 |
| Hypertensive Cardiomyopathy |
Hypertensive cardiomyopathy is caused by the excess depression of the myocardial systolic function that in turn increases the stress on the wall of the heart. An individual can have heart failure after functions like ventricular dilatation and depressed systolic remains after the hypertension correction. There are many kinds of heart diseases in which cardiomyopathy is another type. There are many types of cardiomyopathy as well. Hypertension is the major cause of hypertensive cardiomyopathy, hence the name. According to the classification given by WHO/ISFC, hypertensive cardiomyopathy are anything under the category of dilated, unclassified and restrictive. Pathophysiologic of this type of cardiomyopathy is distinct. People who suffer from heart disease are kept under observation and restriction in order to keep them out of stress as much as possible.
Distinct pathophysiologic in hypertension in dilated cardiomyopathy happens from extreme pressure on the systolic wall. In the overloading of right and left ventricles of systolic pressure, there is varieties of phenotypic expression that is qualitatively. This can include the dilation and systolic dysfunction but there is no thickness of the heart wall. Concentric hypertrophy with or without systolic dysfunction and vice versa is seen in hypertensive cardiomyopathy. Local neurohormonal mechanisms contributes to pathophysiology of hypertensive cardiomyopathies. The prognosis of hypertensive cardiomyopathy is possible by the existence of comorbid conditions like diabetes mellitus and diseases like coronary artery. The control of afterload too is another prognosis of hypertensive cardiomyopathy.
Hypertensive cardiomyopathy has treatment similar to ischemic dilated cardiomyopathy. The only difference is that the afterload of this heart disease has to be controlled more intensely. Pure antihypertensive vasodilators like amlodipine or a-blocking agents are added to the therapies of heart failure. The symptoms of hypertensive cardiomyopathy are similar to many heart diseases. The symptoms are fatigue, dyspnea, shortness of breath, great need to urinate at night,
irregular pulse, weight gain, difficulty sleeping flat in bed, swelling of feet and nausea.
Hypertensive heart disease can give rise to complications known as cardiac arrhythmias, left ventricular hypertrophy, congestive heart failure, coronary heart disease and hypertensive cardiomyopathy. The inflammation of the heart muscles weakens the ability of the heart to pump blood into the other parts of the body. This causes lack of oxygen in the body giving rise to fatigue and restlessness. High blood pressure makes the wall of the heart to be under too much stress. Those with heart defects like congenital disease and valve disease are affected by the hypertensive cardiomyopathy or dilated cardiomyopathy. Immediate attention should be paid to those suffering from this disease. Patients with this type of heart disease must be under constant observation and not be allowed to be very stressed out.
Heart diseases are at times hereditary. In these cases, patients should not be over excited or stressed out. This leads to the formation of excess blood pressure inside the heart and the walls are inflamed not being able to take the pressure. The valves and arteries inside the heart are unable to handle the pressure. The clots too should be removed in order to avoid heart complications. With care and proper medications, there is full scope of recovery.
