Does elevated blood pressure indicate improvement in heart failure?
Dec 05, 2022
Source: Cainiu Health
Dr. Tian Hongbo
Introduction
Elevated blood pressure usually indicates improvement in heart failure. Improvement in heart failure is mainly reflected by easier breathing, reduced coughing, and absence of shortness of breath after minimal physical activity, along with maintenance of normal cardiac function. When blood pressure rises, symptoms of heart failure tend to improve. However, hypertension can lead to heart failure due to myocardial damage caused by high blood pressure, which impairs the heart's contractile and diastolic functions.
Elevated blood pressure usually indicates improvement in heart failure.
Improvement in heart failure is mainly reflected by eased breathing, reduced coughing, and absence of shortness of breath after minimal physical activity, indicating maintained normal cardiac function. When blood pressure rises, symptoms of heart failure tend to improve. The most common complication in patients with hypertension is heart failure—the higher the blood pressure, the greater the risk of developing heart failure. Hypertension-induced heart failure results from myocardial damage caused by high blood pressure, leading to impaired cardiac contraction and reduced diastolic function. However, heart failure due to hypertension is primarily characterized by diastolic dysfunction, which can cause symptoms such as gastrointestinal congestion, lower limb edema, and hepatic congestion. In cases of gastrointestinal congestion due to heart failure, medication dosage should be adjusted appropriately; under medical guidance, nitrate preparations may be used to reduce cardiac load and alleviate symptoms. For liver congestion caused by left-sided heart failure, spironolactone tablets, hydrochlorothiazide tablets, and similar medications can be taken under a doctor's supervision to relieve symptoms.
In daily life, it is important to control blood pressure to prevent further progression of the disease and thereby reduce the incidence of arrhythmias and heart failure.
