The link between High BP and Heart Failure

The link between High BP and Heart Failure
If you have heart failure, there's a good chance you also have high blood pressure, or "hypertension." About two-thirds of people whose hearts can't pump enough blood because of the condition also have high BP or once did. Hypertension is a major risk factor for heart failure.
The function of the heart is to keep on pumping blood to meet the needs of the body. And this process is aided by the blood pressure. It is the force of the blood pushing against the artery walls. The force is generated with each heartbeat as blood is pumped from the heart into the blood vessels.

What is hypertension?

Hypertension is a condition that can be most easily explained as high blood pressure. As per medical standards, a person can be categorized as suffering from hypertension (high blood pressure) if they have three consecutive readings of anything above 130/80 mmHg. Hypertension is the leading cause of conditions such as stroke, heart attack and heart disease. The major risk factors include obesity, smoking, family history and excessive alcohol consumption.

How is it related to heart disease? 

High blood pressure or hypertension can lead to heart failure. And when the blood pressure increases, it can lead to the blocking and narrowing of blood vessels and that increases the risk of developing heart failure. One of the other ways by which high blood pressure can affect the heart is when it’s potential to result in Left Ventricular Hypertrophy (LVH). LVH is a condition where the muscles that make up the heart thicken and result in less effective muscle relaxation between each heartbeat. This lowers the supply of oxygen to your vital organs, especially during exertion. All this causes your body to hold on to fluids causing your heart rate to increase. Heart failure, a condition in which your heart is unable to provide enough blood to the body, can happen quickly or take years to develop. The thickening and/or stiffening of the heart’s walls, as well as narrowing and constriction of blood vessels caused by high blood pressure, are the most common non-cardiac causes of heart failure.
  • High blood pressure adds to your heart’s workload: Narrowed arteries that are less elastic make it more difficult for blood to travel efficiently throughout your body. This causes your heart to work harder.
  • Over time, a higher workload leads to an enlarged heart: To cope with increased demands, the heart thickens and becomes larger. While it's still able to pump blood, it becomes less efficient. The larger the heart becomes, the harder it works to meet your body's demands for oxygen and nutrients.

What can be done about it?

The only way this condition can be managed is by controlling or reducing one’s blood pressure. As per a study published in the Expert Review of Cardiovascular Therapy, ‘A reduction in blood pressure is still the most important factor in the prevention of disease progression, and early treatment averts the risk of subsequent heart failure and stroke.

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