Does hypertensive cardiomyopathy matter?

summary

Long term poor control of hypertension can cause changes in cardiac structure and function, which is called hypertensive heart disease, including early left ventricular diastolic dysfunction, left ventricular hypertrophy (LVH), gradual development of myocardial systolic dysfunction, and eventually heart failure. Some studies have shown that 70% of heart failure is caused by hypertension; At the same time, it may be associated with coronary heart disease, atrial fibrillation and other cardiac complications. Does hypertensive cardiomyopathy matter? Let's talk about it

Does hypertensive cardiomyopathy matter?

Early performance is generally not typical, patients may have no obvious symptoms or only mild discomfort, such as headache, chest tightness, etc., these symptoms are the general symptoms of hypertension, no specificity.

Hypertension, due to high arterial pressure, hinders the heart from pumping blood, heart long-term high load work will appear myocardial hypertrophy and stiffness increase, eventually leading to pulmonary venous blood into the heart blocked, the formation of pulmonary congestion. Myocardial hypertrophy increases oxygen demand, blood supply is relatively insufficient, often leading to heart failure.

Abnormal left ventricular diastolic / systolic function may lead to pulmonary congestion, mainly manifested as: 1) exertional dyspnea; ② There was shortness of breath when lying on the back, and it improved after sitting up; ③ The amount of activity is not large, but the patient has dyspnea. When it is serious, the patient can wake up in sleep; (4) serious breathing problems such as sitting and breathing, cough and cough with pink foamed sputum.

matters needing attention

1. This disease is caused by the overload of heart caused by the long-term increase of blood pressure. It is emphasized that early hypotension can prevent the occurrence and development of the disease. 2. Long term and regular antihypertensive treatment can improve the damage degree of hypertrophic heart and even completely return to normal shape. It is not comprehensive and scientific to emphasize the treatment of hypertension and neglect the protection of heart