Pathophysiology of Hypertensive Heart Disease: Beyond Left Ventricular Hypertrophy

Purpose of Review Given that the life expectancy and the burden of hypertension are projected to increase over the next decade, hypertensive heart disease (HHD) may be expected to play an even more central role in the pathophysiology of cardiovascular disease (CVD). A broader understanding of the fe...

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Vydané v:Current hypertension reports Ročník 22; číslo 2; s. 11
Hlavní autori: Nwabuo, Chike C., Vasan, Ramachandran S.
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: New York Springer US 01.02.2020
Springer Nature B.V
Predmet:
Cardiology
Family Medicine
General Practice
Hypertension
Hypertension and the Heart (B Upadhya
Internal Medicine
Medicine
Medicine & Public Health
Metabolic Diseases
Nephrology
Nutrition
Obesity
Oils & fats
Primary Care Medicine
Section Editor
Topical Collection on Hypertension and the Heart
Hypertension
Cardiac fibrosis
Left atrium
Arterial stiffness
Right ventricle
Left ventricle
ISSN:1522-6417, 1534-3111, 1534-3111
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Abstract Purpose of Review Given that the life expectancy and the burden of hypertension are projected to increase over the next decade, hypertensive heart disease (HHD) may be expected to play an even more central role in the pathophysiology of cardiovascular disease (CVD). A broader understanding of the features and underlying mechanisms that constitute HHD therefore is of paramount importance. Recent Findings HHD is a condition that arises as a result of elevated blood pressure and constitutes a key underlying mechanism for cardiovascular morbidity and mortality. Historically, studies investigating HHD have primarily focused on left ventricular (LV) hypertrophy (LVH), but it is increasingly apparent that HHD encompasses a range of target-organ damage beyond LVH, including other cardiovascular structural and functional adaptations that may occur separately or concomitantly. HHD is characterized by micro- and macroscopic myocardial alterations, structural phenotypic adaptations, and functional changes that include cardiac fibrosis, and the remodeling of the atria and ventricles and the arterial system. In this review, we summarize the structural and functional alterations in the cardiac and vascular system that constitute HHD and underscore their underlying pathophysiology.
AbstractList Purpose of Review Given that the life expectancy and the burden of hypertension are projected to increase over the next decade, hypertensive heart disease (HHD) may be expected to play an even more central role in the pathophysiology of cardiovascular disease (CVD). A broader understanding of the features and underlying mechanisms that constitute HHD therefore is of paramount importance. Recent Findings HHD is a condition that arises as a result of elevated blood pressure and constitutes a key underlying mechanism for cardiovascular morbidity and mortality. Historically, studies investigating HHD have primarily focused on left ventricular (LV) hypertrophy (LVH), but it is increasingly apparent that HHD encompasses a range of target-organ damage beyond LVH, including other cardiovascular structural and functional adaptations that may occur separately or concomitantly. HHD is characterized by micro- and macroscopic myocardial alterations, structural phenotypic adaptations, and functional changes that include cardiac fibrosis, and the remodeling of the atria and ventricles and the arterial system. In this review, we summarize the structural and functional alterations in the cardiac and vascular system that constitute HHD and underscore their underlying pathophysiology.
Given that the life expectancy and the burden of hypertension are projected to increase over the next decade, hypertensive heart disease (HHD) may be expected to play an even more central role in the pathophysiology of cardiovascular disease (CVD). A broader understanding of the features and underlying mechanisms that constitute HHD therefore is of paramount importance. HHD is a condition that arises as a result of elevated blood pressure and constitutes a key underlying mechanism for cardiovascular morbidity and mortality. Historically, studies investigating HHD have primarily focused on left ventricular (LV) hypertrophy (LVH), but it is increasingly apparent that HHD encompasses a range of target-organ damage beyond LVH, including other cardiovascular structural and functional adaptations that may occur separately or concomitantly. HHD is characterized by micro- and macroscopic myocardial alterations, structural phenotypic adaptations, and functional changes that include cardiac fibrosis, and the remodeling of the atria and ventricles and the arterial system. In this review, we summarize the structural and functional alterations in the cardiac and vascular system that constitute HHD and underscore their underlying pathophysiology.
Purpose of ReviewGiven that the life expectancy and the burden of hypertension are projected to increase over the next decade, hypertensive heart disease (HHD) may be expected to play an even more central role in the pathophysiology of cardiovascular disease (CVD). A broader understanding of the features and underlying mechanisms that constitute HHD therefore is of paramount importance.Recent FindingsHHD is a condition that arises as a result of elevated blood pressure and constitutes a key underlying mechanism for cardiovascular morbidity and mortality. Historically, studies investigating HHD have primarily focused on left ventricular (LV) hypertrophy (LVH), but it is increasingly apparent that HHD encompasses a range of target-organ damage beyond LVH, including other cardiovascular structural and functional adaptations that may occur separately or concomitantly. HHD is characterized by micro- and macroscopic myocardial alterations, structural phenotypic adaptations, and functional changes that include cardiac fibrosis, and the remodeling of the atria and ventricles and the arterial system. In this review, we summarize the structural and functional alterations in the cardiac and vascular system that constitute HHD and underscore their underlying pathophysiology.
Given that the life expectancy and the burden of hypertension are projected to increase over the next decade, hypertensive heart disease (HHD) may be expected to play an even more central role in the pathophysiology of cardiovascular disease (CVD). A broader understanding of the features and underlying mechanisms that constitute HHD therefore is of paramount importance.PURPOSE OF REVIEWGiven that the life expectancy and the burden of hypertension are projected to increase over the next decade, hypertensive heart disease (HHD) may be expected to play an even more central role in the pathophysiology of cardiovascular disease (CVD). A broader understanding of the features and underlying mechanisms that constitute HHD therefore is of paramount importance.HHD is a condition that arises as a result of elevated blood pressure and constitutes a key underlying mechanism for cardiovascular morbidity and mortality. Historically, studies investigating HHD have primarily focused on left ventricular (LV) hypertrophy (LVH), but it is increasingly apparent that HHD encompasses a range of target-organ damage beyond LVH, including other cardiovascular structural and functional adaptations that may occur separately or concomitantly. HHD is characterized by micro- and macroscopic myocardial alterations, structural phenotypic adaptations, and functional changes that include cardiac fibrosis, and the remodeling of the atria and ventricles and the arterial system. In this review, we summarize the structural and functional alterations in the cardiac and vascular system that constitute HHD and underscore their underlying pathophysiology.RECENT FINDINGSHHD is a condition that arises as a result of elevated blood pressure and constitutes a key underlying mechanism for cardiovascular morbidity and mortality. Historically, studies investigating HHD have primarily focused on left ventricular (LV) hypertrophy (LVH), but it is increasingly apparent that HHD encompasses a range of target-organ damage beyond LVH, including other cardiovascular structural and functional adaptations that may occur separately or concomitantly. HHD is characterized by micro- and macroscopic myocardial alterations, structural phenotypic adaptations, and functional changes that include cardiac fibrosis, and the remodeling of the atria and ventricles and the arterial system. In this review, we summarize the structural and functional alterations in the cardiac and vascular system that constitute HHD and underscore their underlying pathophysiology.
ArticleNumber 11
Author Vasan, Ramachandran S.
Nwabuo, Chike C.
Author_xml – sequence: 1
  givenname: Chike C.
  orcidid: 0000-0002-7888-9781
  surname: Nwabuo
  fullname: Nwabuo, Chike C.
  organization: Ronin Institute
– sequence: 2
  givenname: Ramachandran S.
  surname: Vasan
  fullname: Vasan, Ramachandran S.
  email: vasan@bu.edu
  organization: Framingham Heart Study, Departments of Epidemiology and Biostatistics, Boston University School of Public Health, Department of Medicine, Sections of Preventive Medicine and Epidemiology, and Cardiovascular Medicine, Boston University Schools of Medicine
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32016791$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
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Current Hypertension Reports is a copyright of Springer, (2020). All Rights Reserved.
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Issue 2
Keywords Hypertension
Cardiac fibrosis
Left atrium
Arterial stiffness
Right ventricle
Left ventricle
Language English
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PublicationTitle Current hypertension reports
PublicationTitleAbbrev Curr Hypertens Rep
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PublicationYear 2020
Publisher Springer US
Springer Nature B.V
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Snippet Purpose of Review Given that the life expectancy and the burden of hypertension are projected to increase over the next decade, hypertensive heart disease...
Given that the life expectancy and the burden of hypertension are projected to increase over the next decade, hypertensive heart disease (HHD) may be expected...
Purpose of ReviewGiven that the life expectancy and the burden of hypertension are projected to increase over the next decade, hypertensive heart disease (HHD)...
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SubjectTerms Cardiology
Family Medicine
General Practice
Hypertension
Hypertension and the Heart (B Upadhya
Internal Medicine
Medicine
Medicine & Public Health
Metabolic Diseases
Nephrology
Nutrition
Obesity
Oils & fats
Primary Care Medicine
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Topical Collection on Hypertension and the Heart
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Title Pathophysiology of Hypertensive Heart Disease: Beyond Left Ventricular Hypertrophy
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