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How is hypertensive heart disease diagnosed? What problems do you need to pay attention to when this type of heart disease is **? The most common tests to diagnose hypertensive heart disease are electrocardiogram, color ultrasonography, and chest x-ray.
In general, patients with hypertrophy on ECG, left ventricular hypertrophy, or significant enlargement of the left atrium or left ventricle and other heart chambers on ultrasonography, or enlarged cardiac shadow on chest x-ray, often indicate that the patient has hypertensive heart disease.
<> biggest benefit of controlling blood pressure is, of course, that there are no heart, brain, and kidney complications, and the patient's life expectancy will be significantly extended. History Whether the patient has a history of hypertension. During the compensatory phase of cardiac function, there are only ordinary symptoms of hypertension.
When cardiac function is incompensated, symptoms of left-sided heart failure may occur. With the continuous improvement of living conditions, the improvement of diet quality and the lack of exercise, people's physical fitness is getting worse and worse, and more and more people are suffering from hypertension. High blood pressure is a long-term control of the body when there is an abnormality in the control.
It can easily cause hypertensive heart disease, abnormal changes in the structure and function of the heart.
The differential diagnosis of hypertensive heart disease is primarily to distinguish it from aortic valve insufficiency. The most common way to diagnose hypertensive heart disease is to ask people if they have a long-term history of high blood pressure, followed by checking for symptoms such as normal heart function and left heart failure. In the diagnosis of hypertensive heart disease, if the apical beat is increased during physical examination, if the ECG has unilateral or bilateral ventricular hypertrophy and/or strain, and the left and right ventricles are asymmetrical hypertrophy, these are all diagnostic methods for determining hypertensive heart disease.
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It is necessary to see a doctor, which can then be determined by the symptoms, as well as by color ultrasound. The mood must be stable, and then you must take medicine on time, have good living habits, do not overeat, exercise more in the morning, have balanced nutrition, eat more light diet, do not exceed 6 grams of salt, and do not eat high-fat food.
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Be sure to have a blood draw. You should control your emotions, don't get angry, don't have too intense mood swings, and sometimes you should pay attention to your diet and try to be light.
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Hypertensive heart disease is a serious disease, and if you want to diagnose it, you should know the basis for diagnosing hypertensive heart disease.
The history of hypertension is an important basis for diagnosing hypertensive heart disease, because long-term hypertension will increase the burden on the heart, cause palpitations, cause heart hypertrophy, and finally lead to the appearance of hypertensive heart disease. Therefore, the diagnosis of hypertensive history has a greater diagnostic basis for the diagnosis of hypertensive heart disease.
The early symptoms of hypertensive heart disease are atypical, and the patient has no obvious self-conscious symptoms or only mild discomfort, such as palpitations, headaches, etc., these symptoms are mainly general symptoms of hypertension and have no specificity. As the course of hypertension progresses, heart disease manifests itself more severely.
In the advanced stage of hypertensive heart disease, due to long-term hypertension, the heart is hindered from pumping blood, and the heart has increased myocardial hypertrophy and stiffness due to long-term high-load work, which eventually leads to the obstruction of pulmonary venous blood entering the heart and the formation of pulmonary congestion. When the myocardium is hypertrophied, the oxygen demand increases, and the blood ** is relatively insufficient, which often leads to heart failure attacks.
Physical examination reveals increased apical pulsation, dilatation of the cardiac boundary to the lower left, metallic second heart sound in the aortic valve area, pulmonary hypertension due to pulmonary hypertension in the pulmonary valve auscultation area, a systolic windy murmur in the apical and/or aortic valve area, and diastolic gallop rhythm in the apex of the heart in left heart failure.
Hypertensive heart disease is a serious disease, and if you want to diagnose it, you should know the basis for diagnosing hypertensive heart disease.
1.Electrocardiogram with unilateral or bilateral ventricular hypertrophy and/or strain, arrhythmia;
2.Chest x-ray showed aortic flexion and subvoltive dilation, left ventricular or whole heart enlargement, pulmonary septal line, pulmonary congestion, etc. Echocardiology** shows unilateral or bilateral ventricular hypertrophy, mitral valve, aortic valve, tricuspid regurgitation, and decreased ejection fraction.
1.In terms of diet, it is low in salt and fat;
2.In terms of exercise, appropriate physical exercise should not be too strenuous and not too strenuous exercise;
3.In terms of lifestyle and behavior, pay attention to regular work and rest, do not stay up late often, should rest regularly, and in addition, smokers and drinkers should quit smoking and drinking;
4.In terms of drugs, for those with high blood pressure, they should insist on oral antihypertensive drugs, and they should take the medicine on time, be persistent, and do not increase or decrease the dose or change the drug at will; For drugs to improve myocardial ischemia, nitroglycerin, heartache and other drugs can be used for temporary relief of attacks, and long-term heartache can be taken for long-term improvement of myocardial ischemia;
5.Pay attention to regular re-checking of blood pressure, electrocardiogram, etc., which is conducive to dynamic observation of changes in the condition and adjustment of the ** plan at any time.
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