Arterial Hypertension - the Main Risk Factor for the Development of Chronic Heart Failure

Abstract

Arterial hypertension, in combination with itself or coronary artery disease, can come before the development of heart failure. The Framingham study showed that hypertension is a major risk factor for the development of heart failure. Hypertension is not the only factor that contributes to the development of heart failure. Heart failure syndrome is the result of several systemic reactions, and the development of heart failure is a complex and progressive process associated with cardiovascular diseases caused by risk factors: hypertension, obesity, smoking and dyslipidemia. Arterial hypertension is the main harbinger of left ventricular hypertrophy. Initially, this process causes diastolic dysfunction in the early stages of primary arterial hypertension. Systolic dysfunction is rare in these patients. Left ventricular hypertrophy is also an important risk factor for myocardial infarction and ventricular arrhythmias. Asymptomatic systolic and diastolic dysfunction of the left ventricle can clearly progress to HF Primary prevention of patients with heart failure should be based on strategies that ensure strict and stable blood pressure control. This therapy should include a means that inhibits the renin-angiotensin-aldosterone system. Treatment of arterial hypertension in patients with HF should take into account the main type of cardiac dysfunction — diastolic or systolic.