Department of Medicine, Section of Cardiology, University of Chicago Medicine, 5841 South Maryland Avenue, MC 6080, Room B607, Chicago, IL 60637, USA.
Heart Fail Clin. 2019 Oct;15(4):447-453. doi: 10.1016/j.hfc.2019.06.005. Epub 2019 Aug 7.
Hypertensive heart disease includes the development of diastolic dysfunction, left ventricular hypertrophy, and heart failure with preserved and reduced ejection fraction. The development of heart failure can occur because of complications of ischemic heart disease or from progression of diastolic dysfunction to heart failure with preserved ejection fraction degenerating to a dilated heart with systolic dysfunction or heart failure with reduced ejection fraction. Hypertension clinical trials have shown that the treatment of hypertension can prevent the development of heart failure. In addition, lifestyle modification with exercise and weight loss can improve diastolic function and reduce the risk for heart failure.
高血压性心脏病包括舒张功能障碍、左心室肥厚以及射血分数保留和降低的心力衰竭。心力衰竭的发展可能是由于缺血性心脏病的并发症，或者是从舒张功能障碍进展为射血分数保留的心力衰竭，进而发展为收缩功能障碍的扩张型心力衰竭或射血分数降低的心力衰竭。高血压临床试验表明，治疗高血压可以预防心力衰竭的发生。此外，通过运动和减肥等生活方式的改变可以改善舒张功能，降低心力衰竭的风险。
