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Home > West Medicine > Internal Medicine > Cardiology
I11.901

Hypertensive Heart Disease

心内科

Common symptoms

呼吸困难、脉搏加速、心脏主动脉瓣返流、头晕、心悸伴高血压

The pathology of disease

Hypertensive heart disease is the cardiac consequence of chronic hypertension, including left-ventricular hypertrophy, diastolic/systolic heart failure, coronary artery disease, arrhythmias, and sudden death. Treatment: control blood pressure (ACEi/ARB, beta-blocker, CCB, diuretic); manage heart failure (GDMT); treat coronary disease/arrhythmia; lifestyle modification; long-term follow-up of cardiac function.

Common Symptoms

Dyspnea/fatigue; chest pain/palpitations; LVH on ECG/echo; history of hypertension

Causes and Pathogenesis

Chronic pressure overload causes LVH, diastolic dysfunction, and ischemia.

Treatment

Control BP (ACEi/ARB/BB); GDMT for HF; treat CAD/arrhythmia; lifestyle

Preventive Measures

Control BP early; screen cardiac function.

Department to Visit

It is recommended to visit the Cardiology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.