High BP and Heart failure: CRP Less Than 1 : Chat with Dr KK 49-1735
Автор: Dr KK Aggarwal
Загружено: 2021-02-19
Просмотров: 3575
Hypertension increases the risk of HF at all ages.
Framingham Heart Study: age over 40, the lifetime risk of developing HF is twice as high in subjects with a blood pressure ≥160/100 mmHg compared with m less than 140/90 mmHg
Risk of developing HF increases with the degree of blood pressure elevation. However, even moderate elevations contribute to risk in the long term.
The average blood pressure of hypertensive candidates for HF in the Framingham Study was 150/90 mmHg.
Baseline systolic pressure and pulse pressure have a greater impact on the risk of subsequent HF than the diastolic pressure.
Increased arterial stiffness may be important in the influence of hypertension on the development of HF.
Concurrent coronary disease, diabetes, LV hypertrophy, and valve disease increased the risk of HF
52 percent (in men) and 34 percent (in women) of hypertensive persons who developed HF in the Framingham Study had preceding MI, which increased the HF risk five to sixfold. Angina also increased the risk, but only half as much as an infarction.
Diabetes, LV hypertrophy, and valve diseases escalate the hypertensive risk two- to threefold.
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