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    Blood Pressure and Target Organ Damage: The Heart

    Part 1

     


    The correct answers: A and B are true1,2; C is false

    The risk for developing heart failure is doubled in men with hypertension, but tripled in women.2

    There are 4 stages in the progression of hypertensive heart damage2:

      1 - isolated left ventricular diastolic dysfunction without hypertrophy.

      2 - diastolic dysfunction with concentric left ventricular hypertrophy.

      3 - clinical heart failure with preserved systolic function. Finally,

      4 - dilated cardiomyopathy with HF and reduced ejection fraction.

     

    Which of the following is the best definition for the term “decapitated hypertension”?

    A. Blood pressure in hypertensive patients that is below target.

    B. As heart failure becomes worse, hypertensive HF patients develop normal or even low systolic blood pressure because of decreasing left ventricular systolic function.

    C. A blood pressure that can only be controlled on 4 antihypertensive agents.

     Please click here for answer and discussion.  

     

    Gregory W. Rutecki, MD
    Dr Rutecki is with the Cleveland Clinic National Consultation Service.

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