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1 Hypertensive Heart Disease: Symptoms, Causes & Treatment
https://my.clevelandclinic.org/health/diseases/21840-hypertensive-heart-disease
Hypertensive heart disease includes problems with your heart that can develop if you have high blood pressure but don't treat it for years.
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2 How High Blood Pressure Can Lead to Heart Failure
https://www.heart.org/en/health-topics/high-blood-pressure/health-threats-from-high-blood-pressure/how-high-blood-pressure-can-lead-to-heart-failure
The American Heart Association explains how high blood pressure, also called hypertension, can lead to heart failure.
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3 Blood pressure and heart failure | Clinical Hypertension
https://clinicalhypertension.biomedcentral.com/articles/10.1186/s40885-019-0132-x
Individuals with high blood pressure (BP) are more susceptible to ischemic heart disease, and studies' findings have shown that these patients ...
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4 Hypertensive Heart Disease: Overview, Etiology, Epidemiology
https://emedicine.medscape.com/article/162449-overview
The cause of hypertensive heart disease is chronically elevated blood pressure (BP); however, the causes of elevated BP are diverse.
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5 High Blood Pressure and Heart Failure Risks - WebMD
https://www.webmd.com/heart-disease/heart-failure/blood-pressure-heart-failure
Hypertension is a major risk factor for heart failure. That's because the force pushing on the walls of your arteries as blood moves through them is too strong.
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6 Hypertensive heart disease Information | Mount Sinai - New York
https://www.mountsinai.org/health-library/diseases-conditions/hypertensive-heart-disease
High blood pressure also leads to thickening of the blood vessel walls. When combined with cholesterol deposits in the blood vessels, the risk of heart attack ...
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7 Hypertensive Heart Disease - Symptoms and Causes
https://www.pennmedicine.org/for-patients-and-visitors/patient-information/conditions-treated-a-to-z/hypertensive-heart-disease
High blood pressure also leads to thickening of the blood vessel walls. When combined with cholesterol deposits in the blood vessels, the risk of heart attack ...
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8 The Progression of Hypertensive Heart Disease - AHA Journals
https://www.ahajournals.org/doi/10.1161/circulationaha.108.845792
Large cohort studies have demonstrated that high BP is an important risk factor for heart failure, atrial fibrillation, chronic kidney disease, ...
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9 Hypertensive Heart Disease: Types, Symptoms, and Diagnosis
https://www.healthline.com/health/hypertensive-heart-disease
Coronary arteries transport blood to your heart muscle. When high blood pressure causes the blood vessels to become narrow, blood flow to the heart can slow or ...
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10 Hypertensive heart disease: MedlinePlus Medical Encyclopedia
https://medlineplus.gov/ency/article/000163.htm
High blood pressure means the pressure inside the blood vessels (called arteries) is too high. As the heart pumps against this pressure, ...
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11 Treatment of hypertension in patients with heart failure
https://www.uptodate.com/contents/treatment-of-hypertension-in-patients-with-heart-failure
Hypertension is the most prevalent modifiable risk factor for the development of heart failure (HF) [1], both because hypertension increases ...
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12 High blood pressure dangers: Hypertension's effects on your ...
https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/in-depth/high-blood-pressure/art-20045868
Enlarged left heart. High blood pressure forces the heart to work harder to pump blood to the rest of the body. This causes the lower left heart chamber (left ...
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13 The Transition From Hypertension to Heart Failure ...
https://www.sciencedirect.com/science/article/pii/S2213177917303177
Diastolic dysfunction and HF with preserved ejection fraction are the most common cardiac complications of hypertension. The end stage of hypertensive heart ...
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14 High Blood Pressure Symptoms and Causes | cdc.gov
https://www.cdc.gov/bloodpressure/about.htm
Hypertension complications: stroke, heart attack, kidney damage. You can manage your blood pressure to lower your risk for serious health problems that may ...
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15 Progression From Hypertension to Heart Failure
https://academic.oup.com/ajh/article/10/S7/280S/133790
Hypertension is a major risk factor for the development of HF. Hypertension can lead to LVH, which is asymptomatic early on but may eventually ...
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16 Hypertensive Heart Failure in Asia - FullText - Karger Publishers
https://www.karger.com/Article/FullText/518661
Hypertensive heart disease is characterized by a prolonged increase in left ventricular (LV) filling pressure and diastolic dysfunction. The increase in left ...
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17 Hypertension and heart failure: a dysfunction of systole ...
https://www.nature.com/articles/jhh2008141
The failing heart in hypertensive heart disease (HHD) may present as predominant heart failure with normal ejection fraction (HFNEF) or systolic ...
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18 Hypertension and Heart Failure
http://www.medicinainterna.net.pe/sites/default/files/HTA%20y%20falla%20cardiaca.pdf
Hypertension leads to heart failure through pathologic left ventricular hypertrophy (LVH) and dia- ... screened for risk using B-type natriuretic peptide.
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19 Hypertensive heart disease - Wikipedia
https://en.wikipedia.org/wiki/Hypertensive_heart_disease
Coronary artery disease or ischemic heart diseases due to atherosclerosis · Hypertrophic cardiomyopathy · Left ventricular hypertrophy in athletes · Congestive ...
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20 Heart failure - Better Health Channel
https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/congestive-heart-failure-chf
Causes of heart failure include coronary heart disease, heart attack and high blood pressure. If you have heart failure, there are things you can do to help ...
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21 Hypertension and heart disease | OSF HealthCare
https://www.osfhealthcare.org/blog/hypertension-and-heart-disease/
› blog › hypertension-an...
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22 Hypertension: Causes, symptoms, and treatments
https://www.medicalnewstoday.com/articles/150109
A: Hypertension is not a type of heart disease. However, the condition may increase a person's risk for developing heart disease, heart attack, and stroke.
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23 Pulmonary hypertension due to left heart disease
https://erj.ersjournals.com/content/53/1/1801897
Pulmonary hypertension (PH) is a common complication of left heart disease (LHD), in response to a passive increase in left-sided filling pressures, more ...
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24 Pulmonary Hypertension Caused by Systolic Heart Failure
https://www.upmc.com/services/pulmonology/conditions/pulmonary-hypertension/heart-failure-ph
When a weakened heart can't pump efficiently, that's known as systolic dysfunction. Just like a kink in a garden hose, blood begins to back up into the lungs ...
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25 Heart failure - NHS
https://www.nhs.uk/conditions/heart-failure/
Causes of heart failure · coronary heart disease – where the arteries that supply blood to the heart become clogged up with fatty substances (atherosclerosis), ...
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26 Hypertensive heart disease: a new clinical classification (VIA)
https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-7/Hypertensive-heart-disease-a-new-clinical-classification-VIA
As a result, three different, although obviously related to each other, cardiac diseases in hypertensive patients may be recognized: heart ...
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27 How Hypertension Leads To Heart Failure And The Warning ...
https://healthmatch.io/high-blood-pressure/how-hypertension-causes-heart-failure
Hypertension can make the arteries less elastic, thereby damaging them and causing a decrease in the flow of blood and oxygen to the heart. This can eventually ...
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28 Hypertension - World Health Organization (WHO)
https://www.who.int/news-room/fact-sheets/detail/hypertension
Among other complications, hypertension can cause serious damage to the heart. Excessive pressure can harden arteries, decreasing the flow ...
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29 Heart failure - Illnesses & conditions - NHS inform
https://www.nhsinform.scot/illnesses-and-conditions/heart-and-blood-vessels/conditions/heart-failure
Heart failure can be caused by a number of conditions such as high blood pressure or heart attack. It tends to affect people over the age of 65, and is more ...
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30 High Blood Pressure and Heart Failure
https://www.heartfailurematters.org/heart-failure-causes-and-other-common-medical-conditions/high-blood-pressure/
The narrowing and blocking of blood vessels caused by high blood pressure increases your risk of developing heart failure. Narrowed arteries are less ...
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31 Hypertensive heart disease | Multimedia Encyclopedia
https://www.stlukes-stl.com/health-content/health-ency-multimedia/1/000163.htm
High blood pressure means the pressure inside the blood vessels (called arteries) is too high. As the heart pumps against this pressure, ...
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32 Is High Blood Pressure Considered Heart Disease?
https://www.verywellhealth.com/is-high-blood-pressure-considered-heart-disease-5204718
High blood pressure is not a heart disease itself, but it is a risk factor for heart conditions and other health problems. Normal Blood Pressure ...
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33 Hypertension - World Heart Federation
https://world-heart-federation.org/what-we-do/hypertension/
Hypertension is the number one risk factor for death globally, affecting more than 1 billion people. It accounts for about half of all heart disease– and ...
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34 Heart failure - Heart and Stroke Foundation of Canada
https://www.heartandstroke.ca/heart-disease/conditions/heart-failure
Heart failure is a chronic condition caused by the heart not functioning as it should or a problem with its structure. It can happen if the heart is too weak or ...
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35 From hypertension to heart failure
https://www.wjgnet.com/2220-3168/full/v5/i2/85.htm
Hypertensive heart disease encompasses a wide spectrum including asymptomatic cardiac hypertrophy and clinical heart failure (with either ...
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36 Systolic Blood Pressure and Outcomes in Patients With Heart ...
https://jamanetwork.com/journals/jamacardiology/fullarticle/2672572
Importance Lower systolic blood pressure (SBP) levels are associated with poor outcomes in patients with heart failure. Less is known about this ...
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37 Hypertension and Cardiac Failure in its Various Forms
https://www.medical.theclinics.com/article/S0025-7125(09)00020-0/pdf
Hypertension leads to the development of left ventricular hypertrophy (LVH), athero- sclerotic heart disease, and heart failure (with reduced systolic ...
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38 High blood pressure symptoms and treatment
https://www.rwjbh.org/treatment-care/heart-and-vascular-care/diseases-conditions/high-blood-pressure/
Hypertension increases the workload of your heart and blood vessels. Over time, this workload leads to the damage of your artery walls. In turn, LDL (bad) ...
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39 Is Hypertension Considered a Heart Disease?
https://brookhavenheart.com/is-hypertension-considered-a-heart-disease/
The two main consequences of hypertensive heart disease are coronary artery disease, and enlargement of the heart. These are certainly not the ...
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40 Blood pressure lowering for prevention of cardiovascular ...
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)01225-8/fulltext
Blood pressure lowering for prevention of cardiovascular disease and death: a ... type 2 diabetes, heart failure, and chronic kidney disease ...
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41 Congestive Heart Failure: Prevention, Treatment and Research
https://www.hopkinsmedicine.org/health/conditions-and-diseases/congestive-heart-failure-prevention-treatment-and-research
The heart also enlarges a bit to make room for the blood. The lungs fill with fluid, causing shortness of breath. The kidneys, when they don't receive enough ...
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42 Hypertensive heart failure: A review of clinical status and meta ...
https://www.oatext.com/hypertensive-heart-failure-a-review-of-clinical-status-and-meta-analyses-of-prognostic-value-of-echocardiography-and-antihypertensive-medication.php
Hypertensive HF (HHF) is a recently described etiology-based HF phenotype caused by continuous cardiac insult by chronic hypertensive heart ...
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43 High Blood Pressure and Heart Disease in Women
https://www.goredforwomen.org/en/know-your-risk/risk-factors/high-blood-pressure-and-heart-disease
High blood pressure is a condition that makes the heart work harder than normal. And left untreated, it scars and damages your arteries and can ...
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44 4.00-Cardiovascular-Adult - Social Security
https://www.ssa.gov/disability/professionals/bluebook/4.00-Cardiovascular-Adult.htm
congenital heart disease 4.09. Heart transplant 4.10. Aneurysm of ... heart rate and blood pressure levels during testing, and the reason(s) for terminating ...
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45 The Transition From Hypertension to Heart Failure
https://www.jacc.org/doi/abs/10.1016/j.jchf.2017.04.012
The end stage of hypertensive heart disease results from pressure and volume overload and consists of dilated cardiomyopathy with both diastolic dysfunction and ...
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46 Hypertension 101: What Is High Blood Pressure and How Is It ...
https://www.henryford.com/blog/2021/02/hypertension-101
Many heart conditions are rooted in how high or low your blood pressure is. Low blood pressure can often result in lightheadedness or ...
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47 Heart Failure (HF) - Heart and Blood Vessel Disorders
https://www.merckmanuals.com/home/heart-and-blood-vessel-disorders/heart-failure/heart-failure-hf
(chronic obstructive pulmonary disease) or scarring (pulmonary fibrosis) has been present for a long time, blood pressure in the lungs increases. As a result, ...
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48 High Blood Pressure - Hypertension. Causes & Treatment
https://www.heartfoundation.org.nz/wellbeing/managing-risk/managing-high-blood-pressure
Having kidney disease or other glandular problems. Sometimes another condition that affects your kidneys, arteries, heart or endocrine (gland) system can cause ...
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49 Heart Failure Treatment | UCSF Health
https://www.ucsfhealth.org/conditions/heart-failure/treatment
Beta-blockers lower blood pressure and decrease and block the effect of harmful hormones that can cause disease progression. Diuretics or water pills help the ...
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50 Heart Failure: Causes | University Health Care System
https://www.universityhealth.org/heart-failure/causes/
Uncontrolled high blood pressure (hypertension) is a major cause of heart failure even in the absence of a heart attack. In fact, about 75 percent of cases ...
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51 Heart Disease - Wisconsin Department of Health Services
https://www.dhs.wisconsin.gov/heart-disease/index.htm
Coronary artery disease occurs when the arteries that supply blood to the heart harden and narrow, a process called atherosclerosis. This ...
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52 Pulmonary Arterial Hypertension - NORD (National ...
https://rarediseases.org/rare-diseases/pulmonary-arterial-hypertension/
Interstitial pneumonia is a type of chronic lung disease that is associated with pulmonary hypertension. It involves the spaces and tissues in the lining of the ...
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53 Left-Sided Heart Failure Symptoms & Treatment - Baptist Health
https://www.baptisthealth.com/services/heart-care/conditions/left-sided-heart-failure
Enlarged heart; Rapid heart rate; High blood pressure; Less blood flowing to the arms and legs. Causes. Left-sided heart failure can be caused ...
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54 High blood pressure (Hypertension) - BHF
https://www.bhf.org.uk/informationsupport/risk-factors/high-blood-pressure
High blood pressure is serious. If you ignore it, it can lead to heart and circulatory diseases like heart attack or stroke. It can also cause kidney failure, ...
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55 Hypertensive Heart Disease - Diagnosis, Prognostic Value ...
https://www.ecrjournal.com/articles/hypertensive-heart-disease-diagnosis-prognostic-value-and-changes-during-antihypertensive
Left ventricular (LV) hypertrophy is a form of pre-clinical cardiac disease that may be induced by either pressure or volume myocardial ...
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56 The pathophysiology of hypertensive acute heart failure
https://heart.bmj.com/content/101/23/1861.short
In this relationship, acute alterations in vascular elasticity, vasoconstriction and reflected pulse waves lead to increases in cardiac work and contribute to ...
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57 2023 ICD-10-CM Diagnosis Code I11.0: Hypertensive heart ...
https://www.icd10data.com/ICD10CM/Codes/I00-I99/I10-I16/I11-/I11.0
Hypertensive heart disease with heart failure · I11.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
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58 Congestive Heart Failure (CHF) - Yale Medicine
https://www.yalemedicine.org/conditions/congestive-heart-failure
Congestive heart failure is a weakened heart condition that causes fluid buildup in the feet, arms, lungs, and other organs. Learn about symptoms and ...
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59 ICD-10 Code for Hypertensive heart disease with heart failure
https://www.aapc.com/codes/icd-10-codes/I11.0
ICD-10 code I11.0 for Hypertensive heart disease with heart failure is a medical classification as listed by WHO under the range -Hypertensive disease.
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60 Codes to Report Hypertensive Heart Disease
https://www.outsourcestrategies.com/blog/how-to-code-for-hypertensive-heart-disease/
Symptoms of hypertensive heart disease vary based the severity of the condition and progression of the condition, though some patients ...
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61 Heart Disease and African Americans - Office of Minority Health
https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=19
Although African American adults are 40 percent more likely to have high blood pressure, they are less likely than non-Hispanic whites to have ...
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62 What's the link between a heart attack and blood pressure?
https://nortonhealthcare.com/news/whats-the-link-between-a-heart-attack-and-blood-pressure/
High blood pressure can cause a heart attack. It makes your heart work harder and could lead to a buildup of cholesterol and plaque in your ...
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63 Types of Cardiomyopathy & Heart Failure | NYU Langone Health
https://nyulangone.org/conditions/cardiomyopathy-heart-failure/types
This type of heart failure mainly occurs in people older than age 65. It's usually caused by underlying conditions, such as hypertension or diabetes.
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64 Almost half of heart failure patients have uncontrolled ...
https://news.northwestern.edu/stories/2022/04/heart-failure-patients-have-uncontrolled-hypertension-and-diabetes/?fj=1
A new Northwestern Medicine study has found almost half of U.S. adults with heart failure have poorly controlled hypertension and ...
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65 High Blood Pressure (Hypertension)
https://www.nationwidechildrens.org/conditions/high-blood-pressure
High blood pressure, or hypertension, directly increases the future risk of coronary heart disease (heart attack) and stroke. Heart attack and stroke related to ...
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66 What Is Congestive Heart Failure? Symptoms, Causes ...
https://www.everydayhealth.com/congestive-heart-failure/guide/
Heart failure is a serious condition in which the heart isn't pumping efficiently. It is often the end stage or final outcome of many cardiovascular ...
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67 Pulmonary Hypertension in Patients With Heart Failure With ...
https://www.frontiersin.org/articles/10.3389/fcvm.2021.694240/full
Pulmonary hypertension (PH) is common in patients with heart failure (HF). The role of PH in patients with HF with reduced (HFrEF) and preserved ...
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68 High Blood Pressure–Understanding the Silent Killer | FDA
https://www.fda.gov/drugs/special-features/high-blood-pressure-understanding-silent-killer
There are often no symptoms until the heart, arteries, and other ... High blood pressure – also known as hypertension – is a disease in ...
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69 Hypertensive heart disease - UF Health
https://ufhealth.org/hypertensive-heart-disease
Hypertensive heart disease refers to heart problems that occur because of high blood pressure that is present over a long time.
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70 High blood pressure – causes and connection to heart attacks
https://www.cardiosecur.com/magazine/specialist-articles-on-the-heart/high-blood-pressure-causes-and-connection-to-heart-attacks
What is the correlation between high blood pressure and heart attack? ... High blood pressure damages the blood vessels by making them more rigid and by damaging ...
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71 Hypertension effects on the heart | Health & Medicine - YouTube
https://www.youtube.com/watch?v=0fWuPR1AsJ4
khanacademymedicine
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72 Heart failure - treatment, causes, living with it and more
https://www.healthdirect.gov.au/heart-failure
What causes heart failure? · long-term conditions such as diabetes, obesity, hypertension (high blood pressure) and high cholesterol · inflammation of the heart ...
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73 Heart failure in women - Harvard Health
https://www.health.harvard.edu/newsletter_article/heart_failure_in_women
Systolic heart failure (right) occurs when the muscles in the heart's left ventricle become thin and weak, causing the lower half of the heart to balloon ...
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74 Advanced Heart Failure | Temple Health
https://www.templehealth.org/services/conditions/advanced-heart-failure
What Causes Heart Failure? · Coronary artery disease · Heart attack (myocardial infarction) · High blood pressure · Heart valve problems · Abnormal ...
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75 High Blood Pressure (Hypertension) | Granthealth.org
https://granthealth.org/high-blood-pressure-hypertension/
Decreased blood flow to the heart. High blood pressure can harden your arteries, which decreases the flow of blood and oxygen to your heart and ...
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76 Hypertension and Heart Failure - ResearchGate
https://www.researchgate.net/publication/334816550_Hypertension_and_Heart_Failure
12 In Asia, hypertension is the most common etiology of HF after ischemic heart disease, accounting for 4%-54.8% of HF patients. 13 Actually, ...
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77 Heart Failure - Hamilton Cardiology Associates
https://hcahamilton.com/heart-failure/
Coronary Artery Disease · Past heart attack (myocardial infarction) · High blood pressure · Abnormal heart valves · Heart muscle disease (dilated cardiomyopathy, ...
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78 Heart Failure: The Left Heart, Lungs, & Etiology - Study.com
https://study.com/academy/lesson/congestive-heart-failure-causes-signs-treatment-options.html
Coronary artery disease, where the heart doesn't get enough life-giving oxygen due to clogged arteries. · Another cause is hypertension, or high ...
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79 Managing Patients with Hypertension and Heart Failure
https://hfsa.org/sites/default/files/media/2015/04/HFSA-2010-HF-Guidelines-Section-14.pdf
... patients with ischemic heart disease, women, older patients, and patients classified as ... a higher risk of all types of cardiovascular events, except.
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80 Drug-Related Problems in Pulmonary Hypertension with ...
https://www.dovepress.com/drug-related-problems-in-pulmonary-hypertension-with-valvular-heart-di-peer-reviewed-fulltext-article-TCRM
Pulmonary hypertension (PH) with valvular heart disease (VHD) is classified as group 2 PH according to European Society of ...
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81 Less salt can reduce risk of heart disease, new study says
https://www.cbsnews.com/philadelphia/news/less-salt-heart-disease-risk-journal-american-college-cardiology-study/
"High blood pressure is an epidemic," Efron said. "One in three adults has high blood pressure, and high blood pressure contributes to stroke, ...
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82 The Heart Foundation: Home
https://www.heartfoundation.org.au/
... funding world-class cardiovascular research, guidelines for health professionals, informing the public and assisting people with cardiovascular disease.
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83 9: Diseases of the Circulatory System (I00-I99)
https://publications.aap.org/aapbooks/book/726/chapter/10873683/Diseases-of-the-Circulatory-System-I00-I99
Hypertension with heart conditions classified to I50.- or I51.4–I51.7, I51.89, I51.9, are assigned to a code from category I11, Hypertensive heart disease.
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84 Deep learning model uses a single chest X-ray to predict heart ...
https://www.news-medical.net/news/20221129/Deep-learning-model-uses-a-single-chest-X-ray-to-predict-heart-disease-risk.aspx
Deep learning is an advanced type of artificial intelligence (AI) ... of cardiovascular disease risk using existing chest X-ray images," ...
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85 New target in the fight against heart disease - ScienceDaily
https://www.sciencedaily.com/releases/2022/11/221129112851.htm
... coronary artery disease, the most common type of heart disease in ... a key role in regulating our blood pressure, says Yuqing Huo, MD, ...
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86 I'm a Doctor and Here's How to Tell If You Have a Bad Heart ...
https://www.eatthis.com/im-a-doctor-and-heres-how-to-tell-you-have-a-bad-heart/
But what does it mean to have a bad heart from a cardiac point of view? Two main types of heart disease are coronary artery disease and ...
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87 Diet Can Lower Risk of Cardiovascular Disease By 10 Percent
https://www.bidmc.org/about-bidmc/news/2022/11/diet-can-lower-risk-of-cardiovascular-disease-by-10-percent
A healthy diet is one key lifestyle strategy to reduce CVD risk factors, including high blood pressure and cholesterol levels, and ultimately ...
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88 Shaking less salt on your food at the table could reduce heart ...
https://news.tulane.edu/pr/shaking-less-salt-your-food-table-could-reduce-heart-disease-risk-2
There's substantial evidence linking high sodium intake to high blood pressure, a major risk factor for cardiovascular disease. However, ...
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89 American College of Cardiology: Home
https://www.acc.org/
... is dedicated to enhancing the lives of cardiovascular patients through ... Cover Story | Global is Local: Rheumatic Heart Disease Around the World ...
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90 QRISK ® 3-2018 risk calculator
https://qrisk.org/three/
Angina or heart attack in a 1st degree relative < 60? Chronic kidney disease (stage 3, 4 or 5)?. Atrial fibrillation? On blood pressure treatment? Do you have ...
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91 6 Hypertension Nursing Care Plans - Nurseslabs
https://nurseslabs.com/hypertension-nursing-care-plans/
Blood pressure is the product of cardiac output multiplied by peripheral resistance. Hypertension can result from an increase in cardiac output ...
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92 high blood pressure causing balance problems ... - Moviebill
https://moviebill.com/high-blood-pressure-causing-balance-problems-g4yHpwh.html
People who are pregnant women who have high blood pressure may cause heart disease or stroke, or heart attack. treatment for benign intracranial hypertension ...
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93 DASH diet reduces heart attack risk in short and long term
https://www.medicaleconomics.com/view/dash-diet-reduces-heart-attack-risk-in-short-and-long-term
Jeong is an internal medicine resident at BIDMC. "Cardiovascular disease is the leading cause of death in women and hypertension is also more ...
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