Congestive heart failure hypertension
Congestive heart failure hypertension
Ang arteryal na hypertension o hypertension ay isang kondisyon ng patuloy na systolic at diastolic na presyon ng dugo, kung saan ang mga sukatan ay lumalagpas sa 140/90 mmHg. Ang mataas na presyon ay nagpapakita ng mga hindi komportableng sintomas.
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Heart failure in hypertension: A dangerous Duo Cardiovascular diseases are the most common causes of death in the world and two of its most prominent representatives are often in close connection: high blood pressure (hypertension) and congestive heart failure. But how exactly these two disease contexts, images, and why they reinforce each other to a dangerous Duo? High blood pressure, medically called hypertension, is when blood pressure is consistently above the normal value of 120/80 mmHg. Many of the Affected remember nothing of their disease — the silent killer harm blood vessels systematically the blood and increases the load on the heart. The increased pressure is required to work the heart muscle stronger. In the long term, this leads to a thickening of the heart muscle wall (hypertrophy), which impairs the pumping function. It is precisely here that the Transition to heart failure (weak heart) begins. In this disease, the heart loses its ability sufficient blood to the body to deliver. It is not pumping efficiently enough, the blood accumulates in the veins and fluid retention in the body. Typical symptoms are: strong shortness of breath, especially when Lying; fast fatigue and power reduction; Swelling of the legs and feet (Oedema); nocturnal cough or wheezing. The vicious circle: hypertension and congestive heart failure Us, the two diseases are often a dangerous vicious circle: The high blood pressure overloaded heart, the need for a stronger pumps. The heart is enlarged and is slowly losing its Capacity. The decreasing pump power leads to a deterioration of blood circulation, the body reacts with a further increase in blood pressure. The increased blood pressure strains the heart faint again. This cycle can quickly lead to served in progressive deterioration, if he is not interrupted in a timely manner. Prevention and treatment: What can you do? Us good news: Both of these disorders can often be effectively influence, especially through a healthy lifestyle: Blood pressure control: Regular measurement and medication adjustment, if necessary. Diet: reduction of salt, fat and sugar; more fruits, vegetables, and fiber. Movement: Regular, controlled endurance exercise (e.g. walking, Cycling) strengthens the heart and lowers blood pressure. Weight control: being Overweight increases the blood pressure and is a burden on the heart. Waiver of nicotine and alcohol: Both can cause harm to the blood vessels and is a burden on the cardiovascular System. Stress management: Chronic Stress can increase blood pressure. Relaxation techniques such as Yoga or Meditation can help. Early diagnosis and consequent therapy are crucial to slow the progression of hypertension and congestive heart failure. Regular medical check-UPS, especially in the higher age — can save lives. Conclusion High blood pressure and congestive heart failure are not an independent disease, but is often closely linked to each other. Who ignores a condition that favors the development of the other. A conscious of their own health, early care and an active life style change are, therefore, the best weapon against this dangerous Duo.
Minsan lang na biglaang pagtaas ng presyon o bahagyang mataas na resulta ay hindi palaging nangangailangan ng agarang pag-inom ng tableta. Lahat ng rekomendasyon ng mga espesyalista at ang mga magagamit na paraan ng pag-iwas ay mukhang simple lang, pero sa aktwal na buhay, ang maingat na pag-aalaga sa kalusugan ng dugo at sistema ng puso ay nakakaiwas sa biglaan at sobrang hindi kanais-nais na pagtaas ng presyon. Congestive heart failure hypertension. Constant high levels of stress can disturb the blood flow and blood pressure and can damage vessels, and you may experience dizziness, extreme fatigue, or body aches with no wish to get out of bed. This stress-induced fatigue can make your blood pressure high and needs to be monitored.
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Decompensation of the cardiovascular system: pathophysiology and clinical implications The decompensation of cardiovascular disease no longer constitutes a critical condition in which the heart is able to provide adequate blood to the body to meet its metabolic needs. This process often occurs in patients with pre-existing congestive heart failure, but can also occur in other cardiovascular diseases, such as hypertensive heart disease, cardiomyopathy, or valvular heart disease. Pathophysiological Mechanisms The main cause of the decompensation is located in a decrease in the systolic or diastolic function of the heart. In the case of systolic dysfunction of the left ventricle loses its ability to pump efficiently, which leads to a decrease in Cardiac output. In the case of diastolic dysfunction, however, can not relax, the ventricles adequate and complete, allowing the blood to flow to the heart is impeded. As a response to decreased cardiac output, the body activates compensatory mechanisms: Activation of the sympathetic nervous system, which leads to an increase in heart rate and vasoconstriction; Activation of the Renin‑Angiotensin‑aldosterone system (RAAS), which leads to Retention of water and sodium in the body and the blood volume increases; Myocardial hypertrophy as an attempt to increase the Capacity of the heart. In the long term, these mechanisms lead to a deterioration of the cardiac function, and of encouraging the development of a decompensation. Clinical Symptoms The clinical signs of decompensation are varied and can include the following symptoms: Shortness of breath, especially during physical exercise or at rest (orthopnea); Paroxysmal nocturnal dyspnea; Edema of the lower extremities; Fatigue and decrease the load-carrying capacity; Tachycardia; Increased Jugular Vein Pressure; Rattling in the lungs as a sign of pulmonary congestion. Diagnostics The diagnosis of decompensation is multimodal: History and physical examination. Laboratory parameters: in particular, the level of BNP (B‑typical Natriuretic peptide) and NT‑proBNP is increased in heart failure. Echocardiography for the assessment of ventricular function and structure of the heart. Chest x‑ray for the detection of pulmonary congestion, or pleural effusion. Electrocardiogram (ECG) to the exclusion of the diagnosis of acute coronary events. Therapeutic Approaches The goal of treatment in the case of a decompensation is the stabilization of the hemodynamic status and the reduction of the symptoms. The therapy may include the following measures: Diuretics to reduce Edema and fluid retention. Vasodilators (e.g., nitrates) for the reduction of vascular resistance. Inotropa (e.g., dobutamine) in the case of severe systolic dysfunction. Optimization of the antagonists, long‑term medication: ACE inhibitors, beta-blockers, mineralocorticoid receptor. In the case of need for mechanical support systems, or heart transplant. Forecast and prevention The prognosis in the case of a failure depends on the underlying disease, the date of diagnosis and the effectiveness of the therapy. Early treatment and stringent aftercare can slow down the progression of the disease. Preventive measures include regular monitoring of the blood pressure, the treatment of risk factors (Diabetes, hyperlipidemia) and the adherence to a low-salt diet. Would you like me to make a certain section in more detail, or to add more information about an aspect?