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[Cardiac rhythm disturbances in hypertensive cardiopathy]
J A Uriarte1, M Tritto, G Spadacini
1Dipartimento di Cardiologia Mater Domini, Castellanza (VA), Università degli Studi dell'Insubria, Facoltà di Medicina e Chirurgia, Varese. jsalerno@unipv.it
Insights
Hypertensive heart disease increases cardiovascular risks. This review covers cardiac arrhythmias, their causes, and significance in these patients.
Area of Science:
- Cardiology
- Cardiovascular Medicine
- Cardiac Electrophysiology
Context:
- Hypertensive heart disease (HHD) is a major risk factor for cardiovascular complications.
- Patients with HHD experience significant risks of morbidity and mortality.
- Cardiac structural and functional changes are common in HHD.
Purpose:
- To review the prevalence of cardiac arrhythmias in hypertensive heart disease.
- To elucidate the pathophysiologic mechanisms underlying arrhythmias in HHD.
- To discuss the prognostic significance of these rhythm disturbances.
Summary:
- Patients with HHD face elevated risks for cardiovascular events.
- Arrhythmias, both atrial and ventricular, stem from cardiac changes and hemodynamic instability.
- This review examines the occurrence, mechanisms, and implications of arrhythmias in HHD.
Impact:
- Provides a comprehensive overview of cardiac rhythm disturbances in HHD.
- Enhances understanding of arrhythmia development in hypertensive patients.
- Informs clinical management and risk stratification for HHD patients.
Abstract:
Patients with hypertensive heart disease are at a significantly increased risk for cardiovascular morbidity and mortality. Ultrastructural and gross anatomical cardiac changes, combined with hemodynamic and neurovegetative balance fluctuations, are frequently responsible for cardiac arrhythmias of atrial and/or ventricular origin. The prevalence, the pathophysiologic mechanism and the prognostic significance of cardiac rhythm disturbances occurring in hypertensive heart disease are discussed in this review.