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Hypertensive heart disease and heart failure
1Division of Cardiology, Ohio State University Hospitals, Columbus 43210, USA.
Current Opinion in Cardiology
|September 1, 1995
Summary
Hypertension causes changes in heart structure and function, leading to a range of hypertensive heart failure disorders. These conditions involve left ventricular geometric changes and other health issues, impacting heart function.
Area of Science:
- Cardiology
- Internal Medicine
- Hypertension Research
Background:
- Hypertension is linked to left ventricular (LV) remodeling and functional abnormalities.
- These cardiac changes can precede the onset of overt heart failure symptoms.
- Hypertensive heart failure is not a single entity but a spectrum of conditions.
Purpose of the Study:
- To elucidate the relationship between hypertension, LV geometry, and heart failure development.
- To define "hypertensive heart failure" as a spectrum of disorders.
- To highlight the varied presentations of heart failure in hypertensive patients.
Main Methods:
- Review of existing literature on hypertensive cardiovascular disease.
- Analysis of pathophysiological mechanisms linking hypertension to cardiac remodeling.
- Correlation of LV geometric changes with functional abnormalities and clinical presentation.
Main Results:
- Hypertension induces significant left ventricular geometric remodeling.
- Functional abnormalities (diastolic and systolic) are common consequences.
- Hypertensive heart failure encompasses diverse presentations due to geometric changes and comorbidities.
Conclusions:
- Hypertensive heart failure arises from LV geometric alterations and comorbidities.
- Heart failure in hypertension can manifest with diastolic or systolic dysfunction.
- Clinical symptoms like dyspnea and edema are shared across different heart failure types in hypertensive individuals.