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Published on: September 26, 2018
Hypertension Is a Risk Factor for Several Types of Heart Disease: Review of Prospective Studies
Yoshihiro Kokubo1, Chisa Matsumoto2
1Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, 5-7-1, Fujishiro-dai, Suita, Osaka, 565-8565, Japan. ykokubo@hsp.ncvc.go.jp.
Insights
Hypertension significantly increases the risk of various heart diseases, including coronary heart disease and heart failure. Managing blood pressure is crucial for preventing cardiovascular disease and reducing mortality risk.
Area of Science:
- Cardiovascular Medicine
- Epidemiology
- Public Health
Background:
- Hypertension is a well-established risk factor for mortality and cardiovascular disease (CVD).
- Previous research predominantly focused on the link between hypertension and coronary/ischemic heart disease.
- A comprehensive understanding of hypertension's impact on diverse heart conditions is needed.
Purpose of the Study:
- To systematically review the association between hypertension and a broad spectrum of heart diseases.
- To consolidate evidence on hypertension's role in conditions beyond coronary heart disease.
- To identify potential sex-based differences in these associations.
Main Methods:
- Comprehensive literature review of prospective cohort studies.
- Analysis of epidemiological data linking hypertension to various cardiovascular conditions.
- Synthesis of findings regarding specific heart diseases and hypertension.
Main Results:
- Hypertension is significantly associated with coronary heart disease, heart failure, atrial fibrillation, aortic valvular disease, sudden cardiac death, sick sinus syndrome, left ventricular hypertrophy, and abdominal aortic aneurysms.
- These associations were generally stronger in men.
- The review identified a wide range of cardiovascular conditions linked to elevated blood pressure.
Conclusions:
- Hypertension is a critical risk factor for numerous cardiovascular diseases.
- Preventive strategies targeting hypertension may substantially reduce the burden of heart disease.
- Lowering blood pressure is a key intervention for cardiovascular risk reduction.
Abstract:
Many prospective cohort studies have demonstrated that hypertension is a strong risk factor for total mortality and cardiovascular disease (CVD). Heart disease includes coronary heart disease (CHD), heart failure, atrial fibrillation, valvular disease, sudden cardiac death (SCD), sick sinus syndrome (SSS), cardiomyopathy, and aortic aneurysms. Most of the epidemiologic prospective studies of heart disease focused on coronary/ischemic heart disease. Here we comprehensively reviewed the association between hypertension and the above-mentioned heart diseases. We found that CHD, heart failure, atrial fibrillation, aortic valvular disease, SCD, SSS, left ventricular hypertrophy, and abdominal aortic aneurysms were all associated with hypertension. Those relations tended to be stronger in men. The prevention of hypertension and lowering one's blood pressure may help reduce the risk of developing heart disease.
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