What are the clinical manifestations of hypertensive heart disease?

What are the clinical manifestations of hypertensive heart disease?

What are the clinical manifestations of hypertensive heart disease?

Clinical manifestation

1. Early
Early performance is generally atypical, patients may have no obvious symptoms or only mild discomfort such as headache, chest tightness, etc. These symptoms are mainly the general symptoms of hypertension, no particularity.

2. Progress period
In high blood pressure, the arterial blood pressure is too high, which hinders the heart from pumping out blood. The heart's long-term high-load work shows an increase in cardiac hypertrophy and stiffness, which eventually leads to obstruction of the pulmonary vein blood entering the heart, forming pulmonary congestion. When the heart muscle is hypertrophied, the oxygen demand is increased, and the blood supply is relatively insufficient, which often leads to heart attack. The clinical manifestations of diastolic heart failure and systolic heart failure are similar, and it is difficult to identify clinically. The clinical features of heart failure caused by hypertension are as follows:


(1) due to abnormal left ventricular diastolic / contractile function, can lead to pulmonary congestion, mainly as

• Labor difficulty breathing;
• When you are lying down, you will have an air urgency, and you will get better after sitting up;
• The amount of activity is not large, but there is difficulty in breathing. In severe cases, the patient can wake up in his sleep;
• In severe cases, sitting breathing, coughing, coughing pink foamy sputum.

(2) Left heart failure often affects the decline of right ventricular function, forming heart failure, mainly as

• Jugular vein is obviously filled;
• Right upper quadrant pain, and liver enlargement;
• Lower extremity edema, systemic edema can occur in severe cases;
• Oliguria.