✅ Hypertensive heart disease cardiovascular disease
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| Nutrition in cardiovascular diseases rooms Nursing process in diseases of the cardiovascular System Anemia, cardiovascular disease | If you have disturbed sleep, fatigue, disorientation, confusion, or nervousness, it's time to monitor your blood pressure. Either lack of sleep or too much sleeping might mean your blood pressure is high or low. If it’s left untreated, you will soon face an onslaught of multiple illnesses. |
| The high mortality of cardiovascular diseases | A sedentary lifestyle, alcohol, and cigarette consumption increase body weight which in turn hinders healthy blood circulation and strength of arteries and veins. This results in high blood pressure. So, if you’re overweight, you need to monitor your blood pressure frequently. |
Nutrition in cardiovascular diseases rooms
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The etiology of cardiovascular diseases,
Hypertensive heart disease cardiovascular disease, What High Blood Pressure Causes, Major Cardiovascular Diseases
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Causes of cardiovascular diseases.
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Hypertensive heart disease as part of the cardiovascular diseases
The 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.
Pathophysiology
The 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 factors
Among 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 Symptoms
In 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).
Diagnostics
The 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.
Therapy
The 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.
Forecast
With 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.
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