What is Hypertensive Heart Disease?

Hypertensive heart disease is associated with the condition called hypertension or high blood pressure. If hypertension is not managed or treated, the person will suffer from several complications in the blood vessels, heart and brain.

High Blood Pressure

High blood pressure is a common condition throughout the world, including in Singapore. For a person to become hypertensive, experts believe that a lot of factors are taken into consideration. Not all people know they are affected until they have to be taken to the hospital for emergency. That is why it’s important to consult a Singapore cardiologist if you experience the following symptoms: fatigue, headache, chest pain, irregular heartbeat, difficulty breathing, problems in your vision, and the feeling that your ears, neck or chest are pounding.

Checking the Blood Pressure

To check your blood pressure, you need to get the systolic and diastolic blood pressure. The former refers to the maximum pressure in your arteries whenever the heart contracts, while the latter is the minimum pressure in between the contractions. A heart doctor in Singapore will check your blood pressure using a sphygmomanometer. When you go for heart screening in Singapore and your systolic blood pressure is above 140 mmHg and the diastolic blood pressure is above 90 mmHg, you are considered hypertensive. What causes an elevated blood pressure? Normally, it could be from any of the following: caffeine, stress, smoking, a side effect of medications, exercise, a full stomach, cold temperature, and a full bladder.

Maintaining Blood Pressure

To keep your blood pressure at normal levels, you need to take your medication everyday. Consult a heart doctor in Singapore so he/she can prescribe the right medication for you. You will be prescribed one of the following after a heart screening: beta-blockers, diuretics, potassium replacements, calcium channel blockers, and ACE inhibitors. Never self-diagnose and mix other supplements with your medication. It’s not uncommon for some patients to develop complications in the kidneys due to taking unprescribed herbal supplements that they thought would help cure them. Ask your doctor first if you’re planning to take other medicines and supplements. You will also be asked to watch your diet by reducing your salt intake. You should also exercise, reduce or maintain your weight, avoid drinking alcohol and smoking, and reduce stress.

Types of Hypertension

If you have an elevated blood pressure, even if you don’t perform or experience any of the factors listed above, then you may have a condition called essential hypertension. This type of high blood pressure has no known and identifiable cause. The cause could be genetic, hormonal, or a change in your lifestyle. Another type of hypertension is caused by another medical condition, as a side effect of medications or it could also indicate a problem in your kidneys.

Effects of Hypertension

If not treated properly, high blood pressure can cause problems such as coronary heart disease. In cases where the people are not aware that they are hypertensive, they suffer a stroke before proper treatment is administered. That is because the elevated blood pressure increases the stress in your blood vessels and therefore weakens or clogs them over time. It’s important to consult the best cardiologist in Singapore to come up with a treatment plan to prevent complications. If you have essential hypertension, you can’t be cured. But there are steps to reduce the likelihood of strokes and other cardiovascular diseases that might need attention from a heart surgeon.

Hypertensive Heart Disease

Chronic hypertension can cause the geometry of the cardiac chamber to change as well as its myocardial composition. Most of the people who develop hypertensive heart disease in Singapore have essential hypertension. A cardiologist will recommend a heart screening, and in other cases surgical procedure by a heart surgeon might be needed. Other causes include coronary artery atherosclerosis, athlete’s heart with left ventricular hypertrophy, hypertrophic cardiomyopathy, atrial fibrillation, diastolic dysfunction, sleep apnea, and congestive heart failure. The result is that the person will develop the following:

Left Ventricular Hypertrophy

This condition is marked by the thickening of the heart muscles. Hypertrophy means “thickening”, and so the heart muscles can no longer relax in between beats. The result is that the organ cannot hold enough blood and pump effectively. Why do they thicken in the first place? That’s because the heart is working harder than usual to pump enough blood. If a muscle like the heart works hard, then it thickens.

Coronary Artery Disease

The blood vessels become narrow so there is less blood that goes through. Sometimes the narrow vessels can even cause the flow to stop. The heart then has to work harder to supply enough blood throughout the body. People with coronary artery disease could have clots in the arteries that could stop the flow of blood to the heart and will need intervention from a heart surgeon.

Cardiac Arrhythmias

Arrhythmia refers to the erratic electrical impulses in the heart. Any change in the sequence of the signals can cause the heart to beat slower or faster. If it happens more often than usual, then the heart cannot pump blood effectively anymore. Erratic impulses can cause the organs in your body to function improperly because they don’t get enough oxygen and nutrients from the blood.

Myocardial Infarction

Also called heart attack, this is the term for the irreversible death of the heart because of a prolonged lack of oxygen supply. Patients who experience this will feel fatigue, chest discomfort and malaise. Take the patient to the nearest hospital as soon as possible for treatment by a cardiologist.

Congestive Heart Failure

When the patient has heart failure, it doesn’t mean that he/she has died, but that the heart is just getting weaker. It cannot pump enough blood because the heart is becoming elastic. The heart stretches in order to hold more blood to perform its task of delivering enough supplies to the body. When this happens, it’s natural for the muscles to weaken over time. The kidneys in turn will be affected because they have to retain water and sodium.

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