Hypertensive heart disease

Hypertensive heart disease. Increase in myocardial volume as a consequence of the increase in arterial hypertension due to different factors, among which we can mention the excess of physical activity and those of a hereditary nature.

At this time worldwide, hypertensive heart disease is the most frequent cause of death, with coronary artery disease , heart failure , myocardial thickening , as well as hypertension and malignant hypertension being the main triggers .


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  • 1 Etiology
  • 2 main causes
  • 3 Treatment
  • 4 Possible complications
  • 5 When to contact a medical professional
  • 6 Prevention
  • 7 Sources


Both high blood pressure , addiction to the smoking , excessive physical exercise and obesity , demand of the heart a marked increase in their workload, which with the passage of time resulting in disorders such as hypertrophy of the ventricles , mainly the left ventricle .

Faced with this overload of cardiovascular activity, cardiac hypertrophy constitutes a response of blood pressure, which tends to create disorders of heart function , such as congestive heart failure , which can lead to sudden death, in these cases the Cardiac output decreases, and can cause stroke as well as other ischemic diseases.

Since hypertensive heart disease contributes to thickening of the arteries , the risk of an aneurysm increases , with the consequent worsening of existing atherosclerosis .

Hypertensive heart disease.

Main causes

Among the main causes are, among others, hereditary factors, the practice of extreme sports for long periods of time, since in these circumstances the heart pumps two or three times more than it normally does and therefore, this activity generates a gradual enlargement of its normal volume.

Other important factors to take into account are smoking , alcoholism , among other addictions, as well as obesity and hypertension , the latter being responsible for the increase in pressure in the blood vessels , since as the heart pumps against this pressure has to work harder, this makes the heart muscle thicken over time and the heart necessarily has to work harder to pump the blood throughout the body, therefore, it is necessary to comply with the doctor’s instructionsAs symptoms of [[congestive heart failure]] may fail if this important requirement is not met .

Because the thicker myocardium requires increased oxygen supply, high blood pressure can cause ischemic heart disease .

The thickening of the blood vessel walls may also be due to the influence of ischemic heart disease due to high blood pressure , which in turn can worsen atherosclerosis , due to increased cholesterol deposits , all of which increase the risk of heart attacks and stroke . When cardiac complications develop, they determine the symptoms , diagnosis , treatment, and prognosis of hypertensive heart disease.


For hypertensive heart disease, there is no specific treatment so far, the only thing recommended to patients with this pathology is the following:

  • Maintain strict care in the consumption of salt , fats , energy and other foods of little nutritional value.
  • Do not smoke, do not drink alcohol, do not have addictions to substances harmful to health.
  • Maintain strict weight control.
  • Manage a close correlation of blood pressure in patients with a history or who have this pathology .
  • Do not perform extreme sports , forced exercises or carry objects that exceed 7kg. of weight.

Failure to comply with these recommendations predicts that 90% of patients with a history of this pathology will return the condition with greater aggressiveness.

Possible complications

  • Angina
  • Cardiac arrhythmia
  • Dilated cardiomyopathy
  • Heart attack
  • Heart failure
  • Hypertrophic cardiomyopathy
  • Stroke
  • Sudden death

When to contact a medical professional

If you have high blood pressure or have any symptoms, see your doctor immediately .


  • Regularly check your blood pressure (as often as recommended by your doctor ), to monitor the condition, home pressure measurements are also recommended for people with difficult to control high blood pressure .
  • Have yourself treated for high blood pressure . Do not stop or change the treatment, unless your doctor determines it.
  • Carefully manage diabetes , hyperlipidemia, and other conditions that increase the risk of heart disease.

In addition to medications, recommended lifestyle changes include:

Diet changes :

  • Avoid eating saturated fat
  • Increase the consumption of fruits , vegetables and low- fat dairy products
  • Reduce salt intake (may be beneficial)
  • Eat whole grains, poultry, and fish

It is further recommended:

  • Exercise regularly
  • Reduce consumption of excessive amounts of alcohol
  • Quit smoking, since cigarette smoking is a cause

of hypertension- related heart disease

  • Control your weight, if you are overweight or obese, consult your doctor .


by Abdullah Sam
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