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Heart and Hypertension

The symptoms of high blood pressure are due to complications of hypertension and reflect the degenerative arterial changes in specific organs the heart, the eye, the brain and the kidneys. In malignant hypertension, a severe form of high blood pressure, there appears to be a race between the destructive processes in the kidney and the brain! Those who escape death from kidney failure, die from brain lesions. These complications are due to destructive changes in the blood vessels. The arterial changes lead to increased peripheral resistance which in turn accelerates the arteriolar changes in larger vessels.

Two main factors which affect the heart in high blood pressure are

    1. The workload on the left ventricle.
    2. The state of coronary vascular circulation.

Workload on the left ventricle is increased because of the greater pressure required to force the blood through the narrowed blood vessels. To cope up with the increased work the left ventricle undergoes hypertrophy which for many years adequately compensates for the increased load on the heart. By hypertrophy we mean increase in size and power of the heart muscle. But there is a limit for this. The heart is not able to bear the increased work load and starts to fail. This is said to decompensate stage of the heart.

Coronary vascular system is affected in two ways

    1. The increase in coronary vascular bed is not parallel with the increase in cardiac muscle mass.
    2. Development of coronary arteriosclerosis which leads ischemia and also to heart attack.

In later stages, kidneys also start failing leading on to water-logging inside the body which in turn affects the heart by increased load and decomposition of heart is further aggravated.

So long as the left ventricle is able to tackle the increased work load on the heart, there are no symptoms. But at this stage examination by doctor, X-ray and ECG may reveal hypertrophy of left ventricle. Unaccustomed exercise or strain will manifest the symptoms.

It is in the decompensate stage, the symptoms dominate. Breathlessness on exertion heralds the failure of left ventricle. Depending on the patient’s tempo of life and severity of hypertension, he will develop breathlessness at rest and on lying down. Sometimes acute attacks of breathlessness particularly in the middle of the night occur and this it is known as cardiac asthma. This is also known as nocturnal dyspnoea as it occurs while lying down for sleep at night. During the congestive failure the individual will have puffy-face and water-logging of limbs and chest and breathlessness even with minor exertion and rapid pulse.

6 Responses to “Relation Between Heart Problems and Hypertension”

  • Richard L Cline says:

    About 10 years ago I discovered I had high blood preasure. It took me about 4 weeks to lose 15lbs. and bring BP down to normal. But with in the last 6 months my BP sky rocketed. Last checked 147/111. I’m only 45 years old. Doctor wants to put me on meds. But I’m very anti-drug. Yes, I’ve been under alot of stress. Would like some real remidies to lower BP without meds. I’m curently excersizing, trying to eat better. drinking apple cider vinegar. How much vinegar should i drink a day? And should I add water? If you could respond it would be well appriceated. Thank You R.L.C.

  • John says:

    Hi Richard,

    I would suggest you to try out Serpina which is one of oldest solution for blood pressure.
    You can buy it here at – http://www.herbalremedy.in/product_details.php?category_id=229&item_id=171

    OR some of the other herbal products that can help you to bring your BP down.
    http://www.herbalremedy.in/products.php?category_id=229

    Regards,
    John

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  • Everette Felgenhauer says:

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  • Marie Brantingham says:

    I recently learned that I have high cholesterol!!! I couldn’t believe it, because Im only 29.

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