2014
DOI: 10.1007/s11906-014-0447-7
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Hypertension as a Risk Factor for Heart Failure

Abstract: Hypertension remains a significant risk factor for development of congestive heart failure CHF), with various mechanisms contributing to both systolic and diastolic dysfunction. The pathogenesis of myocardial changes includes structural remodeling, left ventricular hypertrophy, and fibrosis. Activation of the sympathetic nervous system and renin-angiotensin system is a key contributing factor of hypertension, and thus interventions that antagonize these systems promote regression of hypertrophy and heart failu… Show more

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Cited by 55 publications
(38 citation statements)
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“…Although it is unclear whether aggressively managing cardiac AE risk factors will result in a reduction in cardiac failure events, it is possible that controlling risk factors reduces event occurrences. Because hypertension generally increases the risk for congestive heart failure and predates it in a majority of cases, 44,45 monitoring and aggressively controlling high blood pressure at the start and during treatment with carfilzomib is critical. In addition, dyspnea LVEF (%) change from baseline minutes.…”
Section: Discussionmentioning
confidence: 99%
“…Although it is unclear whether aggressively managing cardiac AE risk factors will result in a reduction in cardiac failure events, it is possible that controlling risk factors reduces event occurrences. Because hypertension generally increases the risk for congestive heart failure and predates it in a majority of cases, 44,45 monitoring and aggressively controlling high blood pressure at the start and during treatment with carfilzomib is critical. In addition, dyspnea LVEF (%) change from baseline minutes.…”
Section: Discussionmentioning
confidence: 99%
“…Ventricular hypertrophy is characterized by increased ventricular wall thickness as a means to decrease wall tension and cardiac stress. Sustained pathological hypertrophic remodeling can lead to arrhythmias, heart failure, and sudden death [4]. …”
Section: Introductionmentioning
confidence: 99%
“…To further assess whether patients in the low C‐peptide group actually showed sympathetic activation, we focused on blood pressure data. It is widely accepted that sympathetic activation induces blood pressure elevation, and we previously reported significant elevation of self‐measured systolic blood pressure in the morning at home to be sustained for more than 2 weeks after the earthquake in 142 hypertensive patients affected by the Great East Japan Earthquake. As the data of blood pressure in the morning of the participants in the present study were unavailable, we compared clinical blood pressure levels 1 month after the earthquake with those obtained at 3 months, with the latter being assumed to reflect the pre‐earthquake levels.…”
Section: Discussionmentioning
confidence: 98%