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[Hypertensive heart disease and microangiopathy]
1Klinik für Kardiologie, Pneumologie und Angiologie, Medizinische Klinik und Poliklinik B, Heinrich-Heine-Universität Düsseldorf. kelm@med.uni-duesseldorf.de
Der Internist
|November 25, 2003
Summary
Arterial hypertension causes significant cardiac changes, including hypertrophy and fibrosis, leading to hypertensive heart disease. Treatment aims to lower blood pressure and reverse these cardiac alterations.
Area of Science:
- Cardiology
- Cardiovascular Medicine
- Hypertension Research
Context:
- Arterial hypertension is a major risk factor for cardiovascular disease.
- Hypertensive heart disease encompasses a spectrum of cardiac alterations.
- Understanding these alterations is crucial for effective patient management.
Purpose:
- To outline the cardiac manifestations of arterial hypertension.
- To describe the clinical consequences of hypertensive heart disease.
- To highlight therapeutic targets for managing cardiac changes in hypertension.
Summary:
- Cardiac alterations in hypertension include epicardial stenosis, coronary vessel disease, fibrosis, left ventricular hypertrophy, and aortic valve degeneration.
- These changes manifest as reduced coronary flow, diastolic/systolic dysfunction, and arrhythmias.
- Non-invasive and invasive methods aid in screening and follow-up.
Impact:
- Provides a comprehensive overview of cardiac complications in hypertension.
- Informs therapeutic strategies beyond blood pressure control.
- Aims to improve clinical outcomes for patients with hypertensive heart disease.