Hypertensive Heart Disease

Question 1

What are three etiology of hypertensive heart disease?

Answer 1

-Idiopathic 90%
-Renal disease
-Phenochromkcytoma (benign adrenal medulla tumor)

Question 2

What is primary heart disease?

Answer 2

Increase in peripheral resistance due to vasal construction of blood vessels

Question 3

What is the blood pressure that is indicative of hypertensive heart disease?

Answer 3

> than 140/90

Question 4

Hypertensive heart disease put you at risk for what things? (5 things)

Answer 4

-CVA
-CHF
-Kidney failure
-MI
-PVR

Question 5

What are two physical signs of hypertensive of heart disease?

Answer 5

-usually asymptomatic until late in the disease
-Abnormal blood pressure on several occasions

Question 6

What are four echo signs of hypertensive heart disease?

Answer 6

-LVH >1cm
-dilated aorta /dissection
-LAE
-increased LV mass

Question 7

What are two signs of hypertensive heart disease on Doppler?

Answer 7

-AI - if aorta is dilated

-The mitral inflow waveform will have a small blunted E wave with a large A wave.