Smoking Is In Someway Related To Hypertensive Heart Disease
Hypertensive heart disease is a condition where due to a sudden appearance of functional alterations of the right ventricle with or without dilatation of its cavity due to a sudden elevation of the pulmonary arterial pressure. The flow of blood within the pulmonary artery and the resistance which the vascular system offers are the two factors which decide the pressure on the pulmonary artery.
The pressure within the pulmonary artery can increase suddenly whenever, the blood flow of the pulmonary artery is increased and also when the resistance of the pulmonary vascular tissues increases suddenly. When there is a rupture of aortic valve, the blood flows directly to the pulmonary artery.
This increases the pressure of the artery as the blood flows with a force. Also, when there is a rupture of the interventricular septum due to an infarction, the blood flows directly into the pulmonary artery and increases the pressure. In the above mentioned two, the blood pressure is transmitted directly from the higher pressure system to a lower one.
Smoking has been in some way or the other related to the development of hypertension and complete ED. It is important to restrict smoking and to get treated with Viagra or other ED drugs for betterment. However, a physician’s intervention is very important in deciding the right dosage.
Whenever there is an obstruction, constriction or restriction of the blood flow in the pulmonary artery, pulmonary resistance increases. This may be caused due to the thrombosis, fat deposition, air bubbles, etc. So this sudden increase in the pressure of the pulmonary artery causes the dilatation of right ventricles.
This is classically called as acute cor pulmonale. But it was observed that most patients who had pulmonary heart disease did not have any dilatation of the right ventricles, but the pressure of the pulmonary artery was increased. There were also some alterations in the right ventricles due to increased pressure but not dilatation. And so it was called as acute pulmonary hypertensive heart disease with repercussion on the right ventricle with or without dilatation.
Alterations of the cardiopulmonary pathophysiology like hemodynamic, respiratory and humoral which is caused due to pulmonary thromboembolism are directly related to number of vessels occluded. If 60% of the pulmonary arterial section is occluded, the right ventricles will dilate and the output of left ventricles may be reduced consequently.
Hypertensive heart disease patients are always in a life-threatening condition as congestive heart failure is one of the possible results of hypertensive heart disease. Shortness of breath, cough with blood, fatigue, and faintness, swelling of the feet and ankles and frequent urination at night are the symptoms of hypertensive heart disease.
Hypertensive heart disease may lead to congestive heart failure, ischemic heart disease and also hypertrophic cardiomyopathy. An echocardiogram, a chest X-ray, a coronary angiogram and a chest CT scan are the diagnosis methods for hypertensive heart disease. Diuretics, calcium channel blockers, angiotensin 2 receptor antagonists, direct vasodilators and angiotensin-converting enzyme inhibitors (ACE) are the medications commonly used for hypertensive heart disease.
These medications reverse the left ventricular hypertrophy and prolong survival in patients with heart failure from hypertensive heart disease. Smoking may also be major cause of hypertensive heart disease in some cases. In addition to medication, losing weight, exercising, and a salt restricted diet would give better results in hypertensive heart disease patient.
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