What is Hypertensive heart disease

In addition to the increased risk of atherosclerosis, high blood pressure permanently damages the heart. The muscle becomes thicker and stiffer, so that the heart cannot relaxes during diastole so light and suck blood, diastolic compliance failure. This leads to inadequate filling of the heart and symptom of diastolic heart failure. In addition, the heart rhythm disorder atrial fibrillation is more common. After echocardiographic criteria, the HHK divided into three stages such restrictions. Even under optimal therapeutic consequence of this is largely irreversible.

Other organ damage
Elevated blood pressure can also lead to changes in the retinal vessels of the eye, so that, Can hypertensive retinopathy in a hypertensive crisis. Or even a rare hypertensive retinopathy occurs.

Also, the kidney with long-standing high blood pressure is damaged and leads to kidney dysfunction.

Diagnostic
Diagnostic activities focus on three objectives: the existence of arterial hypertension is diagnosed by blood pressure is determined and objective; causes secondary hypertension be searched to determine damage and cardiovascular disease risk documented. Used in addition to history and physical examination, laboratory and thus are urinalysis, electrocardiogram, echocardiography, ophthalmoscopy (fundus reflection) and other diagnostic means.

The phenomenon that people have an otherwise normal blood pressure measurement medical. Staff repeatedly elevated blood pressure often referred to as white coat hypertension. Therefore, this possibility should be completed by themselves, monitoring measurements of the patient and if possible by 24, our measurements. It is also possible to detect spikes in blood pressure with exercise by bicycle ergometer on.

Classification
The World Health Organization in 1999, a classification of arterial hypertension is To follow whatever the German medical society. The guidelines, in the U.S. (JNC7 report), which differs only slightly, published so that they define as an additional level 3. Figures in this classification problem are explicitly presented as a flexible guide thought. The diagnosis of hypertension should rather consider the overall impact cards. Although these increases linearly dependent with systolic and diastolic blood pressure, but also on additional risk factors such as age, smoking, high cholesterol, obesity and a positive family history, previous illnesses such as diabetes, stroke, heart, kidney, heart and vascular diseases. In summary, therefore, be necessary to remain in the presence of such factors, a high normal blood pressure shall be treated badly.

The WHO hypertension after clinical organ damage to blood vessels, eyes, heart, kidney, Etc. As I mentioned here recently hypertension without end organ damage, grade II lesions are easily damage (hypertensive retinopathy grade I and II), plaque formation in the larger vessel, kidney and a mild heart. Grade III includes severe organ damage with apparent cardiovascular complications: angina pectoris, myocardial infarction, heart failure, neurological symptoms (TIA, stroke), peripheral disease, aortic dissection, hypertensive retinopathy, III and IV The ICD,10 (2008) are made simply with a subdivision in benign and malignant hypertension.

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