from hypertensive heart disease for more than a decade without us knowing. Luckily, it was discovered last month at a hospital . This information has helped me understand her situation better so that I will be able to handle her situation better.
I do have joint pain&fingers pain
Consult a doctor.
pls recommend drug for me am 54yrs old female
It should be prescribed by a cardiologist. Therefore please consult a doctor.
I am 57 yes old my penis can raise again.just of recent. I going through a Court matter.pls recommend drug for me.
Please consult a doctor asap.
Can a gym cause high blood pressure
It is true that physical activity (exercise) will cause your blood pressure to rise for a short time. However, when you stop the activity, your blood pressure should soon return to normal. The quicker it does this, the fitter you are likely to be.
I’ve been diagnosed with hypertensive heart disease. and copd. and told me I only had 6 months to a year to live. how long does a person can live like that?
The survival of patients with pulmonary hypertension used to be around three to five years, and it could take two or more years to correctly diagnose.
my hubby usually have the chest pain and abdominal pain and also fatigue please help me with his condition
please consult a cardiologist.
I was diagnosed of mild heart enlargement and I have been on lisinopril, amoldipne, cardiac ace, Rusatin, clopidrogrel but has been noticing numbness on my toes and Hand, what do i Do?
Please consult a cardiologist to get treated.
I have breathing deficulty
please consult a doctor as early as possible.
I find it difficult to talk some things
please what caused it
Please consult a psychologist.
good morning doctor in the house. I have been diagnosed with hypertension for the past 10 years now. 2016 August it was angina pectoris and 2017 I couldn’t breathe I went for ECG n said ishemic heart disease. I was given glycerly nitrate. 05. now the case is like getting worse. av bn taking losartan 100mg, artenolol, vasoprin n nifedipine. it went down fr sometime. but now another drugs are prescribed Natrilix, nifedipine, vasoprin. tell me the exact drugs to use that wl put an end to health cha
Please consult a cardiologist for appropriate drug prescription.
what are the foods that contain potassium and magnesium
Spinach
Quinoa
Almonds, Cashews, and Peanuts
Dark Chocolate
Black Beans
Edamame
Avocado
Whole Wheat, Spinach, Quinoa, Almonds, Cashews, and Peanuts contains potassium and magnesium
very helpful my left leg loosing power and freezing frequently could it be ischaemic TIA
It might be due to some nerve defects. Please consult a neurologist to cure the illness.
getting frequent attacks on the left leg loss of power and going numb
Please, consult a doctor to avoid serious effects in the future.
A 29yrs old boy of b/p=120/90mg management
what is the treatment for cardiomegaly
Medication: Recommended medications depend on the condition that is causing the enlarged heart.
Medical devices: A pacemaker may be fitted to regulate heartbeat in those with dilative cardiomyopathy. People with severe arrhythmias may require an implantable cardioverter-defibrillator (ICD).
Surgery:
Heart valve surgery
Coronary bypass surgery
Heart transplant
I do have wet cough after eating, burning knees after some little walk and a little pain in my chest. cause? pls
please diagnose the problem by consulting a doctor.
If drug of choice is mentioned it is more useful to learn
If drug of choice is mentioned then it wii be more helpful in learning
Please my bp reads 153/99, what medication can you prescribe for me to bring it down.
Kindly consult a doctor for an appropriate prescription.
Can scoring be as a result of bp or what causes snoring? what are the medications for snoring.
No, BP does not cause snoring in any way. The problem in the airway pressure causes snoring.
For mild forms of snoring caused by swelling of the lining of your nose, a doctor may prescribe a steroid nasal spray to take before going to sleep. He or she may also suggest dental appliances or nasal strips. For more severe forms of snoring due to sleep apnea, surgical procedures or continuous positive airway pressure may be prescribed.
I usually experience pain in my chest after some 30-35 minutes walk, what could possibly lead to that?
Please consult a doctor.
my body always scrach me what is the possible cause
It might be due to skin inflammation or due to allergens.
I use the pill as a family planning method and my hypertension is always high, what can I do.
It is better to consult a doctor to hire an appropriate prescription.
fantastic education. I have received wonderful knowledge. Thank you very much. my question is how come I do have pain on my left chest through to my shoulders and my arm.
Please consult a cardiologist to diagnose if it’s a cardiology problem. To reduce the pain consult a chiropractor.
Thanks, one of the most beneficial Apps ever. I’m really learning.
I have Bp and heart enlargement what will i do to get better please i need your help
please consult a cardiologist.
I am enlightened, but want ask, what drug is quite preferred for getting high blood pressure to normal level?
Please read it in the article.
is nefidel pin good to take for prevention
Nifedipine is used to lower blood pressure in people with hypertension.
My blood pressure is very high 120/180, my triglericide is 250 ,presently what can do
Please consult a doctor.
I am an hypertensive sufferer and I have been on drugs for years now.
my problem is that I am not getting full erection and it’s very disturbing. please what can I do? I really need your help and medical advices. thanks
Please consult a doctor. Kindly read the treatment at http://diseasesdic.com/erectile-dysfunction-root-cause-symptoms-treatment/
Drugs dosage should be mentioned
Thanks for using our app. Very soon we will add about drug dosages in post.
How can you prevent and make this health issue go away. And also keep for coming back
Maintaining a healthy weight, getting adequate sleep, and exercising regularly are common lifestyle recommendations to prevent hypertensive heart disease.
can regular exercising the body can help to reduced high blood pressure ?
Of course, the cardiac physical exercise definitely reduces the risk of getting High Blood Pressure.
For hypertensive patients get food supplement (omega 3 salmon oil plus)from neolife company or call for any more information 08156444898
I’m every several about blood pressure medications, i am sensitive to the medications, i have been on so many, what can i do?
Consult your doctor for the better prescription of medicines.
very nice and knowledge helpfull
what is the best control diet of high blood control?
Give me list of the best medicine to cure it?
Aim to eat a diet that’s rich in:
Fruits
Vegetables
Whole-grains
Low-fat dairy products
Skinless poultry and fish
Nuts and legumes
Non-tropical vegetable oils
Limit:
Saturated and trans fats
Sodium
Red meat (if you do eat red meat, compare labels and select the leanest cuts available)
Sweets and sugar-sweetened beverages
For an appropriate medicine please consult a doctor.
my wife is suffering from heart pain, and the test shows high Bp/cholesterol pls what’s the medicine
please consult a doctor to get the medicine.
Am a dietitian. you can consult me for free guidelines on dietary management and recommendation for tea and supplementa that will be good
my heart stuttering and am having pains in my chest and east pain
Please consult a cardiologist for appropriate diagnosis of your problem.
i have been diagnosed with hypertensive for the past 16 1/2 years and im still waiting to find a medication that can lower my blood pressure
Please consult a doctor to get the medicines for BP.
Can high blood pressure leads to the weak of legs and hands? recently, I conducted general test of my body system and I was made to understand that the results of the test was OK. thank you.
is good for hypertensive patients to eat bitter kola?
beverages should be avaoided
can BP cause weekness of penis n when urinating finish pen in hole of penis n again pens in legs
This means less blood is able to flow to the penis. For some men, the decreased blood flow makes it difficult to achieve and maintain erections — often referred to as erectile dysfunction. The problem is fairly common. High blood pressure can also interfere with ejaculation and reduce sexual desire.
I have been experiencing chest pain for some weeks now, meanwhile am on hbp drugs what could be the cause of that.
Some possible side effects of high blood pressure medicines include: Chest pain, heart palpitations (the feeling that your heart is racing), or arrhythmia (irregular heartbeat). Note: Consult your local physician for advice.
Can high blood pressure cause symptoms of malaria always even after taking malaria treatment
Experimental studies have also shown that malaria may affect the blood pressure regulatory system causing hypertension, which is a contributor to heart failure. Malaria can also affect vascular pathways that cause inflammation in the heart, which could lead to fibrosis and then heart failure.
Is whistling noise in the ear related to high blood pressure?
High Blood Pressure Causes Tinnitus to Worsen
All sorts of health conditions, like tinnitus, can be caused by hypertension and high blood pressure.
I’m experiencing some chest pain when ever I sleep on my chest(left side),what should i do now?
If you’re experiencing chest pain, especially when lying on your left side, consider changing your sleeping position and using pillow support. However, chest pain should not be ignored. Consult with a healthcare professional promptly for a thorough evaluation to determine the cause and appropriate treatment. If the pain is severe or accompanied by other symptoms, seek emergency medical attention.
I always feel pain in chest on the left hand side. Then get exhausted when I walk fast
Chest pain, especially on the left side, and feeling exhausted during physical activity can be concerning symptoms that may indicate various health issues, including cardiovascular issues. It’s important not to ignore these symptoms. Some potential causes could include angina, which is chest pain caused by reduced blood flow to the heart, or other heart-related conditions. We strongly recommend seeking immediate medical attention. Contact your healthcare provider or go to the nearest emergency room to undergo a thorough evaluation, including a physical examination, electrocardiogram (ECG or EKG), and possibly other diagnostic tests. Chest pain should never be ignored, and getting prompt medical attention is crucial for proper diagnosis and timely intervention if needed.
please l won to know how can l control high pressure on a lady bout 24 of age.
To control high blood pressure in a 24-year-old woman, emphasize a healthy lifestyle. Encourage a balanced diet rich in fruits, vegetables, and whole grains, regular exercise, weight management, limited alcohol intake, stress reduction, and quitting smoking if applicable. Regular check-ups with a healthcare professional are essential for accurate diagnosis and personalized advice. If lifestyle changes are insufficient, medication may be prescribed based on her specific health condition.
please which drug i can use