After discovering high blood pressure, his heart went step by step to failure

A few days ago, Uncle Li, who came to Beijing and 76, was accompanied by his wife and daughter to see the doctor.

Uncle Li looked a little dull, and asked the medical history to understand the understanding, so it was mainly his wife and daughter said. But Uncle Li has been in the field, so the medical history can't be said so detailed.

15 years ago, when Uncle Li was in his early 60s, he had a medical examination. At that time treat. In the past 15 years, in the past 10 days, Uncle Li felt chest tightness and breath every two floors, and stopped for 5 or 6 minutes to relieve it. When you sleep at night, you need to raise the pillow and lay down. Sometimes it will feel that your chest tightness will sit up in the middle of the night, and your two legs will also have edema. Therefore, I went to the community hospital for examination and did the anterior body of the sodium peptide. The English abbreviation was "NT-PROBNP". A mental function indicator reached 1731pg/ml, which was significantly increased. The heart increased significantly, and the pericardium and chest cavity had effusion. The doctor gave the diuretic "Symami", which was the "rapid urination" film, and the edema on the legs disappeared.

Give patients with blood pressure, blood pressure reaches 197/104mmHg. The left heart room and the left ventricle of ultrasonic examination of the heart have been significantly enlarged; the ventricular wall is very thick, the interval between the ventricular interval is 1.4cm, and the normal should be below 1.2cm; More than %; there are medium -sized effusion in the pericardial bag.

What does these explanations? Uncle Li's blood pressure is very high, and the heart disease caused by hypertension has not cured for many years. Now heart failure and heart failure!

By the way, Uncle Li has to have a cerebral infarction. We know that hypertension can easily cause atrial fibrillation, and atrial fibrillation is likely to form thrombosis. The thrombosis falls when it falls. How close is the relationship between high blood pressure and stroke? In addition to arteriosclerosis, there is an arrhythmia). When asking the medical history, when it comes to the patient's atrial fibrillation, it is said that the atrial fibrillation is not easy to treat the cerebral infarction. The patient's wife said he had passed by cerebral infarction. Sure enough, the skull CT examination showed that the patient had an old cerebral infarction lesion with the forehead.

Uncle Li was hospitalized.

According to the analysis of Uncle Li's medical history, when there was no other disease when the heart, atrial fibrillation, and hypertension were found 15 years ago, it was considered that the heart of the heart caused by high blood pressure. Because hypertension can cause such heart disease.

Hypertension will increase the burden on the heart. High blood pressure, when the heart shrinks and ejaculates, it is necessary to force it. Over time, the myocardial muscle is thick; slowly, the heart expands. Myocardial hypertrophy and the expansion of the heart can also bring arrhythmia, and atrial fibrillation is a very common type.

At this step, it was already a heart disease caused by hypertension. This kind of heart disease is called "structural heart disease" in medicine. In other words, 15 years ago, Uncle Li entered the stage of heart disease from hypertension.

However, in the past 15 years, he has not been treated with hypertension and has no good protection. The blood pressure is very high, and the heart disease becomes more serious. When it is overwhelmed, the heart fails.

In this way, Uncle Li has entered the third stage of heart failure from the first stage of hypertension, the first stage of the risk of heart failure, and the second stage of the early stages of heart failure. , Appearance of heart failure.

From hypertension to heart failure of symptoms, three steps are available.

There is also the fourth stage, which is the stage of late heart failure.

Of course, hypertension can also cause cerebrovascular disease and cerebral embolism, renal damage, renal failure, and vascular lesions. In addition to heart disease and heart failure, the patient also had a cerebral infarction.

Speaking of heart failure, everyone feels terrible. However, many people don't care about high blood pressure, such as high blood pressure, and do not treat them. However, it is this kind of hypertension that did not feel at first, which will cause heart disease and heart failure step by step.

Therefore, it is still necessary to prevent. The fundamental goal of treating hypertension is to reduce the total danger of these cardiac, brain, kidney and vascular complications, and death.

Therefore, if you find hypertension, there are symptoms to be treated with blood pressure to prevent the heart of the heart and functional damage.

If you have the heart hypertrophy and expand, you must take it seriously and actively treat it to prevent and delay the occurrence of heart failure.

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