Hypertensive Heart Disease
In addition to the increased risk of atherosclerosis lasting high blood pressure causes damage to the heart.
The muscle becomes thicker and stiffer, so that the heart cannot relax during diastole so easily and suck blood, diastolic compliance failure.
This leads to a poorer filling of the heart and symptoms of diastolic heart failure.
In addition, the heart rhythm disorder atrial fibrillation occurs more frequently.
According to echocardiographic criteria, the HHK is divided into three stages are constraint.
Even under optimal therapeutic consequence of this is largely irreversible.
Other organ damage High blood pressure can also lead to changes in the retinal vessels of the eye, so that may occur one Hypertensive retinopathy in a hypertensive crisis, or even a rare hypertensive retinopathy.
Also, the kidney with long-standing high blood pressure is damaged and it comes to renal impairment.
Diagnosis The diagnostic activities focus on three objectives: the existence of arterial hypertension is determined by blood pressure diagnosed and objectified; causes of secondary hypertension are sought, damages to be determined and documented cardiovascular disease risk.
In addition to medical history and physical examination, laboratory and thereby come urinalysis, electrocardiogram, echocardiography, ophthalmoscopy (fundus reflection) and other diagnostic means used.
The phenomenon that people have with an otherwise normal blood pressure measurements by medical personnel repeatedly elevated blood pressure is often referred to as white coat hypertension.
Therefore, this opportunity should be complemented by self-monitoring measurements of the patient and if possible by 24-hour measurements.
It is also possible to detect spikes in blood pressure with exercise by examining the bicycle ergometer to.
Classification The World Health Organization in 1999 presented a classification of arterial hypertension, which is also the German medical societies to follow.
The guidelines, published in the U.
S.
(JNC7 report) which differ only slightly, so they define as any additional level 3.
The figures presented in this classification difficulty are explicitly intended as a flexible guideline.
The diagnosis of hypertension should rather consider the overall cardiovascular considered.
Although this increases linearly with systolic and diastolic blood pressure, but also of other risk factors such as age, smoking, elevated cholesterol, obesity, and positive family history, previous illnesses such as diabetes, stroke, heart, kidney, heart and vascular dependent.
In conclusion it may therefore be necessary in the presence of such factors; a high-normal blood pressure had to be treated.
The WHO agrees with hypertension remain after clinical organ damage to blood vessels, eyes, heart, kidneys, etc.
into three grades this book.
As a grade I will be here called hypertension without end organ damage, grade II lesions are mild (Hypertensive retinopathy grade I and II), plaque formation in larger vessels, mild kidney and heart damage.
Grade III includes severe organ damage with manifest cardiovascular complications: angina pectoris, myocardial infarction, heart failure, neurological symptoms (TIA, stroke), peripheral disease, aortic dissection, Hypertensive retinopathy III and IV.
The ICD-10 (in 2008) is only made with a subdivision into benign and malignant hypertension.
The muscle becomes thicker and stiffer, so that the heart cannot relax during diastole so easily and suck blood, diastolic compliance failure.
This leads to a poorer filling of the heart and symptoms of diastolic heart failure.
In addition, the heart rhythm disorder atrial fibrillation occurs more frequently.
According to echocardiographic criteria, the HHK is divided into three stages are constraint.
Even under optimal therapeutic consequence of this is largely irreversible.
Other organ damage High blood pressure can also lead to changes in the retinal vessels of the eye, so that may occur one Hypertensive retinopathy in a hypertensive crisis, or even a rare hypertensive retinopathy.
Also, the kidney with long-standing high blood pressure is damaged and it comes to renal impairment.
Diagnosis The diagnostic activities focus on three objectives: the existence of arterial hypertension is determined by blood pressure diagnosed and objectified; causes of secondary hypertension are sought, damages to be determined and documented cardiovascular disease risk.
In addition to medical history and physical examination, laboratory and thereby come urinalysis, electrocardiogram, echocardiography, ophthalmoscopy (fundus reflection) and other diagnostic means used.
The phenomenon that people have with an otherwise normal blood pressure measurements by medical personnel repeatedly elevated blood pressure is often referred to as white coat hypertension.
Therefore, this opportunity should be complemented by self-monitoring measurements of the patient and if possible by 24-hour measurements.
It is also possible to detect spikes in blood pressure with exercise by examining the bicycle ergometer to.
Classification The World Health Organization in 1999 presented a classification of arterial hypertension, which is also the German medical societies to follow.
The guidelines, published in the U.
S.
(JNC7 report) which differ only slightly, so they define as any additional level 3.
The figures presented in this classification difficulty are explicitly intended as a flexible guideline.
The diagnosis of hypertension should rather consider the overall cardiovascular considered.
Although this increases linearly with systolic and diastolic blood pressure, but also of other risk factors such as age, smoking, elevated cholesterol, obesity, and positive family history, previous illnesses such as diabetes, stroke, heart, kidney, heart and vascular dependent.
In conclusion it may therefore be necessary in the presence of such factors; a high-normal blood pressure had to be treated.
The WHO agrees with hypertension remain after clinical organ damage to blood vessels, eyes, heart, kidneys, etc.
into three grades this book.
As a grade I will be here called hypertension without end organ damage, grade II lesions are mild (Hypertensive retinopathy grade I and II), plaque formation in larger vessels, mild kidney and heart damage.
Grade III includes severe organ damage with manifest cardiovascular complications: angina pectoris, myocardial infarction, heart failure, neurological symptoms (TIA, stroke), peripheral disease, aortic dissection, Hypertensive retinopathy III and IV.
The ICD-10 (in 2008) is only made with a subdivision into benign and malignant hypertension.
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