Hypertensive Heart Disease: a Proposed Clinical Classification

Alegría-Ezquerra, Eduardo; González-Juanàtey, José Ramón; González-Maqueda, Isidoro

doi:10.1016/s1885-5857(06)60781-0

Cited by 8 publications

(13 citation statements)

References 19 publications

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“…Hypertensive heart disease: Clinical symptoms and/or signs derived from left ventricular hypertrophy and dysfunction, myocardial ischemia, and rhythm abnormalities, all of them caused by the effects on the heart of chronically elevated blood pressure ( 27 ).…”

Section: Methodsmentioning

confidence: 99%

Undernutrition was a prevalent clinical problem among older adult patients with heart failure in a hospital setting in Northwest Ethiopia

et al. 2022

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BackgroundUndernutrition is a frequently noticed medical problem in patients with heart failure. It is caused by poor nutrient intake, malabsorption, systemic inflammation, neurohumoral activation, oxidative stress, and hypermetabolic state. Undernutrition results in a decrease in the quality of life and the survival rate in patients with heart failure. There is a paucity of documentation on undernutrition among patients with heart failure in sub-Saharan African countries. The study aimed to determine the magnitude and associated factors of undernutrition among older adult patients with heart failure in the hospital setting in Northwest Ethiopia.MethodsAn institutional-based cross-sectional study was conducted at the University of Gondar Hospital, Northwest Ethiopia, between 1 June 2021 and 31 October 2021. A consecutive sampling method was used to recruit 262 study subjects. A Mini-nutritional assessment-full form (MNA-FL) Questionnaire was used to extract nutritional information among patients with heart failure. Patients with heart failure, who scored MNA-FL score <17, were declared to have undernutrition. The data were entered into EPI Info version 4.6.0.0 and then exported to SPSS version 26 for analysis. Explanatory variables associated with undernutrition in patients with heart failure were analyzed by applying a logistic regression model. A P-value of <0.05 was used to declare a significant association.ResultsA total of 262 patients with heart failure were included in the study. The mean age (± SD) of the study subjects was 64.6 (± 9.2) years. Hypertensive heart disease (111/262, 42%) was the most common cause of heart failure. Hypertension was the frequently observed comorbid disease. Based on the MNA-FL score for nutritional status, 75 out of 262 (28.6%, 95% CI: 22.9–34.4%) were undernourished (MNA-FL < 17), while 124 out of 262 (47.3%, CI: 41.5–53.1%) were at risk of undernutrition (MNA-FL = 17–23.5). The remaining 63 out of 262 (24.1%, 95% CI: 18.2–29.8%) study subjects were well nourished (MNA-FL > 24). On a multivariate analysis, patients with severe heart failure (New York Heart Association (NYHA) functional class III/IV) (AOR = 4.287, CI: 2.012–9.134, P-value < 0.001), with a duration of illness of 3–5 years (AOR = 3.225, CI: 1.138–9.137, P-value = 0.028), with a duration of illness of >5 years (AOR = 4.349, CI: 1.592–11.879, P-value = 0.001), presence of comorbidities (AOR = 2.29, CI: 1.06–4.96, P-value = 0.036), who underwent treatment with loop diuretics (AOR = 2.983, CI: 1.407–6.326, P-value = 0.040), and who reside in a rural area (AOR = 5.119, CI: 2.481–10.560, P-value < 0.001) were at risk of developing undernutrition.ConclusionUndernutrition was a significant clinical problem in older patients with heart failure. Nutritional interventions should be prioritized for patients with chronic and severe heart failure.

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Section: Methodsmentioning

confidence: 99%

Undernutrition was a prevalent clinical problem among older adult patients with heart failure in a hospital setting in Northwest Ethiopia

et al. 2022

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“…Hypertensive heart disease (HHD) on the other hand includes a number of complications of high blood pressure that affect the heart. While there are several definitions of hypertensive heart disease in the medical literature, Alegría-Ezquerra, E. et al (2006) and Lip, G. Y. et al (2000), the term is most widely used in the context of the International Classification of Diseases (ICD) coding categories. The definition includes heart failure and other cardiac complications of hypertension when a causal relationship between the heart disease and hypertension is stated or implied on the death certificate, Lip, G. Y. et al (2000).…”

Section: Introductionmentioning

confidence: 99%

Pupils’ Knowledge Level about the Contraindicationsof Cardiovascular Diseases of the HeartlikeDilated Cardiomyopathy (DCM), Hypertensive Heart Disease (HHD) and Pulmonary Heart Disease (PHD) as Health Education Strategy in Preventive Health

Joseph¹,

Ahmed²,

Joe³

2017

Journal of Exercise Science and Physiotherapy

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Aim: The objective of this study was to point out pupils' knowledge level about the contraindications of cardiovascular diseases of the heart like Dilated Cardiomyopathy (DCM), Hypertensive Heart Disease (HHD) and Pulmonary Heart Disease (PHD) as health education strategy in preventive health cased at University Secondary School, Njala. Method: The researcher interviewed mainly high school pupils with a sampled number of one hundred and twenty (n=120). 46% (n=55) female and 54% (n=65) male; 67% (n=80) Christians; 33% (n=40) Muslims; were selected using the stratified random sampling. Also stratified were58% (n=70) from the option Pure Science-to-General Science;42% (n=50) from the option Social Science-to-Applied Art; 29.2% (n=35) from SSS(One-to-Two); 70.8% (n=85) from SSS(Three-to-Four);62.8% (n=75) within the age circle of (13-to-17);37.5% (n=45) within the age circle of (18-to-25+) in years. Results: The variables of the finding were tested@ level of significance p < 0.05 through a statistical instrument of T-test. Analysis from the study objective, shows negative skewedness in all three variables as placed in tabulated values (t-scores of-0.802, 0.529 and 2.129) of 2, 4 and 6 when tested@p < 0.05. Conclusion: In summing up due to the negative skewedness in all of the variables tested, the finding has demonstrated majority view of high school pupils' low level of knowledge about the contraindications of cardiovascular diseases of the heart as health education strategy in preventive health cased at University Secondary School.The researchers recommend that health education as a teaching subject be included in the schools' curriculum to help in the teaching of preventive health to school pupils.

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“…Most importantly, neither of these guidelines gives clear diagnostic criteria for HHD [ 2 , 8 , 9 ]. The most comprehensive clinical definition can be found in the “VIA” classification of HHD, which has been suggested in a letter to the editor in the Revista Española de Cardiología [ 10 ]. This definition consists of three main aspects: “ventricular structure” including hypertrophy and dysfunction, “ischemia” comprising all states of perfusion disturbances from angina to acute coronary syndrome, and “arrhythmia” focusing on AF [ 10 ].…”

mentioning

confidence: 99%

“…The most comprehensive clinical definition can be found in the “VIA” classification of HHD, which has been suggested in a letter to the editor in the Revista Española de Cardiología [ 10 ]. This definition consists of three main aspects: “ventricular structure” including hypertrophy and dysfunction, “ischemia” comprising all states of perfusion disturbances from angina to acute coronary syndrome, and “arrhythmia” focusing on AF [ 10 ]. Though this classification best encloses the global adaption mechanisms and target organ damage, it neglects for example atrial dilatation or signs of myocardial fibrosis on imaging.…”

mentioning

confidence: 99%

Special Issue: Hypertensive Heart Disease—From Pathophysiology to Therapeutical Challenges

Vischer

Burkard

2022

JCM

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Hypertensive Heart Disease: a Proposed Clinical Classification

Cited by 8 publications

References 19 publications

Undernutrition was a prevalent clinical problem among older adult patients with heart failure in a hospital setting in Northwest Ethiopia

Undernutrition was a prevalent clinical problem among older adult patients with heart failure in a hospital setting in Northwest Ethiopia

Pupils’ Knowledge Level about the Contraindicationsof Cardiovascular Diseases of the HeartlikeDilated Cardiomyopathy (DCM), Hypertensive Heart Disease (HHD) and Pulmonary Heart Disease (PHD) as Health Education Strategy in Preventive Health

Special Issue: Hypertensive Heart Disease—From Pathophysiology to Therapeutical Challenges

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